June 28, 2012
OHCA Contacts: Jo Kilgore - (405) 522-7474, Carter Kimble - (405) 522-7510
Supreme Court’s Ruling On Medicaid
The Supreme Court ruled that states have a choice whether to cover additional people through their Medicaid programs. We expect the federal government will issue additional guidance as this ruling is reviewed. The Oklahoma Health Care Authority will look towards Oklahoma’s leadership for direction as to future action.
Expanding Oklahoma’s SoonerCare program under the federal guidance would make health care benefits available to an estimated 200,000 newly qualified adults, aged 19 to 64, with household incomes at or below 133 percent of the federal poverty level. For example, a single adult could make up to $15,414 a year, or a family of three would qualify with a household income at or below $26,344.
If the state chooses to expand SoonerCare in 2014, the first three years of benefits for the new population would be paid completely by the federal government. Beginning in 2017, the federal government’s share would be 95 percent and would taper to 90 percent in 2020. The federal government currently pays for about 64 percent of the SoonerCare and Insure Oklahoma programs – in state fiscal year 2012 this equates to about $3.25 billion of the total $5.2 billion budget. In SFY12, SoonerCare and Insure Oklahoma has provided health care benefits to more than 990,000 Oklahomans.