Medicaid, GOP congressional primary top Oklahoma ballot

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FILE - In this Monday, June 1, 2020 file photo, Kris Steele, Executive Director of OCJR and TEEM, carries a box of petitions as Yes on 805 delivers 260,000 gathered signatures to the Secretary of State's office in Oklahoma City, to put sentencing reform on a 2020 ballot. Oklahoma voters will vote in Tuesday's primary election on State Question 802, which would amend the Oklahoma Constitution to expand Medicaid health insurance. (AP Photo/Sue Ogrocki, Pool, File)

OKLAHOMA CITY – A question on whether to expand Medicaid in Oklahoma and a crowded Republican field vying to challenge the state's lone congressional Democrat are drawing the most attention ahead of Tuesday's primary election.

State Question 802 would amend the Oklahoma Constitution to expand 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, mostly because Oklahoma's Republican governors and Legislature have resisted. Residents instead petitioned to put the measure on the ballot.

According to the nonpartisan Kaiser Family Foundation, states that have expanded Medicaid through a ballot measure include Idaho, Maine, Nebraska and Utah. A vote in Missouri is scheduled for Aug. 4.

Oklahoma's proposal has endorsements from chambers of commerce, medical groups, the Oklahoma Education Association and the Oklahoma Conference of Churches, along with most Democrats in the Legislature.

But Republican Gov. Kevin Stitt has been a fierce critic, saying the proposal could lead to tax hikes or budget cuts to other programs, including education.

“I’m going to be voting no on SQ 802. This is going to cost our state $200 million," Stitt said during an event this week with Americans for Prosperity. “We have a billion-dollar shortfall next year.”

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.