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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.

Bill To Restore Medicaid Dental Coverage Clears Idaho House

Lawmakers voted 62-6 to restore adult Medicaid dental benefits, arguing cuts three years ago that left 27,000 people without coverage cost Idaho more in dental-related emergency room services than it saved.

The House vote over the $1.4 million measure Tuesday pitted arguments for good preventative dentistry against fiscal hawks who say federal deficits trump good oral hygiene for low-income, elderly and disabled people.

Minority Leader John Rusche of Lewiston argued it not only made sense from a health perspective, but also from a fiscal perspective.

After the coverage was eliminated in 2011, monthly emergency-room costs rose to $65,000 now, from just $30,000 two years ago.

Republican Rep. Paul Shepherd of Riggins countered the federal government should address the nation's looming $16 trillion debt before helping poor people maintain their smiles.

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