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Affordable Care Act (Obamacare)

Tobacco tax for Medicaid plan faces challenge in Oklahoma

A plan to shift coverage for some of Oklahoma's Medicaid recipients in order to trigger an infusion of federal funding appears to be gaining support among Republican lawmakers, but the idea of funding it with a tobacco tax is facing uphill sledding in the GOP-controlled Legislature.

The Medicaid Rebalancing Act of 2020 was unveiled this spring by state health officials as an alternative to a Medicaid expansion under the Affordable Care Act, which has been fiercely opposed by Republican lawmakers for years. The proposed plan involves shifting about 175,000 pregnant women and children off Medicaid and into private insurance plans, which would be purchased with subsidies through the...