Tuesday, August 6, 2019

In gaming-fee standoff, Tribes flip-flop from past tax-increase position


Ray Carter with the Center for Independent Journalism makes an astute observation about the standoff between Oklahoma's Indian tribes and Governor Stitt over the renewal of gaming compacts.


Tribal stances on gaming-fee increase contrast with past tax-increase position
by Ray Carter - Director, Center for Independent Journalism
 
August 5th, 2019 (link) -- In 2018, officials with the Chickasaw Nation, Choctaw Nation of Oklahoma, and Quapaw Tribe of Oklahoma were among those endorsing the “Step Up Oklahoma” plan, which ultimately resulted in legislation that sought nearly $600 million in annual tax increases, including increased taxes on Oklahoma drivers’ purchases of fuel, additional taxes on employers in the energy industry, and higher tobacco taxes.

Now, less than two years removed from that debate, those same tribal entities are opposed to Gov. Kevin Stitt’s call to renegotiate tribal gaming compacts and possibly increase the “exclusivity fee” paid by tribes, which acts as a de facto tax.

Where some see the two debates as entirely separate, others see a flagrant flip-flop.

“It goes back to that old saying: Don’t tax me, don’t tax thee, tax that fellow under the tree,” said former state Rep. Jeff Coody of Grandfield, who served in the Legislature at the time of the Step Up debate. “Everybody wants everybody to contribute except when the finger turns to them and says, ‘Okay. How about you?”

But one tribal official said the dispute is not primarily about proposed increases in exclusivity fees.

“The question of a rate increase is not what has provoked the strong opposition from Tribes across the State,” Stephen Greetham, senior counsel of the Chickasaw Nation, said in a statement. “While no Tribe believes a rate increase is justifiable, our opposition stems from Governor Stitt’s declaration of his intent to walk away from our agreement—an intergovernmental compact that includes far more than mere revenue-share rates and has served all parties well.”

In a column that ran in the Tulsa World in July, Stitt called for renegotiating the state’s gaming compacts with Oklahoma tribes. Those compacts, which expire at the end of the year, give the tribes the exclusive right to operate casinos in Oklahoma, aside from a handful of “racino” racetracks that also have slot machines. In exchange, the tribes pay the state a fee for that exclusivity. The fee tops out at 6 percent on slot machines.

In comparison, the state-local sales tax rate on a bottle of water in Oklahoma averages 8.94 percent. In other states, the tax rates on non-tribal casino operations are often between 20 and 40 percent, and several tribal gaming compacts in other states include exclusivity fees in the 20-percent range. According to one estimate, 44 percent of tribal gaming compacts nationwide involve fees of 10 percent or greater.

Stitt said Oklahoma tribes generate an estimated $4.5 billion in annual revenue from casino operations. Under the current compacts, Oklahoma state government received $138.6 million of that total through exclusivity payments in 2018, which amounts to about 3 percent of total revenue generated by casinos.

In response to Stitt’s call for renegotiating the compacts, officials with 29 tribal governments in Oklahoma signed a letter saying they believe the compacts “automatically renew” on Jan. 1, 2020, and that “rates under the present Gaming Compact should not change.”

Tribal officials argue that increased fee payments to the state may reduce tribal government spending on education, health care, and transportation projects, and that Oklahoma state government would ultimately have to increase spending in those areas to make up the difference.

“We are a sovereign tribal nation with a fiduciary responsibility to serve our citizens,” Chief Gary Batton of the Choctaw Nation of Oklahoma said in a statement. “However, our values compel us to go above and beyond this responsibility to serve all people in southeastern Oklahoma. The Choctaw Nation supports public schools and partners with local communities to support roads, bridges, and many other infrastructure needs, as well as serving as the backbone of rural healthcare in southeastern Oklahoma. The businesses we operate have a positive economic impact and help support the regional economy, and we reinvest our profits into Oklahomans, not shareholders. Likewise, gaming exclusivity fees are not taxes. They were negotiated between two governments, and we have demonstrated for decades that our commitment and investment in Oklahoma goes well beyond exclusivity fee payments to the State of Oklahoma. We have been committed to terms of the compact, and are a proven partner to work collaboratively with the State of Oklahoma. The gaming compact has proven to be an effective way to serve Oklahomans.”

