But some state residents, including thousands on the Insure Oklahoma program, would have fallen into a "coverage crater" where they would have been ineligible for tax subsidies or Medicaid. Federal officials planned to terminate the Insure Oklahoma program because most of its recipients would have otherwise been eligible for the Medicaid expansion if they earned up to 138 percent of federal poverty, or $32,499 for a family of four.
Republican legislators favor Insure Oklahoma program over Medicaid expansion because individual recipients pay modest co-pays, with the rest of the premiums covered by employer payments in some cases, along with state and federal matching funds.
The state's portion of the funding comes from a tobacco tax approved by voters and is used to draw down matching federal Medicaid dollars.
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