Posted by 01 July 2020
Voters in Oklahoma cast their ballots yesterday, and by a very narrow margin approved an expansion of the state’s Medicaid program.
With a 1% margin of victory, voters supported State Question 802. This ballot measure amends the Oklahoma constitution to provide Medicaid coverage for more lower-income state residents. Medicaid is a joint federal-state health coverage program. Under the Affordable Care Act, states could provide coverage for lower-income adults without disabilities who did not have children.
Medicaid expansion has been a controversial topic in many states, especially ones where Republicans have the majority in the legislature. These states have largely been reluctant to expand the program, fearing long-run costs. Skeptics of expansion note that while the federal government funds 90% of the new enrollees, it still leaves state with a financial burden that will grow over time. They argue that health policy should be focused on placing people on private insurance, not enrolling them in a government program.
Backers of expansion counter that Medicaid expansion is an effective way of helping those who cannot afford insurance. They say that it will save lives and reduce the use of emergency rooms. In some states where legislators refuse to vote in favor of expanding Medicaid, these advocates have gone directly to voters through ballot initiatives.
These ballot initiatives have been successful in Idaho, Maine, Nebraska, and Utah. Oklahoma’s expansion is different, however, since the initiative amends the state constitution, while the other states have only amended statutes. A constitutional amendment change prevents legislators from reversing the outcome or changing the program eligibility.
Do you support extending Medicaid coverage to able-bodied adults who have no children?