MEDICAID – Amends, repeals, and adds to existing law to provide that legislative approval is required for certain state plan amendments and waivers and to provide legislative approval for certain state plan amendments and waivers.

This bill requires Idaho's Medicaid agency (Department of Health and Welfare) to obtain legislative approval before implementing specific changes to Medicaid coverage or costs. It mandates approval for expansions (like work requirements for adults), cost-sharing rules, rural hospital reimbursement, managed care systems, and Medicaid program modifications that increase state costs. The law repeals an existing approval process and sets deadlines (e.g., July 1, 2026) for submitting new plans to federal authorities. It directly affects state agency operations and legislative oversight, with no changes to existing Medicaid programs implemented before July 1, 2025.