Oklahoma voters approved a state question to expand Medicaid to more low-income residents, according to The Oklahoman.
The June 30 vote makes Oklahoma the first state to amend its constitution to expand Medicaid. Adding Medicaid expansion to Oklahoma's constitution effectively limits the state's GOP-controlled legislature and Republican governor from rolling back the measure.
The vote narrowly passed, with most of Oklahoma's counties opposing the expansion. Just seven of the state's 77 counties, including more populated ones such as Oklahoma and Tulsa Counties, voted in favor.
Oklahoma has until July 1, 2021, to expand Medicaid under the ACA. The expansion is expected to affect about 200,000 Oklahomans and cost about $164 million annually. The cost was a sticking point for Gov. Kevin Stitt, as the state may face a $1 billion shortfall in 2022. The Oklahoma Hospital Association supports the expansion.