By SEAN MURPHY
OKLAHOMA CITY (AP) — Oklahoma voters are deciding Tuesday whether to expand Medicaid to tens of thousands of low-income residents and become the first state to amend their Constitution to do so.
Though an increasing number of Oklahoma voters took advantage of mail-in voting for Tuesday’s primary, polls are open from 7 a.m. to 7 p.m. statewide.
Idaho, Maine, Nebraska and Utah have all expanded Medicaid through ballot questions, but did so by amending state statutes, according to the nonpartisan Kaiser Family Foundation.
Amending the Oklahoma Constitution would prevent the Republican-controlled Legislature, which has resisted Medicaid expansion for a decade, from tinkering with the program or rolling back coverage. Missouri voters also will decide on a constitutional amendment on Aug. 4.
State Question 802 would extend Medicaid health insurance to those earning up to 138% of the federal poverty level, which is about $17,200 for an individual or $35,500 for a family of four.
Oklahoma is one of 14 states, along with neighboring Texas and Kansas, that have not expanded Medicaid under the 2010 federal Affordable Care Act. Republican Gov. Kevin Stitt and his predecessor, Mary Fallin, have opposed expansion, citing uncertainty about future costs for the state.
“We have a billion-dollar shortfall next year,” Stitt said recently at a forum hosted by Americans for Prosperity, a conservative political advocacy group that opposes the measure. The state would have to “either raise taxes or to cut services somewhere else like education, first responders, or roads and bridges” to cut additional Medicaid costs, he said.
After years of legislative inaction on health insurance proposals, supporters of Medicaid expansion launched an initiative petition last year to get the measure on the ballot, and collected a record number of signatures. The plan was endorsed by several politically powerful groups, including chambers of commerce, medical trade groups, the Oklahoma Education Association and the Oklahoma Conference of Churches.
Some Republican opposition to Medicaid expansion has eroded in recent years, particularly in rural areas where hospitals have suffered financial problems or closed.
Kevin Penry, a Republican and retired pastor from Edmond, said that before going on Medicare last month he had to buy expensive insurance on the federal marketplace, which “really made me feel for folks who are in a difficult financial situation.” He said he voted for the expansion.
The Oklahoma Health Care Authority has projected that about 215,000 residents would qualify for a Medicaid expansion, for a total annual cost of about $1.3 billion. The estimated state share would be about $164 million. But those numbers could be considerably higher given the number of Oklahomans who have lost their jobs and work-related health insurance because of the economic shutdown amid the coronavirus pandemic.
If the proposal passes, the Legislature is expected to increase a fee that hospitals pay from 2.5% to 4%, which would generate about $134 million annually. Stitt vetoed such a measure earlier this year.
Copyright 2020 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.