The arguments tribal officials have put forth about their broader contributions to Oklahoma, and the potential problems that could be created by an increase in exclusivity fees, echo those put forth by officials in Oklahoma’s energy industry during prior tax-increase debates.

The American Gaming Association has estimated that casinos support 75,000 jobs in Oklahoma and have an economic impact of nearly $10 billion in the state. While those are sizable figures, they don’t exceed the numbers generated by Oklahoma’s energy sector. A 2016 report by the State Chamber of Oklahoma Research Foundation showed that nearly 150,000 Oklahomans were either wage-and-salary workers or self-employed in the oil and gas sector, and that the associated $15.6 billion in household earnings accounted for 13.2 percent of total state earnings. The report found the oil and gas industry supported an estimated $65.7 billion in total state output.

Lawmakers still raised taxes on employers in the energy sector, and did so repeatedly, in recent years.

Critics also contend the economic-development arguments put forth by casino operators are fundamentally flawed because gambling is not comparable to any other business, including those subject to “sin taxes.”

“If you order a beer or a glass of wine or even get a cigarette—while those things certainly have a lot of danger to them and I’m not defending those things—you still get a glass of wine back,” said Les Bernal, national director of Stop Predatory Gambling, which opposes state promotion of gambling. “With commercialized gambling, it’s a financial exchange. And it’s a financial exchange that’s mathematically rigged against you so that inevitably you’re going to lose all your money. Success only comes at someone else’s expense. That’s why it’s like no other commodity out there. It’s like no other business, including other vices.”

While other businesses produce something of value that has a multiplier effect in the economy, Bernal said that’s not true of gambling.

“Commercialized gambling is milking existing wealth,” Bernal said. “It’s a sterile transfer of wealth. It’s a naked money grab disguised as economic development.”

Coody also says claims of the economic benefits created by Oklahoma casinos are more shell game than reality.

“They’re not producing anything. They’re not improving anything,” Coody said. “All they’re doing is redistributing income.”

Former state Rep. Mike Turner of Edmond, who now serves as vice-chair of the Oklahoma Republican Party, says those who suggest tribes were only willing to tax others without stepping up in 2018 are wrong.

“Very few people remember that the tribes actually came to the Legislature last go around and said, “We’re willing to pay more,’” said Turner, who stressed he was speaking as a private citizen and not as a state GOP official. “People forget about that, and most people don’t know that.”

That offer was made in exchange for the Legislature legalizing roulette tables at the casinos, he said.

Coody suggests the idea that altruism was the primary motive behind that offer is naïve.

“They’re always looking to expand and the only way they’re going to agree to give anything up is when they think they’ve got more to gain from the state allowing them some type of expansion of their games,” Coody said.

Turner also said the governor’s call to renegotiate the compacts will likely go nowhere because the “plain text” of the agreements says the compacts automatically renew unless both parties want to renegotiate. So long as the tribes decline to renegotiate, he said, the compacts renew as is.

“Every attorney that I’ve talked to says, ‘Yeah, it rolls over,’” Turner said.

For Bernal, the debate over the exclusivity fee paid by Oklahoma tribes misses the big picture.

“It doesn’t matter, whatever you tax it, it’s a rip off for all citizens,” Bernal said. “And so if the tax is 6 percent or 15 percent, it’s still a loser for the people of Oklahoma. The guys that run the games, they’re still going to win, regardless. To me, it’s almost an irrelevant argument.”

Ray Carter is the director of OCPA’s Center for Independent Journalism. He has two decades of experience in journalism and communications. He previously served as senior Capitol reporter for The Journal Record, media director for the Oklahoma House of Representatives, and chief editorial writer at The Oklahoman. Articles from the Center for Independent Journalism can be found at this link.

from MuskogeePolitico.com

Monday, August 5, 2019

Music Monday: 10,000 Reasons (Bless the Lord)


This week's Music Monday is 10,000 Reasons (Bless the Lord), by Christian singer-songwriter Matt Redman (who I did not realize is English).

