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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 Legislature Schedules Medicaid Expansion Hearing

A key Idaho Republican lawmaker has announced a surprising change of course for the Idaho Legislature, saying he has scheduled the first-ever hearing on a Medicaid expansion bill.

Senate Health and Welfare Committee Chairman Lee Heider, R-Twin Falls, told the Lewiston Tribune that he will allow a hearing to take place on February 2.

Democratic Sen. Dan Schmidt of Moscow introduced the legislation as a personal bill earlier this session.

The proposal would expand Medicaid eligibility to cover everyone who earns less than 138 percent of the federal poverty level.

Idaho's Republican-dominated Legislature has consistently refused to consider expanding Medicaid — a provision under the Affordable Care Act. However, lawmakers have acknowledged for years that the state's current system of caring for the indigent is broken.

Heider says he approved the hearing as a courtesy to Schmidt's longtime work on the issue.

Meanwhile, Schmidt said that he doubts the bill will pass, but he's thankful for the opportunity.

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