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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.

Idaho Republicans Trim Expectation Of Medicaid Expansion

Republicans dampened expectations about broadening Medicaid eligibility this year, saying they want to overhaul Idaho's existing system to encourage beneficiaries to take more responsibility.

Gov. C.L. "Butch" Otter and Senate President Pro Tem Brent Hill told reporters Friday taking more federal money without revamping government-backed health care for the poor and disabled wasn't acceptable.

President Obama's health care overhaul envisioned adding more low-income single people to the entitlement program, but the U.S. Supreme Court left the decision up to states.

Idaho is among 25 states that haven't followed along.

House Minority Leader John Rusche said this GOP's reluctance was a sign lawmakers would avoid "tough discussions" in 2014.

They made their comments during The Associated Press's legislative preview, a taste of what's to come in the session starting Monday.

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