Health Care Authority warns large budget requirement to cover Medicaid expansion, HR1 costs and rural health investments Oklahoma Health Care Authority officials told the Senate appropriations subcommittee their FY27 budget requirement is large and time-sensitive, driven by Medicaid expansion utilization, HR1 administrative changes and a planned rural health transformation push that will increase short-term utilization and require system investment.

The Oklahoma Health Care Authority warns that without a crucial FY27 budget, essential services like Medicaid expansion and rural health investments could face drastic cuts.

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