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In the world of social programs, Medicaid is one of the hardest to understand. It’s something of a catch-all program for low-income people, covering broad and divergent needs. Included are healthy children and adults with eligible dependent children, people with disabilities or special health needs, and the elderly. Eligibility is income-based and it varies according the category of qualification for the program.During the state’s 2011 fiscal year, more than three quarters of the funding allocated to the Department of Health and Welfare’s budget went to Medicaid. The program received about $1.55 billion in federal and state funding, with 74 percent of those dollars coming from the federal government.Enrollment in Idaho’s Medicaid program has grown substantially in recent years. The average monthly Medicaid enrollment was fairly stable between 2006 and 2008. It grew by about 3.5 percent. But in the last three years, the program’s enrollment has grown nearly 21 percent. Ballooning from about 185,000 in 2008 to 228,897 in 2012.

Report Finds Low-Income, Latino Idahoans Experience More Barriers In Healthcare Access

Morgan
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Flickr Creative Commons
Credit Breaking Barriers study / Idaho Community Action Network
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Idaho Community Action Network
The ICAN report says barriers like a lack of internet access create barriers for Latino Idahoans who want to buy health insurance on the exchange.

Latinos in Idaho experience barriers that make the process of enrolling in healthcare through the state's  insurance exchange more challenging. That's according to a report released Thursday by a liberal advocacy group, the Idaho Community Action Network (ICAN).

ICAN's  survey looks at access to healthcare through a variety of parameters. According to the study -- called Breaking Barriers -- healthcare enrollment among Latino and African American communities was not as successful as among whites. Language barriers were an issue for Latino enrollees, as 70 percent of those surveyed did not know what medical services they were paying for on the exchange.

Many in the state's minority communities can't afford health insurance through the Affordable Care Act, but don't qualify for Medicaid.  Jill Reese is with the Alliance for a Just Society, the group that produced the report for ICAN. She says the state needs to change its policies.

"This is the third year that Idaho legislators and the governor have failed to act on the recommendations of the Idaho workgroup on Medicaid expansion, effectively turning their back on nearly 80,000 low-income workers in Idaho who fall into the Medicaid gap," Reese says. 

The group recommends expanding Medicaid to 78,000 low-income Idahoans, while increasing the role of healthcare navigators to help get low-income and minority people get enrolled.

The report pointed out some statistics they hope will move policy, including that the Gem State ranks at the bottom among states in primary care physicians per capita, and 46th in per capita income.

Find Frankie Barnhill on Twitter @FABarnhill

Copyright 2015 Boise State Public Radio

Frankie Barnhill was the Senior Producer of Idaho Matters, Boise State Public Radio's daily show and podcast.

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