Medicaid

The yellow letters were mailed to Oklahomans with coverage under the state’s voter-approved Medicaid eligibility expansion, which includes adults making up to 138% of the federal poverty level, or $22,025.

The update comes as Oklahoma prepares to enter the second budget period of a five-year federal funding opportunity meant to transform rural health.

The investigation comes after the state Medicaid agency announced it recently uncovered an international crime ring believed to have fraudulently enrolled thousands of Oklahomans in Medicaid.

The state Medicaid agency’s current director, Clay Bullard, notified Stitt’s office he will return to the private sector. He joined the Health Care Authority in October 2025.

Hospital leaders are asking for facility-specific projections amid predicted changes to supplemental hospital payment programs, arguing the funding differences will affect individual hospitals differently.

Oklahoma Gov. Kevin Stitt criticized Attorney General Gentner Drummond for his independent audit request of the state’s Medicaid agency.

House Speaker Kyle Hilbert said it was the only way to get a sought-after state question on ballot before they adjourn sine die.

Drummond’s office stated it has substantial cause to believe the agency is failing to oversee its contracted managed care organizations.

State questions proposing Constitutional amendments have been a notable feature of the 2026 Oklahoma legislative session, and there are more on the way.

The state’s largest physicians’ organization denounced House Bill 4063, which passed the House floor Tuesday. The group argued against a special election, where voter turnout is generally lower.