Available Soon: Request your printed copies of the Idaho Freedom Index mailed to you!
Request Your Copies
Note to Dustin: This is currently only visible to logged in users for testing.
Click Me!
video could not be found

House Bill 661 - Health and Welfare Department: Medicaid FY22 supplemental appropriation

House Bill 661 - Health and Welfare Department: Medicaid FY22 supplemental appropriation

Fred Birnbaum
February 18, 2022

The Idaho Spending Index examines appropriation bills on several fronts to add important context to lawmakers’ discussions as they are considered on the floor of the House and Senate. Among the issues we look at in drawing a conclusion about a budget:

Does the agency requesting these funds serve a proper role of government? Has wasteful or duplicative spending been identified within the agency, and if so, has that spending been eliminated or corrected? Does the budget examine existing spending to look for opportunities to contain spending, e.g., through a base reduction? If there is a maintenance budget, is that maintenance budget appropriate? Are the line items appropriate in type and size, and are they absolutely necessary for serving the public? Does the budget contemplate the addition of new employees or programs? Does the appropriation increase dependency on the federal government?

Our analysis is intended to provide lawmakers and their constituents with a frame of reference for conservative budgeting, by summarizing whether appropriation measures contain items that are sincerely objectionable or sincerely supportable.

Rating -1

Bill description: To provide supplemental appropriations to cover additional costs of Medicaid expansion and other expenditures


This supplemental is a prime example of why Medicaid’s costs continue to increase. During the debate that preceded the implementation of Medicaid expansion, the actuarial firm, Milliman, made a number of cost saving projections for the following items: the State CAT program, the county medical indigent program, behavioral health and public health savings at the Department of Health and Welfare. Other than the wind-down of the CAT program, these other savings have evaporated. The supplemental description to JFAC, states, “no legislation supporting the implementation of a county contribution was brought forward.” 

Sadly, the notion of county and state savings from related health care programs, supposedly because of better health outcomes from Medicaid expansion has not materialized.

Idaho Freedom Foundation
802 W. Bannock Street, Suite 405, Boise, Idaho 83702
p 208.258.2280 | e [email protected]
COPYRIGHT © 2024 Idaho freedom Foundation
magnifiercrossmenucross-circle linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram