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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 Democrat Promised Legislative Hearing On Medicaid Expansion

medical stock, scale, healthcare
Emilie Ritter Saunders
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Boise State Public Radio

House Minority Leader John Rusche has been promised a hearing on expanding Medicaid eligibility in Idaho, though Gov. C.L. "Butch" Otter has thrown cold water on the idea going forward this year.

Rusche says House Health and Welfare Committee Chairman Fred Wood, a Republican from Burley, acquiesced to his request for a bill introduction.

Rusche isn't optimistic about his proposal's chances, but he's happy it will at least get an initial vetting.

It mirrors last year's bill from Republican Rep. Tom Loertscher, who pitched the idea of expanding Medicaid as a way for Idaho to eliminate its expensive state- and county-funded indigent health care system.

President Obama envisioned expanding Medicaid eligibility as part of his 2010 health care overhaul, but the U.S. Supreme Court left the decision up to states.

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