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APA WF # 26-03 - H.R. 1 Alien Eligibility

These policy changes are currently approved as emergency rules and are being proposed as permanent rules.

The proposed policy revisions align with eligibility changes included in H.R. 1, also referred to as the Working Families Tax Cut legislation. Beginning October 1, 2026, federal financial participation (FFP) is only available for Medicaid benefits furnished to United States citizens, lawful permanent residents (LPRs), certain Cuban/Haitian entrants, and citizens of the Freely Associated States covered under the Compact of Free Association (COFA). Most other non-citizens will no longer qualify for full-scope coverage and will be limited to Emergency Medical Assistance. The proposed revisions also include clean-up language and minor technical corrections.

Please view the draft rule amendments here: APA WF # 26-03

View the Rule Impact Statement here

Please submit feedback via the comment box.

Proposed Policy Timeline

Tribal Consultation: 5/6/2026
Circulation Date: 10/01/2026
Comment Due Date: 11/02/2026
Public Hearing: 11/02/2026
Board Meeting: 12/10/2026
Requested Effective Date: 09/01/2027

Submit a Comment

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After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.

Please note that all comments must be reviewed and approved prior to posting. 


Comments

Meske Owens:

I submit this comment in my individual capacity as a MATF member. I learned about this hearing without sufficient preparation time. Please document how MATF was notified, provide a dedicated opportunity for member input, and extend or reopen comments where legally permissible before final Board action.

Please ensure implementation does not terminate coverage for people who remain eligible or discourage eligible family members from obtaining care.

Require an individualized review using reliable information. An unresolved data mismatch should not be treated as conclusive evidence of ineligibility. Explain the verification process, acceptable documents, applicable response periods, and protections while verification is pending.

Provide understandable notices, qualified language assistance, and accessible ways to correct errors. Each adverse notice should identify the specific reason, the person affected, and available appeal rights.

Please protect eligible children and other eligible household members when one person’s eligibility changes. Notices must not imply that an entire family loses coverage because one member is affected.

Explain access to Emergency Medical Assistance for those who qualify and provide practical information about other available care. Train eligibility workers, hospitals, and application assisters to give consistent guidance.

Please identify which changes federal law requires and which choices remain with Oklahoma. Publish information about erroneous closures and corrective actions, and provide a written response to these recommendations.


Last Modified on Nov 04, 2026