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Idaho voters approve Medicaid expansion

UPDATED: Tue., Nov. 6, 2018, 11:39 p.m.

A sample ballot is seen in Idaho Falls on election day Tuesday, Nov. 6, 2018. (John Roark / The Post-Register)
A sample ballot is seen in Idaho Falls on election day Tuesday, Nov. 6, 2018. (John Roark / The Post-Register)

BOISE – Idaho voters have approved the expansion of Medicaid coverage to potentially more than 60,000 low-income adults across the state.

The expansion will cover those who earned too much to qualify for Medicaid under Idaho’s current criteria, but didn’t earn enough to be able to get subsidized health insurance coverage under the state health insurance exchange. Dubbed Idaho’s “gap population,” they were often left with no way to access basic medical treatment, instead relying on expensive emergency room visits as untreated health problems became health crises.

Groups such as the American Cancer Society Cancer Action Network celebrated the passing of Proposition 2, saying it would allow more Idaho residents to access basic preventative care like cancer screenings.

“In fact, the biggest determining factor whether someone survives after a cancer diagnosis is whether they have health insurance,” Luke Cavener with ACS CAN wrote in a prepared statement. “With the passage of Proposition 2, we take a big leap in the fight against this devastating disease.”

The citizen initiative took shape after Idaho lawmakers for years refused to expand Medicaid or take other steps to significantly increase access to health care.

Opponents – including many lawmakers elected on Tuesday like Russ Fulcher, who will represent Idaho’s 1st Congressional District, and Janice McGeachin, who will be the state’s first female lieutenant governor – have said that expanding Medicaid coverage would force the state to pull money from other needs like education and infrastructure. Opponents have also argued that allowing able-bodied low-income adults to access Medicaid would serve as a financial shortcut for some rather than expecting them to come up with ways to cover their own healthcare costs.

But proponents of Medicaid expansion say the move will ultimately drive down state health care costs by reducing the costs of indigent care borne by local governments and health care facilities. The expansion will be primarily covered by federal tax dollars, although the state will have to kick in a portion of funding.

Still, proponents say the state would also save money because it would allow working low-income Idahoans to be healthier, able to contribute to the economy and care for their families.


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