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Where does Oklahoma stand on Affordable Care Act implementation?

Gov. Mary Fallin announced in November that Oklahoma would not expand its Medicaid program or create a state-based health care exchange. What does that mean for Oklahoma's implementation of the Affordable Care Act?
by Jaclyn Cosgrove Published: April 8, 2013

In January, the Oklahoma Health Care Authority approved a $500,000 contract with the Leavitt Company, a Utah-based health care consulting firm, to study how best to provide health care coverage for as many as 200,000 low-income Oklahomans who would have qualified for Medicaid coverage under the Affordable Care Act.

Fallin has said she wants to see Oklahoma come up with its own plan for bettering health in the state, a plan that isn't solely focused on health care.

Oklahoma has long had some of the worst health rankings in the nation, with the state facing high rates of obesity, heart disease, diabetes and poor mental health.

One of Fallin's focuses has been on Oklahoma's smoking law that prohibits cities from making their own laws to limit smoking in some public places.

Oklahoma and Tennessee are the only states that restrict cities from passing smoking ordinances stricter than state law, according to the state Health Department.

In February, a bill to change the law failed to make it past a Senate committee hearing.

Fallin announced later that month that she would lead an initiative petition drive to get the issue on the ballot so Oklahoma voters could decide the matter.

by Jaclyn Cosgrove
Medical and Health Reporter
Jaclyn Cosgrove writes about health, public policy and medicine in Oklahoma, among other topics. She is an Oklahoma State University graduate. Jaclyn grew up in the southeast region of the state and enjoys writing about rural Oklahoma. She is...
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Such an expansion would be unaffordable, costing the state of Oklahoma up to $475 million between now and 2020, with escalating annual expenses in subsequent years. ”

Oklahoma Gov. Mary Fallin,


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