When the Affordable Care Act (ACA/Obama Care) became law in 2010, states were given the option to expand Medicaid up to 138% of the Federal Poverty Level for able-bodied adults ($16,643 individual $33,948 for a family of four in 2017) without children in the home. Thirty-one states and the District of Columbia have chosen to expand Medicaid. Idaho is one of 19 states that chose not to. Idaho currently provides no insurance coverage for adults without children. In the seven years since passage of ACA, there has been considerable debate in the Idaho legislature about how to cover low income adults who make too little to be covered by ACA tax subsidies and make too much to be on Medicaid. This group is known in Idaho as the “Gap” population.
City Club of Boise has invited two Idaho experts to discuss this complicated tableau. Corey Surber is the Director of State Advocacy for Saint Alphonsus and their parent system Trinity Health. Ms. Surber served as the facilitator of Governor Otter’s work groups on Medicaid Redesign. Senator Marv Hagedorn served as the Co-chair of the 2016 Legislative Working Group on "Healthcare Alternatives for Citizens below 100 percent of Poverty Level" and introduced in 2017 a Senate bill to expand primary care to Idaho's gap population.
Chair: Julie Robinson
Moderator: William Manny