Medicaid expansion fails in Idaho, smaller efforts proposed


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BOISE, Idaho (AP) — Idaho lawmakers have failed to finalize a proposal to expand Medicaid eligibility that would appease the Republican supermajority in the waning days of the legislative session.

Instead, two minor proposals were approved Wednesday by the House to devote more resources to studying the so-called Medicaid gap population.

"There are people who believe we shouldn't do a single thing, well, I disagree with that," said Rep. Fred Wood, R-Burley, chairman of the House Health and Welfare Committee. "And there are people who think we should have been doing a lot more a whole long time ago and I disagree with that too ... But the point is that for the first time we are taking a meaningful step."

An estimated 78,000 Idaho residents are caught in a gap where they don't qualify for health insurance subsidies or Medicaid. Whether the Idaho Legislature would address the gap population became a key question as the legislative session wound to a close.

The first measure would create a legislative working group to study the gap population — even though Gov. C.L. "Butch" Otter has convened two similar groups over the years that both endorsed Medicaid expansion.

Rep. Lynn Luker, R-Boise, countered that since those groups were not legislative committees and had been unable to access information about possible solutions to help the gap population.

Meanwhile, the second proposal would approve $5 million for a grant program to collect demographic and health data — as well as expand services — on Idaho's gap population that use community health clinics.

"If this allows you to sleep at night then I would say you are misinformed," said Rep. Sue Chew, D-Boise

Otter had pitched allocating $30 million to provide basic medical care services to the gap population, but the measure died after lawmakers remained split on the program's benefits and funding structure.

Lawmakers and health care advocates then turned to expanding Idaho's strict Medicaid eligibility requirements, But the proposal was too much to swallow in an election year for many in the GOP caucus.

A key Senate lawmaker did allow a legislative hearing on a proposed Medicaid expansion bill, but he stopped short of allowing a committee vote on the measure. At the same time, multiple protests and demonstrations have taken place inside the Capitol advocating for Medicaid expansion.

Ultimately, it was Luker who introduced two proposals Wednesday that were quickly approved by the House. Supporters argued the two bills were better than doing nothing before the session concluded.

Copyright © The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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