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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.

Work Requirement Added To Plan To Close Idaho Coverage Gap

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Jasleen_Kaur
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Flickr Creative Commons

A proposal to reduce Idaho's health coverage gap now includes a requirement that "able-bodied" adult Medicaid recipients hold jobs.

The legislation, introduced Tuesday, would allow the state to seek two federal waivers to the Affordable Care Act.

One waiver would allow low-income individuals to qualify for subsidies available to higher-income individuals. The other would expand Medicaid eligibility to make room for 12 serious and costly medical conditions.

According to the Idaho Department of Health and Welfare, the new work requirement will affect an estimated 700 of the 78,000 adults receiving Medicaid in Idaho. That's because eligibility is restricted to children in poor families, people with disabilities and the elderly.

However, health advocacy groups have raised concerns the work requirements creates additional barriers for Idahoans trying to access care.

Liz Woodruff, of Idaho Voices for Children, says her organization's support of the dual waiver plan is now tentative.

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