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It's not yet clear whether Idaho will elect to expand Medicaid eligibility and accept federal funding provided under the health care law.

An Essential Guide to Idaho's Medicaid Program

Background

Karen D'Silva / Getty Images

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.

With state budget shortfalls and increasing Medicaid enrollment, the Idaho legislature has sought to curb Medicaid spending.  The most recent cut, approved in the 2011 legislative session, totaled nearly $35 million in state spending.  The Idaho Department of Health and Welfare has  summarized the specifics of that cut.

Here’s a chart showing Idaho’s Medicaid enrollment over the last six years:

Check out this chart showing how much the federal government and Idaho are spending on Medicaid each year (in Billions of dollars):

Latest Posts

Obama Administration Position Grants State Lawmakers More Control Over Medicaid Rates

In his January State of the State address, Gov. Otter said he hopes to find an Idaho-specific alternative to expanding Medicaid eligibility.

Idaho policymakers may claim more leeway to lower Medicaid repayment rates based on a legal brief filed by the Obama administration yesterday. In a move that frustrated health care providers, the administration said states may contain Medicaid costs by reducing reimbursement rates. That’s according to The New York Times. The Idaho Medical Association’s Susie Pouliot [...]

Why 70,000 People Will Join Idaho’s Medicaid Rolls In 2014

JFAC co-chairs Dean Cameron (R-Rupert) and Maxine Bell (R-Jerome).

The Idaho Department of Health and Welfare estimates that 70,340 people will join Idaho’s Medicaid rolls next year, department chief Richard Armstrong told the Legislature’s Joint Finance-Appropriations Committee today. This isn’t news to people who have watched Idaho wrestle with the Affordable Care Act; a November report from independent consulting group Milliman projected the enrollment [...]

Idaho Seeks Flexibility In Medicaid Expansion Plan, But Feds Have Yet To Weigh In

In his January State of the State address, Gov. Otter said he hopes to find an Idaho-specific alternative to expanding Medicaid eligibility.

In Monday’s State of the State address, Gov. C.L. “Butch” Otter made clear to lawmakers and the public that he’s not pushing to expand Medicaid eligibility at this time. Instead, he has asked Idaho Department of Health and Welfare Director Richard Armstrong to develop an Idaho-specific plan. As StateImpact reported yesterday, Armstrong says the federal [...]

What Gov. Otter Meant When He Said “No” To Expanding Medicaid Eligibility

Dr. Ted Epperly is the Program Director of the Family Medicine Residency of Idaho.

Gov. C.L. “Butch” Otter said in Monday’s State of the State address that he doesn’t believe Idaho should expand Medicaid eligibility.  “There is broad agreement that the existing Medicaid program is broken,” he said. That wasn’t all the governor had to say on the issue.  He mentioned a new responsibility for Idaho Department of Health [...]

Gov. Otter Rejects Medicaid Expansion, Supports Personal Property Tax Repeal

Gov. Otter delivered his State of the State and Budget Address this afternoon.

Today, Gov. C.L. “Butch” Otter told lawmakers and the public that he wants to repeal the state’s tax on business personal property, which generates roughly $140 million for local government each year.  He also said he does not support an expansion of Medicaid eligibility in Idaho, at least not at this time.  StateImpact talked through [...]

Taking Stock Of The Downturn’s Effect On State Education And Medicaid Spending

A National Association of State Budget Officers report shows states are spending a greater share of their general fund dollars on Medicaid, and a smaller share on education.  The Washington Post‘s Wonkblog has summarized and graphed the findings. In Idaho, total general fund spending on education has fallen by 11.6 percent since fiscal year 2009, [...]

How Feds’ Rejection Of Partial Medicaid Expansion Affects Idaho

Sen. Dean Cameron

The Obama administration told states Monday they cannot partially expand Medicaid eligibility and receive the federal funds the Affordable Care Act provides to cover the expansion. As the ACA was originally written, people with incomes up to 133 percent of the poverty level would be eligible for Medicaid.  The U.S. Supreme Court’s June ruling on [...]

How Obamacare Creates An Insurance Industry Ad Blitz

Karen Early is the director of corporate communication for Blue Cross of Idaho, the state's largest insurer.

One of Blue Cross of Idaho’s new television commercials opens with a chirpy jingle.  “You’re protected in the sun, you’re protected when it rains,” the song begins.  The pitch is clear: this is the insurer for you, no matter your lifestyle. For Blue Cross of Idaho, this is more than an advertisement.  It’s a big [...]

Health Insurers Compete For Customers As Obamacare Marches Forward

Blue Cross of Idaho's "Blue Hat" campaign is the company's first-ever effort to build brand awareness among individual consumers.

The federal health care law often called Obamacare is moving steadily forward, despite pushback in conservative states like Idaho.  In addition to everything else, the law means big changes for the individual insurance market.  As of 2014, millions more people will be shopping for health insurance for themselves and their families.  And insurers are already [...]

Understanding The Number Of Idahoans Who Might Get Insurance Under Obamacare

Medical Stock

State leaders have yet to determine whether Idaho will establish a state-based health insurance exchange or expand Medicaid eligibility.  But there is quite a lot we do know about the likely effects of the federal health care law in Idaho. About 46 percent of Idahoans get insurance through their employers, but that’s not the part [...]

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