Idaho

Bringing the Economy Home

Topics

An Essential Guide To Idaho's Medicaid Program

Background

Karen D'Silva / Getty Images

This page is no longer being updated. For ongoing coverage of this topic, go to Boise State Public Radio’s website.

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

Idaho’s Business Lobby To Set 2014 Legislative Agenda, Including More Tax Cuts

Idaho’s largest business lobby is hosting its annual policy meeting in Coeur d’Alene this week. According to the Coeur d’Alene Press, Gov. C.L. “Butch” Otter is attending the Idaho Association of Commerce and Industry retreat, along with about 60 legislators and 130 IACI members. Sure to be on IACI’s 2014 legislative agenda is a complete […]

Uninsured Idaho Veterans Affected By Decision Not To Expand Medicaid

Nearly 4,000 uninsured Idaho veterans would be eligible for health insurance if the state expanded Medicaid coverage. That’s according to new analysis from the Urban Institute, reported by Stateline. Idaho isn’t expanding Medicaid coverage to more low-income residents, although the governor has said he isn’t ruling it out. As Stateline reports, in states that expand […]

How Rejecting Medicaid Expansion Could Hurt Health Outcomes In Idaho

Idaho is one of 24 states on track to reject expanded Medicaid coverage for more low-income Idahoans. A recent article by the Los Angeles Times finds states without plans to expand Medicaid have higher rates of colon cancer and breast cancer deaths, and higher rates of gum disease. The article says the health gap will […]

Will Idaho’s Health Insurance Exchange Bring More Competition?

The Obama administration has taken a few hits this month over the federal health care law. The administration’s decision to put off creating an insurance marketplace aimed at small businesses brought dismay. Then, Sen. Max Baucus (D-MT) predicted a “train wreck coming” as key aspects of Obamacare are implemented. His concern? People simply don’t understand […]

Idaho Gov. Butch Otter Reiterates Wish To Hold Off On Expanding Medicaid Eligibility

“There’s no definite decision on not expanding Medicaid, yet.” Gov. C.L. “Butch” Otter offered that equivocal statement in a press conference marking the close of the 2013 legislative session. He’s determined, he said, to find ways to inject more personal accountability into Idaho’s Medicaid system. “We’ll get eight months and some change in order to […]

In Two Charts, The Potential Costs And Savings Of Expanded Medicaid Access In Idaho

Lawmakers are still in Boise, where they’re grappling with the education budget past their wished-for departure date. Even with the extra time, it appears the push to expand Medicaid eligibility won’t resume this session. That discussion so far has centered on potential costs and savings with and without expanded access for Idaho’s poor. Counterintuitively, county […]

Mental Health, Preventive Care, And The Debate Over Medicaid Expansion In Idaho

When the 2013 legislative session wraps up, a big policy question will remain: Will the state make Medicaid available to a greater number of Idaho’s poor? The federal health care law encourages that move. It’s a debate that involves potential costs and savings, along with patient well-being. And it turns quickly to chronic conditions, like […]

Could A “Third Option” Make Medicaid Expansion More Palatable In Idaho?

In total, Idaho lawmakers took more than 15 hours of floor debate this legislative session to determine that Idaho should create a state-based health insurance exchange. It was an act of compliance with the federal health care law that raised the hackles of many conservative Idaho lawmakers. The law’s optional Medicaid expansion — which by some […]

Last-Minute Push For Medicaid Expansion Fails In House Committee

House Minority Leader John Rusche (D-Lewiston) this morning made an unorthodox push for action on a pair of bills that would expand Medicaid eligibility in Idaho and do away with the state’s catastrophic healthcare fund. As the Idaho Statesman‘s Dan Popkey writes: House Minority Leader John Rusche, D-Lewiston, took the rare step of using a parliamentary […]

About StateImpact

StateImpact seeks to inform and engage local communities with broadcast and online news focused on how state government decisions affect your lives.
Learn More »

Economy
Education