Inside the Statehouse: Medicaid rancor may be precursor to insurance exchange vote

CREATED Feb. 19, 2013

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BOISE, Idaho (AP) -- The Idaho House approved federally-required changes to the state's Medicaid program after a prolonged debate that could be a precursor to upcoming rancor over whether Idaho should adopt a state-based insurance exchange.

Tuesday's 48-21 vote allows Idaho to spend $7.2 million in mostly-federal money on its Medicaid readiness project, to implement changes required under President Obama's 2010 health insurance overhaul.

Anytime anything related to "Obamacare" is up for a vote in Idaho, foes of the plan are ready for a fight.

And Tuesday was no different.

Republican Rep. Pete Nielsen of Mountain Home urged opposing the measure, calling this one of those times when Idaho needed to start acting like a sovereign state.

Supporters, however, pointed out Idaho risked losing millions in Medicaid funding if it didn't agree to the changes.