The Oklahoma Health Insurance environment

1. The Oklahoma Health Insurance environment Presented to the Bicameral Working Group on Health Care September 4, 2019

3. Those covered under EGID show as “employer”. • Of the 223,100 in the non-group category, 146,286 are enrolled in a plan through the Federal health insurance marketplace. • Of the 146,286 enrolling in a plan on the marketplace: • 95% (100-400% FPL)received a tax credit used to subsidize their premium • 64% (100-250% FPL) received a cost sharing reduction. • Other Public is military and VA. • Tribal members that receive coverage only through IHS are included in the uninsured count. Oklahoma snapshot *2017 American Community Survey, US Census Bureau

4. Inside the numbers • 68% of Oklahoma’s population is under 400% FPL. • In 2018, 36% of the subsidy eligible population enrolled in a marketplace health plan. • About half of Oklahoma’s private sector employers offer health insurance. • 32.3% of private sector employers with fewer than 50 employees offer health insurance. (National avg is 29.8%)

5. National comparison

6. Current Medicaid coverage • To qualify for the current Medicaid program an individual must be a resident and has to meet 2 requirements: • 1) Categorical eligibility- under age 19; pregnant; aged; blind; disabled; parent/caretaker • 2) Financially eligibility- dependent upon categorical eligibility • i.e., Children are eligible up to 200%; parent/caretakers are eligible up to 45%

7. Estimates of Uninsured Adults eligible under Medicaid expansion

8. Medicaid expansion