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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.

Utah Governor Rejects Full Medicaid Expansion

Utah's Republican governor has announced he wants to reject a full Medicaid expansion, and instead seek federal dollars to cover the poor.

Gov. Gary Herbert made the announcement Thursday afternoon, saying the state has an obligation to cover the poor by plugging a hole in the safety net.

The governor, who is one of the last in the country to announce a decision, is generally opposed to the federal health law but says his decision will help people pay for health coverage in the private market.

Herbert still needs to secure the support of Utah's Republican-controlled Legislature, which has been debating several lawmaker-generated options.

The plan would also need to win approval from federal officials.

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