The future of health care in Oklahoma is changing. Families need to be prepared.

New federal policies through the One Big Beautiful Bill Act of 2025 and the expiration of enhanced premium tax credits under the Affordable Care Act will affect how many Oklahomans get and keep coverage.

Some changes are years away, but others could hit next year.

About 25 percent of Oklahomans rely on Medicaid. In 2010, it was 17 percent; in 2000, just 12 percent.

Expanded access has helped many families, but it raises questions about sustainability. Medicaid often provides more comprehensive coverage than private insurance, which can discourage people from seeking commercial plans. The challenge is balance: Keeping health care affordable while ensuring the program remains sustainable.

One of the biggest

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