OPINION: Why I support State Question 802 for Medicaid expansion

BY CHUCK HOSKIN JR
Principal Chief
05/31/2020 02:00 PM
On June 30, voters will make a big decision about the future of health care in Oklahoma. State Question 802 would have a $27 million economic impact on Cherokee Nation Health Services. 

That money would go to support good jobs for health care professionals and provide life-saving treatments and medicine to Cherokees. As our health care heroes battle the spread of the COVID-19 virus, it is more important than ever to provide the support they need. 

I hope you will join me in voting yes on SQ 802. By bringing home our tax dollars to provide health coverage, we will improve health and family finances for Cherokees across Oklahoma, help keep rural hospitals open, and boost the economy. 

Currently, 36 other states get billions of dollars in health care funding through Medicaid expansion. For the past decade, Oklahoma has chosen not to participate in Medicaid expansion, sending millions of Cherokees’ federal tax dollars to neighboring states such as Arkansas, Louisiana, Colorado and New Mexico. 

The CN’s tribal health system is partially funded by federal dollars through the Indian Health Service. However, those IHS appropriations have always been well below the full cost of caring for our tribal citizens. To make up the difference as best we can, we need Cherokees to have insurance coverage, whether through Medicaid, Medicare, the Veterans Administration or private insurance. 

Passing SQ 802 will allow almost 14,000 Cherokees and other American Indian patients in our CN health system access to health coverage. 

Expanding coverage for CN citizens will dramatically strengthen the finances of our tribal health system. Expansion will allow us to provide more care at no cost to the state, because services for a Medicaid patient at a tribal facility are 100% federally reimbursed. The funds will allow us to treat more patients, provide more medications, and pay for more referrals when Cherokees need care outside our health facilities. 

CN Health Services provides some of the best early and preventative care in the country. Unfortunately, many Oklahomans in our community are forced to put off essential medical care because they do not have health insurance. Many have gone without heart medication or cancer treatment until the problem became much worse. Even more Oklahomans have gone bankrupt or felt extreme financial stress over the cost of care without insurance. This creates a financial strain that impacts all of us. Too many rural hospitals in Oklahoma have shut down because their patients were not able to pay for care. Passing SQ 802 will go a long way toward reversing these trends. 

On June 30, I urge everyone in the CN and across Oklahoma to vote yes on SQ 802. For this election, you have until June 5 to register to vote and until June 24 to request an absentee ballot in the mail. Visit www.yeson802.org if you would like to get involved in the campaign to pass SQ 802. 

A yes vote will make a lasting difference for better health and financial security of Cherokees and all 4 million Oklahomans.

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