Leadership screengrab: Oklahoma State Legislature
Headline: The Downballot, 4/9/2026
David Nir and Jeff Singer report:
Oklahoma’s Republican leaders want voters to delete Medicaid expansion from the state constitution this summer—and they have a second ballot measure ready if they don’t.
The state’s GOP-dominated House approved a referendum last month for the Aug. 25 ballot to repeal an amendment expanding Medicaid that voters narrowly passed in 2020.
It would also reenact the amendment as a statute, but lawmakers could freely alter or repeal that reconstituted law. That’s precisely why supporters of Medicaid expansion pursued a constitutional change in the first place, since they feared Republicans would seek to roll back a statutory initiative.
The plan is currently being considered by the state Senate, where Republicans also hold a supermajority.
Normally, such amendments only require a vote by lawmakers to go before voters, but because of the measure’s statutory component, the proposal would also require a signature from Gov. Kevin Stitt, who urged legislators to act earlier this year.
Related post:
GOP's big, bold survival strategy: If we can't suppress the vote, we'll run over Democrats with our cars. (4/6/2021)

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