1. Medicaid Redesign Better for Idaho’s taxpayers, businesses, and patients

2. Where we stand Health care options for Idaho’s low income workers Medicaid County Indigent Program State Catastrophic Fund Emergency Departments Charitable Orgs. Community Health Centers

3. Who are the “medically indigent”? Working Idahoans Minimum wage = $15,080/year 31,000 employed Idahoans at minimum wage Self-employed & Small Business Employees $7,164 Groceries $10,820 Rent $3,476 Utilities $2,748 Gasoline $24,208 Annual Cost of Living * * U.S. Bureau of Labor Statistics - averages are based on 2.6 person households

4. Idaho has a choice

5. High cost State Catastrophic Fund – supported entirely by income taxes Appropriated Forecast

6. High cost County Indigent Fund – supported entirely by property taxes Forecast Spent

7. Low Value Expensive >$60 million Ineffective <6k served Staffing 100 employees

8. Financial Risk

9. 45,000 qualified but not enrolled Enrollee Growth $394 million over 10 years Budget

10. Low Value $60+ million budget = expensive, episodic treatment for <6k High Cost $60 mil/yr budget from county and state taxes Financial Risk 45k qualified Idahoans joining Medicaid = $394 million over 10 years

11. Idaho has a choice

12. Eliminate Waste Over $1 billion in tax dollars from 2014 - 2024 Half fiscal year

13. 68% of those who qualify have at least one full-time worker in the household; 16% have one or more part-time workers 68% of those who qualify have at least one full-time worker in the household; 16% have one or more part-time workers Coverage for Working Idahoans

14. Provides coverage to adults earning <138% of FPL or a family of four must have income less than $32,500 Adults age 19-64 Must be legal Idaho residents 2013 Federal Poverty Limits <100% FPL100% to 125% FPL125% to 138% FPL Annual Income - Individual $0 - $11,490$11,491 - $14,362$14,363 -$15,856 Annual Income - Family of 4 $0 - $23,550$23,551 - $29,437$29,438 - $32,499 Provide Coverage for Working Idahoans Idaho minimum wage = $7.25/hr or $15,080/yr

15. Personal responsibility and accountability Coordinated Care Managed Care for chronic conditions Reduce waste through technology and electronic health records Redesign the System

16. Eliminate Waste Save Idaho taxpayers $1 billion by eliminating two government programs Cover Working Idahoans Provide health care to 149,000 low income Idahoans System Redesign Construct a system focused on personal responsibility.

17. for Idahoans <6,000 treated 149,000 covered

18. for Idaho Businesses $12.3-18.5 million in federal penalties for businesses Healthier Workforce

19. for Idaho’s Economy Rising taxes or budget cuts to critical programs Risks for Idaho businesses 16,000 new jobs Bringing Idaho taxes back to Idaho Not attractive to new businesses

20. for Idaho Tax Payers $1 Billion in continued County Indigent and CAT Funds $394 million for full Medicaid Enrollment $1 Billion in tax savings through elimination of County Indigent & CAT Funds $85 million in savings at the county and state levels AFTER state portion.

21. Costs / Savings 2014-2024 State Medicaid Increases + $394 Million + $1,043 Million

22. Costs / Savings 2014-2024 State Medicaid Increases + $394 Million + $1,043 Million State CAT Program costs/savings + $540 Million - $540 Million County Indigent Program costs/savings + $478 Million - $478 Million

23. Costs / Savings 2014-2024 State Medicaid Increases + $394 Million + $1,043 Million State CAT Program costs/savings + $540 Million - $540 Million County Indigent Program costs/savings + $478 Million - $478 Million DHW mental health costs/savings + $110 Million - $110 Million

24. Costs / Savings 2014-2024 State Medicaid Increases + $394 Million + $1,043 Million State CAT Program costs/savings + $540 Million - $540 Million County Indigent Program costs/savings + $478 Million - $478 Million DHW mental health costs/savings + $110 Million - $110 Million Total costs/savings $1.5 Billion $85 Million

25. Only one choice Status Quo Spend $394 million + keep $1B in inefficient gov’t programs Medicaid Redesign Save $85 million & cover 149,000 Idahoanswww.TheRightMedicineForIdaho.org