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In 2003, Oklahoma received HRSA State Planning Grant funds to collect and analyze data to look comprehensively at the availability of health insurance across the state. Through the data collection process, the state has new coverage information regarding Oklahoma businesses, individual attitudes, opinions on the accessibility and affordability of health insurance, and health care. Key decision makers collaborated on this project to map out a premium assistance program that will reflect the needs of the state.

In 2004, Oklahoma received a HRSA pilot project planning grant and workinged towards creating a premium assistance program with their grant funds.