Enjoy!


See below for all previous Music Monday posts. Do you have a song you'd like to suggest for a future Music Monday? Email me at JamisonFaught@MuskogeePolitico.com.

July 29th, 2019: Let It Be Said Of Us
July 15th, 2019: Bach's "Little" Fugue in G Minor
July 8th, 2019: The Majesty and Glory of Your Name
July 1st, 2019: Medley of Sousa Marches
June 24th, 2019: Seventy-Six Trombones
June 17th, 2019: I Want To Be That Man
June 3rd, 2019: "Les Toreadors" from 'Carmen'
May 20th, 2019: Lonesome Road
May 13th, 2019: Mr. Mom
April 29th, 2019: Have Faith in God (Muskogee's hymn)
April 15th, 2019: The Government Can
March 25th, 2019: Transcendental Étude No. 4, "Mazeppa"
March 18th, 2019: St. Patrick's Day in the Morning
March 11th, 2019: What Wondrous Love is This
March 4th, 2019: Scandinavian Waltz
February 18th, 2019: Adagio for Strings
February 11th, 2019: 'Romance' from 'The Gadfly'
February 4th, 2019: Columbia, Gem of the Ocean
January 7th, 2019: Loch Lomond
December 31st, 2018: Auld Lang Syne
December 24th, 2018: Remember O, thou Man
December 17th, 2018: O Come, O Come, Emmanuel
December 10th, 2018: Carol of the Bells (medley)
December 3rd, 2018: God Rest Ye Merry, Gentlemen
November 26th, 2018: Happy Birthday
November 19th, 2018: My Heart is Filled with Thankfulness
November 12th, 2018: Hymn to the Fallen
October 29th, 2018: A Mighty Fortress is Our God
October 22nd, 2018: Hymn to Red October
October 15th, 2018:  Indian Reservation ("Cherokee People")
October 8th, 2018: Wagner's 'Columbus Overture'
October 1st, 2018: Danny Boy
September 24th, 2018: Dvorak's 'From The New World' Symphony, 4th Movement
September 17th, 2018: Deep River
September 10th, 2018: Muleskinner Blues
September 3rd, 2018: Boomer Sooner
August 20th, 2018: Psalm 23
August 13th, 2018: Ashokan Farewell
August 6, 2018: How the West Was Won
July 23rd, 2018: I Just Can't Wait to Be King
July 16th, 2018: 'Jupiter' from 'The Planets'
July 9th, 2018: Hail to the Spirit of Liberty
July 2nd, 2018: Turn The Tide
June 25th, 2018: Good Guys Win
June 18th, 2018: Watching You
June 11th, 2018: Adoration
June 4th, 2018: March from 'A Moorside Suite'
May 28th, 2018: Taps
May 21st, 2018: Listz's La Campanella
May 14th, 2018: Handful of Weeds
May 7th, 2018: Come Thou Fount of Every Blessing
April 30th, 2018: Polonaise in A-flat major, Op. 53 ("Heroic")
April 23rd, 2018: Blow Ye The Trumpet
April 16th, 2018: Asturias (Leyenda)
April 9th, 2018: Old Mountain Dew
April 2nd, 2018: His Life For Mine
March 19th, 2018: See, the Conqu'ring Hero Comes!
March 12th, 2018: Choctaw Nation
March 5th, 2018: Hark, I Hear The Harps Eternal
February 19th, 2018: The Olympic Spirit
February 12th, 2018: Olympic Fanfare and Theme
January 29th, 2018: Hail to the Chief
January 23rd, 2018: Waltz in A-Flat Major, Op. 39 No. 15
January 15th, 2018: Bleed The Same
January 8th, 2018: Saint-Saëns' Symphony No.3 'Organ' (Maestoso)
December 25th, 2017: God Rest Ye Merry, Gentlemen
December 18th, 2017: I Saw Three Ships (The Piano Guys)
December 11th, 2017:Who Is He In Yonder Stall
December 4th, 2017: Carol of the Bells (Mannheim Steamroller)
November 27th, 2017: Joy to the World!
November 20th, 2017: We Gather Together
November 13th, 2017: Mansions of the Lord
November 6th, 2017: Träumerei
October 30th: A Mighty Fortress Is Our God
October 23rd, 2017: In Christ Alone
October 16th, 2017: When I'm Knee Deep In Bluegrass
October 9th, 2017: I Pledge Allegiance to the Lamb
October 2nd, 2017: Piano Concerto No. 2 in B-flat major (Brahms)
September 25th, 2017: Beethoven's Sonata No. 8 in C minor ('Pathétique')
September 11th, 2017: Have You Forgotten?
September 4th, 2017: Bach's Double Violin Concerto
August 28th, 2017: Noah Found Grace In The Eyes Of The Lord
August 21st, 2017: The Heavens Are Telling The Glory of God
August 14th, 2017: Beethoven's 5th Symphony
August 7th, 2017: 'Lift High The Name Of Jesus' medley
July 31st, 2017: Fanfare for the Common Man
July 24th, 2017: Variations on 'Happy Birthday'
