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Lawmakers must listen to voters, fund Medicaid expansion

Luke Mayville | Hagadone News Network | UPDATED 5 years, 11 months AGO
by Luke Mayville
| February 1, 2019 12:00 AM

On Monday, Feb. 4 at noon, hundreds will gather on the steps of the Capitol with a simple message: It’s time for our legislators to honor the will of the voters and fund Medicaid expansion without restrictions.

Proposition 2 — the citizens’ initiative to extend healthcare to 62,000 Idahoans who desperately need it — did not win by a bare majority of the vote; it won by a landslide.

Over 60 percent of votes cast were for Medicaid expansion, and it won a majority of votes in 35 of Idaho’s 44 counties. This includes Idaho’s five most populous counties (Ada, Canyon, Kootenai, Bonneville, Bannock) and Idaho’s five least populous counties (Camas, Clark, Butte, Lewis, Adams).

In an era when TV pundits and political commentators speak constantly of the divide between rural and urban America, Prop 2 proved that citizens can still find common ground.

Prop 2 also won a majority in 29 of Idaho’s 35 legislative districts, and it didn’t matter whether a district was Democratic or Republican. Of the 29 districts that voted for Medicaid expansion, four were represented exclusively by Democrats and 22 were represented exclusively by Republicans.

It’s not often that the citizens of Idaho declare their will so resoundingly. In our representative republic, the role of the citizen is usually limited to the simple act of voting for representatives. Rather than declare their will on every legislative proposal, citizens most often delegate the task of legislating to their representatives.

But every so often in the course of Idaho history, ordinary citizens recognize a crisis that their representatives have neglected. In such extraordinary moments, citizens decide to reclaim their right to self-government.

Idaho’s “Medicaid gap” was precisely the type of crisis the initiative process was designed to address. For years, poll after poll showed that the vast majority of Idahoans wanted their government to do something. And yet, even as 62,000 Idahoans suffered without health insurance, Idaho legislators would not act.

Then, with the power vested in them by Article III of the Idaho Constitution, the citizens of Idaho dared to initiate and enact their own law. For a brief moment on Election Day, thousands of ordinary Idaho citizens became their own lawmakers.

Now that the people have taken action, the role of our legislators is simple: Appropriate the state dollars required to implement Medicaid expansion.

Ninety percent of the costs of expansion will be covered by the federal government. The state of Idaho is responsible for only 10 percent, which adds up to $10.8 million. As Governor Little has noted in his budget proposal, this small sum can easily be drawn from the Millennium Fund, Idaho’s tobacco-settlement endowment. The committee that oversees that fund recently concurred with the Governor’s proposal.

There is no excuse for inaction. The people have spoken. The money is there. I hope you’ll join us on the steps of the Capitol on Monday, Feb. 4 at noon, as we call on our legislators to honor the will of the voters.

A Sandpoint native, Luke Mayville is a co-founder of Reclaim Idaho, the organization that launched the petition drive to expand Medicaid in Idaho.

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ARTICLES BY LUKE MAYVILLE

April 2, 2019 1 a.m.

Corruption is the only word that adequately describes events

Last Friday, the Idaho House of Representatives voted 40-30 to pass Senate Bill 1159, legislation that would essentially revoke our constitutional right to organize citizen ballot initiatives. The bill will move to the governor’s desk sometime this week for either a signature or a veto.

June 2, 2019 1 a.m.

Idaho's success begins with healthy families

The plight of Idaho’s working poor is a day-to-day struggle. This is especially true for rural families who live with underfunded schools, low wages, and limited access to childcare and early-childhood education. Thankfully, however, tens of thousands of Idaho families will soon have access to quality healthcare through voter-approved Medicaid Expansion. Many of those in the “gap” population will see a doctor for the first time in their adult lives. Mothers and fathers all over the state will have the opportunity to become healthier and stronger, be more productive and have a fair shot at success in our great state.

February 1, 2019 midnight

Lawmakers must listen to voters, fund Medicaid expansion

On Monday, Feb. 4 at noon, hundreds will gather on the steps of the Capitol with a simple message: It’s time for our legislators to honor the will of the voters and fund Medicaid expansion without restrictions.