This is an automated archive made by the Lemmit Bot.
The original was posted on /r/Boise by /u/PotatoezNidaho on 2024-02-01 06:12:44.
As per usual, I’m saving and editing on mobile. Here goes. I’m omitting the bits that are crossed out. Link is here
Edit: Just a thing to keep in mind: When people lose their health coverage and become uninsured, they still need medical care. Without health coverage, the cost for this needed care is passed on to everyone else in the form of higher insurance premiums and uncompensated care, such as costly emergency room visits. So it saves the State of Idaho money to have people insured. Fewer, say, ER visits because untreated infections and super high blood sugar because uninsured human could not afford antibiotics or insulin.
Bill starts here
LEGISLATURE OF THE STATE OF IDAHO
We Idaho law makers
Sixty-seventh Legislature Second Regular Session - 2024
The 67th time we’ve met
IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. 419 BY HEALTH AND WELFARE COMMITTEE
Bill 419
1 AN ACT
A proposed law
2 RELATING TO MEDICAID; AMENDING SECTION 56-267, IDAHO CODE, TO PROVIDE CER-
Changing the current law to
3 TAIN CONDITIONS FOR IMPLEMENTATION OF MEDICAID ELIGIBILITY EXPANSION,
make more eligibility rules
4 TO REQUIRE NOTIFICATION TO THE LEGISLATURE, AND TO PROVIDE FOR CONDI-
One of the rules requires someone so far unnamed to tell us
5 TIONAL TERMINATION OF MEDICAID ELIGIBILITY EXPANSION; AND DECLARING AN
that we’re making a law to stop Medicaid Expansion under conditions we make up
6 EMERGENCY AND PROVIDING AN EFFECTIVE DATE.
Also another way we want to stop Medicaid Expansion is to declare an emergency and choose a date it will stop
7 Be It Enacted by the Legislature of the State of Idaho:
We want to make this law
8 SECTION 1. That Section 56-267, Idaho Code, be, and the same is hereby 9 amended to read as follows:
With these random numbers to look it up under Idaho law
10 56-267. MEDICAID ELIGIBILITY EXPANSION. (1) >Notwithstanding any 11 provision of law or federal waiver to the contrary, the state shall amend
Regardless if literally any law or waiver, whatever that is, we will have this law
12 its state plan to expand shall not implement or execute any state plan that
No changes to Medicaid that
13 expands medicaid eligibility to include those persons under sixty-five
14 (65) years of age whose modified adjusted gross income is one hundred
Lets people age under 65 earning less than $1669 per month for that big main number on their taxes called MAGI
15 thirty-three percent (133%) of the federal poverty level or below and who
Yup that $1669 per month
16 are not otherwise eligible for any other coverage under the state plan, in
And this person can’t get any other health coverage
17 accordance with sections 1902(a)(10)(A)(i)(VIII) and 1902(e)>(14) of the 18 social security act. on and after July 1, 2025, unless all of the >following 19 conditions are met:
An individual under age 65 who can’t get any health coverage under these technical laws that we don’t feel like telling you about. Anyways this person CAN NOT get Medicaid UNLESS every single condition below is ALSO applied
20 (a) Federal financial participation for persons identified in this 21 subsection remains at the ninety percent (90%) federal >commitment de- 22 scribed in section 1905(y) of the social security act;
The Feds continue sponsoring our Medicaid Expansion at 90% like they already are
23 (b) The department has, with federal approval if necessary, imple-
24 mented work requirements for able-bodied adults enrolled in medicaid
We decide the person is able bodied and they have to work
25 in which no individual shall be eligible to participate in the medicaid
So the 65yo or younger uninsured person earning less than $1669 per month can’t get any Medicaid Expansion UNLESS
26 program unless the individual is: 27 (i) Working twenty (20) hours or more per week, averaged monthly;
They’re working 20 hrs per week
28 (ii) Participating in and complying with the requirements of a 29 work program twenty (20) hours or more per week, as determined by
And filing whatever paperwork’s and hoops to jump through to prove to us that they’re working 20 hrs per week
30 the department;
End of sentence above
31 (iii) Volunteering twenty (20) hours or more per week, as deter- 32 mined by the department;