July 10th, 2017: Summer (Presto) from Vivaldi's Four Seasons
July 3rd, 2017: Freelance Fireworks Hall of Fame
June 26th, 2017: Praise to the Lord, the Almighty
June 19th, 2017: A Christian Home
June 12th, 2017: Ol' Man River
June 5th, 2017: Choctaw Cowboy
May 29th, 2017: Armed Forces Salute
May 22nd, 2017: Double Bass Concerto No.2 in B minor
May 15th, 2017: Pomp and Circumstance March No. 1 in D major
May 8th, 2017: The Army Goes Rolling Along
April 17th, 2017: He Is Alive
April 10th, 2017: Surely He Hath Borne/And With His Stripes/All We Like Sheep
April 3rd, 2017: Here Comes Carolina
March 27th, 2017: 'Spring' from Vivaldi's 'Four Seasons'
March 20th, 2017: Symphony No. 5 ("Reformation") Finale
March 13th, 2017: The Pigeon on the Gate
March 6th, 2017: Finlandia
February 27th, 2017: When I Can Read My Title Clear
February 20th, 2017: William Tell Overture - Finale
February 13th, 2017: 'Romance' from 'The Gadfly'
February 6th, 2017: White Winter Hymnal
January 30th, 2017: Hail, Columbia
January 23rd, 2017: Hail to the Chief
January 16th, 2017: Come, Ye Sinners, Poor and Needy
January 2nd, 2017: Auld Lang Syne
December 26th, 2016: Hark! The Herald Angels Sing
December 19th, 2016: I Wonder as I Wander
December 12th, 2016: O Come, O Come, Emmanuel
December 5th, 2016: A Christmas Festival
November 28th, 2016: God Rest Ye Merry, Gentlemen
November 21st: Beethoven's 'Hymn of Thanksgiving'
November 14th: Hymn to the Fallen
November 7th: This World Is Not My Home
October 31st, 2016: A Mighty Fortress Is Our God
October 24th, 2016: 'Mars', from 'The Planets'
October 17th, 2016: My Shepherd Will Supply My Need
October 10th, 2016: Spain
October 3rd, 2016: International Harvester
September 26th, 2016: 'The Imperial March' from Star Wars
September 19th, 2016: Awake the Trumpet's Lofty Sound
September 12th, 2016: Before the Throne of God Above
September 5th, 2016: The Hunt
August 29th, 2016: Liberty
August 22nd, 2016: Summon the Heroes
August 15th, 2016: Bugler's Dream
August 8th, 2016: Olympic Fanfare and Theme
August 1st, 2016: 'Prelude' and 'Parade of the Charioteers' from Ben-Hur
July 25th, 2016: How The West Was Won
July 18th, 2016: Six Studies in English Folk Song
July 11th, 2016: From Everlasting To Everlasting
July 4th, 2016: The Stars and Stripes Forever
June 27th, 2016: Rule, Britannia!
June 20st, 2016: Bugler's Holiday
June 13th, 2016: Ride of the Valkyries
June 6th, 2016: Piano Concerto in A Minor, Op. 54, Allegro Vivace
May 30th, 2016: Armed Forces Salute
May 23rd, 2016: Paid in Full (Through Jesus, Amen)
May 16th, 2016: Overture from 'Carmen'
May 9th, 2016: L'Arlesienne Suite No. 1 - Prelude
May 2nd, 2016: My God Is a Rock
April 25th, 2016: Toccata and Fugue in D Minor
April 18th, 2016: Paganini's Caprice No. 24 in A Minor
April 11th, 2016: Fantasia on a 17th Century Tune
April 4th, 2016: Hark The Sound/I'm a Tarheel Born
March 28th, 2016: Rustle of Spring
March 21st, 2016: 'Ode to Joy' sung by a 10,000-voice choir
March 14th, 2016: Hard Times Come Again No More
March 7th, 2016: 'The Suite' from Downton Abbey
February 29th, 2016: Moonlight Sonata
February 22nd, 2016: Liebestraum No. 3
February 15th, 2016: Help Is On The Way
February 8th, 2016: God of Grace and God of Glory
February 1st, 2016: 'My Story'
January 25th, 2016: Israeli Concertino
January 18th, 2016: What Grace is Mine
January 11th, 2016: "Meditation" from Thaïs
January 4th, 2016: Praeludium and Allegro
December 28th, 2015: Appalachian Carol
December 21st, 2015: God Rest Ye Merry, Gentlemen
December 14th, 2015: O Holy Night
December 7th, 2015: Christmas Fantasy
November 23rd, 2015: Simple Gifts
November 16th, 2015: Preacher Tell Me Like It Is
November 9th, 2015: Armed Forces Salute
November 2nd, 2015: Amazing Grace
October 26th, 2015: The Harmonious Blacksmith
October 19th, 2015: Liberty Fanfare
October 12th, 2015: The Majesty and Glory of Your Name
October 5th, 2015: Elgar's 'Enigma' Finale
September 28th, 2015: Stayed on Jesus
September 21st, 2015: Great Gate of Kiev
September 14th, 2015: Nearer, My God, To Thee

