Three options are up for examination at the governor's Medicaid expansion working group's all-day meeting today: Don't expand Medicaid and keep Idaho's current medical indigency/Catastrophic Health Care Fund program as-is; Don't expand Medicaid and redesign the existing indigency/CAT program; and the third option: Expand Medicaid. The population currently served by the state-county indigency program would virtually all be covered by a Medicaid expansion, which would be largely federally funded; the current CAT program is funded entirely with local property taxpayer and state general tax funds, to the tune of roughly $60 million a year.
Though each of the three options will be explored today, the panel won't pick one; that'll come later. First, today, the group is hearing a presentation on the Leavitt Partners report on the potentially eligible population. Still in the works is a report from Milliman, another consulting group, on the costs of each of the options. The working group will meet again Oct. 23 to get the numbers from the Milliman report.
State Health & Welfare Director Dick Armstrong asked the working group members to keep in mind the advantages and disadvantages of all three options today. Pros and cons of each option will be recorded and put into a spreadsheet for review. When those considerations plus the numbers from the Milliman report are before the working group, Armstrong said, “We will then be moving to recommendations.”