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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.

2 Years After Unanimously Recommending Medicaid Expansion, Idaho Governor's Group Reconvenes

An Idaho workgroup reconvened Wednesday to reevaluate options on how to offer medical services to low-income adults who don't have health insurance.

Gov. C.L. "Butch" Otter has repeatedly said he does not want to expand the state's current Medicaid program but has appointed a 15-member group to consider other possibilities.

The panel first met in 2012 and recommended expanding the state's Medicaid eligibility requirements.

But that has been ignored by the governor and the Legislature for two years.

The group is now meeting to discuss alternative options such as allowing participants to purchase insurance through the state health insurance exchange, or holding participants accountable to help improve their health along with reducing medical costs.

The workgroup is required to submit a recommendation by Sept. 1.

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