from MuskogeePolitico.com

[MuskogeePolitico.com] State Rep arrested for DUI; Fiorina endorses Neese in CD5

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Atty Gen. Hunter comments on FCC cracking down on Caller ID spoofing



Attorney General Hunter Releases Statement on FCC Commission Approving Measure to Ban Caller ID Spoofing in Text Messages and International Calls

OKLAHOMA CITY – Attorney General Mike Hunter today commended Federal Communications Commission (FCC) for voting to implement rules to ban caller ID spoofing in text messages and international calls.

FCC Chairman Ajit Pai originally proposed the rules to the commission in July following the recommendations of a bipartisan coalition of 42 state attorneys general, including Attorney General Hunter, in May.

The new rules amend the Truth in Caller ID Act of 2009 by implementing federal legislation passed in 2018 that makes spoofing from international call centers and text messages illegal. The act previously prohibited misleading caller ID spoofing from domestic callers only. It did not prohibit overseas calls and text messages.

The rules will also give the FCC the authority to bring enforcement actions against those sending the fraudulent text messages and making the falsely identified calls from overseas.

Attorney General Hunter commended the FCC and Chairman Pai for taking meaningful action to help consumers.

During our recent meeting, Chairman Pai said his top consumer protection priority was combatting unlawful robocalls and caller ID spoofing,” Attorney General Hunter said. “Thanks to his leadership and action taken by the FCC, progress is being made in our fight to combat these crimes that are causing real harm to Americans. These latest measures will close loopholes in the Truth in Caller ID Act and give law enforcement the ability to go after the criminals who are preying on consumers. My office remains dedicated to assisting our federal partners on this front to end these scams and better protect Oklahomans.”

