Idaho Governor Wants Medicaid Penalties for Unhealthy Lifestyles

Idaho Gov. C.L. "Butch" Otter told the editorial board of the Idaho Statesman he plans to introduce more personal accountability into the state's Medicaid program.

"If you're smoking, you gotta quit smoking," Gov. Otter told the Idaho Statesman. "And if you don't quit smoking, some part of the benefit, or all of it, goes away." He put similar restrictions on patients at risk for diabetes, who could lose benefits if they don't make lifestyle changes.

HHS said last December that personal accountability measures were acceptable to include in Medicaid administration in some circumstances. Republican governors in Maine and Michigan have suggested similar requirements in their own states, and like them, Gov. Otter has opposed expanding the state's Medicaid program under an optional provision of the healthcare law.

"Healthy Idaho," as the plan would be called, will use value-based, capitated payments to providers and offer credits toward future copays for following through on preventive care and healthy living.

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