And also volunteering 20 hours a week, or maybe instead of work, we aren’t specifying
33 (iv) Meeting any combination of working and participating in a 34 work program for a total of twenty (20) hours or more per week, as
Or in some work program we make up
35 determined by the department; or
In this department we make up
36 (v) Participating and complying with the requirements of a work- 37 fare program, unless the individual is:
And/or maybe in this other program with lots of hoops to jump through also unless they’re
38 1. Less than nineteen (19) years of age;
Under age 19
39 2. More than sixty-four (64) years of age;
More than 64 yrs old
40 3. Medically certified as physically or mentally unfit for 41 employment;
The State of Idaho decides they’re not fit for work, and we Idaho SSDI routinely deny all applicants who are disabled and they can’t earn over $1350/mo, or we say that proves they can work, so this person must subsist on under $1350 per month until they get denied twice, which takes two years, THEN they can see a SSDI judge, which takes another year or more, and judge usually denies them too
Oh and this person who is disabled and subsisting on $1350/mo will have NO medical coverage or treatment or meds for their disability during this time unless they pay 100% out of pocket
42 4. Pregnant;
Or the person is pregnant
1 5. A parent or caretaker responsible for the care of a depen- 2 dent child less than six (6) years of age;
Or is taking care of a kid less than 6yes old
3 6. A parent or caretaker personally providing the care for 4 a dependent child with a serious medical condition or with a 5 disability, as determined by the department;
Or taking care of a disabled kid using rules we make up and we’ll take as long as possible to decide the kid is disabled, and again person has to pay 100% out of pocket for all treatments, meds, therapies, special education, physical therapy, medical devices like $40,000 electric wheelchair if needed, and literally anything else. Because that kid has no coverage for any medical care unless we decide it’s ok.
6 7. Receiving unemployment compensation and complying with 7 work requirements as part of the federal-state unemployment 8 compensation system; or
Human is unemployed and jumping through all the hoops
9 8. Participating in a drug addiction or alcoholic treatment 10 and rehabilitation program;
Or in rehab
11 © The department has, with federal approval if necessary, allowed 12 persons eligible for medicaid under this section who have a modified 13 adjusted gross income at or above one hundred percent (100%) of the fed- 14 eral poverty level to receive the advance premium tax credit to purchase 15 a qualified health plan through the Idaho health insurance exchange 16 established
And that person earning $1669/mo or less will have to get Idaho ACA insurance, and a gold plan on that doesn’t cover anything until $16,000 or so annual deductible is met
by chapter 61, title 41, Idaho Code, instead of enrolling in 17 medicaid, except that a person may choose to enroll in medicaid instead 18 of receiving the advance premium tax credit to purchase a qualified 19 health plan;
They might get a federal tax refund to get our seriously shitty ACA plan
20 (d) The department implements an enrollment cap, with federal approval 21 if necessary, that limits enrollment at any given time for persons iden- 22 tified in this subsection to the lower of:
Oh and we will limit how many Idahoans can get Medicaid to the lowest of these arbitrary numbers below
23 (i) Fifty thousand (50,000) persons; or
Only 50k Idahoans on Medicaid
24 (ii) A total represented by the sum of adults enrolled in medicaid 25 who are disabled or over sixty-five (65) years of age;
This weird arbitrary number of [number of disabled adults or > age 65] humans existing in Idaho.
26 (e) The department has maintained a medicaid improper payment rate of 27 five percent (5%) or less,
AND also we decide Medicaid treatments are necessary and accidental unnecessary things that we define as unnecessary are less than 5%
as confirmed by biennial majority votes of 28 both the senate and the house of representatives health and welfare com- 29 mittees,
As we lawmakers decide
based on a review that shall inclu…
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