According to the FCC, the scam involves fraudsters working in overseas call centers pretending to call from trusted organizations and using pressure tactics to deceive and defraud American consumers of money and personal information. Caller ID spoofing is used in these cases by the scammers to make their phone number appear to match the organization they are pretending to represent.

In the first six months of this year, the FCC has received more than 35,000 complaints about caller ID spoofing.

More on today’s announcement, here: https://bit.ly/2KjEe7G.

For more on steps Attorney General Hunter has taken to combat illegal robocalls, click here: https://bit.ly/2OzfEVP.

For more on what the FCC is doing to combat illegal robocalls and spoofing, click here: https://bit.ly/2UBVUDo.

from MuskogeePolitico.com

Stitt appoints new director to OK Health Care Authority



GOV STITT APPOINTS NEW DIRECTOR TO OKLAHOMA HEALTH CARE AUTHORITY

OKLAHOMA CITY, OKLA. (August 5, 2019)— Governor Kevin Stitt announced today the appointment of Kevin Corbett as the next agency director for the Oklahoma Health Care Authority (OHCA).

“Kevin Corbett’s financial expertise and strong organizational leadership will serve the Health Care Authority and the State of Oklahoma well,” said Gov. Stitt. “Corbett will bring his wealth of experience in accounting and consulting to ensure OHCA’s $6 billion budget is being delivered on target and to effectively partner with other state agencies to improve care for the most vulnerable in our state. I look forward to working with Corbett in order to achieve Top Ten outcomes in Oklahoma.” 

Corbett will begin leading OHCA on August 15, and his appointment will require Senate confirmation in the 2020 legislative session.

Corbett previously served as the Interim Chief Financial Officer at Lagoon Water Solutions. Prior to this, Corbett served as a senior partner and Risk Advisory practice leader with Ernst & Young, retiring in 2017 with over 38 years of service. During his career, Corbett advised some of the largest companies in the U.S. and abroad, gaining extensive experience in a wide array of corporate matters, including public offerings, merger and acquisitions, debt restructurings, bankruptcy proceedings, risk management and transformational change. Corbett is a graduate of Oklahoma State University (BS in Accounting) and the executive management program at the Kellogg School of Management, Northwestern University. Corbett has served on the board of several civic organizations in Oklahoma and Texas, including Sunbeam Family Services, Junior Achievement, United Way, and Oklahoma State University Foundation Board of Governors. Corbett is a CPA licensed in Oklahoma and Texas and a member of the National Association of Corporate Directors.

“Kevin Corbett brings to the Oklahoma Health Care Authority a distinguished record of leading people to drive effective outcomes. His proven ability to focus and lead high-performing teams will be a powerful tool in helping us achieve Top Ten outcomes for the health of all Oklahomans - particularly the most vulnerable among us. I deeply appreciate Kevin's willingness to bring his seasoned experience to bear in service to his home State.” – Jerome Loughridge, Secretary of Health and Mental Health

“It’s exciting to have Kevin Corbett join the leadership at the Oklahoma Health Care Authority. Kevin brings a wealth of business experience and acumen to this position. His results-driven leadership and ability to build teams will transform the OHCA into a high performing agency that is committed to advancing the health status of Oklahoma’s most vulnerable populations and to making Oklahoma a Top Ten State in health.” – Dr. Kayse Shrum, Secretary of Science and Innovation

“I have had the privilege to know and work with Kevin Corbett for many years. His leadership skills, business acumen and knowledge of best practices will be of great benefit to the OHCA. I have full confidence he will serve the people of Oklahoma well.”– Mike Sanner, Former Oklahoma City Managing Partner at Ernst & Young

“Governor Stitt has made an excellent choice in Kevin Corbett. As a consultant to my company, Kevin was an effective manager and skilled accountant who helped us drive stronger outcomes with our resources. He will bring accountability and precision to the Health Care Authority’s multi-billion-dollar budget and ensure taxpayer dollars are achieving the goals of the state. I cannot think of anyone better to manage this important state agency.” – David Williams, Former Chairman and CEO of Noble Corporation

The OHCA administers two health programs for the state: Soonercare, Oklahoma's Medicaid program that works to improve the health of qualified Oklahomans by ensuring that medically necessary benefits and services are available, and Insure Oklahoma, which assists qualifying adults and small business employees in obtaining health care coverage for themselves and their families.

from MuskogeePolitico.com

Saturday, August 3, 2019

Broken Arrow State Rep. Davis arrested for DUI



State Rep. Dean Davis (R-Broken Arrow) was arrested for a DUI yesterday by Tulsa Police. From KOTV:
Tulsa Police say Davis was seen driving to the left of the center line and speeding. After being pulled over Davis submitted to a sobriety test during which officers say the observed several DUI indicators. Officers say Davis refused to take a breath test and told the officers to speak with their chief.

Davis was placed under arrest for suspicion of driving under the influence was taken to the Tulsa County Jail.
A previous representative from District 98, John Trebilcock, was arrested with a similar DUI charge in 2007, when he told the police that he had kissed a woman who had been drinking and was not intoxicated himself.

from MuskogeePolitico.com

OCPA column: Ducking the real Medicaid question



Ducking the real Medicaid question
by Jonathan Small

When it comes to Medicaid expansion, there are just two choices. Oklahoma can expand the program, adding up to 628,000 able-bodied adults at a potential state-taxpayer cost of $374 million annually, or Oklahoma can reject expansion and implement real, state-level reforms that target funding to rural areas, expand price transparency and improve outcomes.

There is no serious, viable alternative that melds those two positions, as recent news from Utah makes clear.

Under the Affordable Care Act, better known as Obamacare, the federal government offers to pay up to 90 percent of the cost of adding able-bodied adults to Medicaid, a much higher rate than it pays for coverage of the aged, blind and disabled currently on the program. This was done to incentivize states to expand the welfare program.

Utah officials tried to split the baby. Under Obamacare, the higher matching rate is provided for coverage of able-bodied adults with incomes up to 138 percent of the federal poverty level. Utah tried to do a partial expansion covering only those with incomes up to the poverty level. The Trump administration declined Utah’s waiver request. Basically, if Utah wants to do a partial expansion, it can, but it will receive the lower matching rates provided through traditional Medicaid. Utah will cover about 30 percent of the costs instead of 10 percent.

Oklahoma lawmakers should take note. Under the federal law, as enforced now by both Democratic and Republican administrations, Medicaid expansion is an all-or-nothing proposition.

Yet some proponents of Medicaid expansion argue they can create an “Oklahoma plan” that expands Medicaid in a modified form. That argument no longer holds water after rejection of Utah’s plan.

The blunt truth is that when “alternative” Medicaid-expansion models have gained approval from the federal government, they still provide coverage to the same people as traditional Medicaid expansion, with the same lack of restrictions as traditional expansion, at the same or higher taxpayer costs as traditional Medicaid expansion.

Some tout Arkansas’ Medicaid expansion as a model for Oklahoma, but the main difference between the Arkansas plan and traditional Medicaid expansion is that the Arkansas plan is much more expensive. One study found the Arkansas plan’s per-patient costs were more than double the cost of traditional Medicaid.

Efforts to place Medicaid expansion on the ballot and make it a constitutional right for able-bodied adults are underway, and signatures are being gathered. Some lawmakers argue this means they must pass expansion through the Legislature. In reality, the initiative petition has taken the issue out of lawmakers’ hands. The ballot measure, if approved, will supersede anything the Legislature passes. And if the ballot measure is rejected—either because the petition fails to secure enough signatures or voters reject it at the ballot box—then it’s clear Oklahomans don’t want to expand Medicaid.

Oklahoma politicians only need to declare their position on the ballot measure. Those who pretend they’re seeking an “alternative” are simply ducking the question.

Jonathan Small serves as president of the Oklahoma Council of Public Affairs.

from MuskogeePolitico.com