H 59 Idaho House · 68th Legislature, 1st Regular Session (2025)

MEDICAL ETHICS DEFENSE ACT – Adds to existing law to establish the Medical Ethics Defense Act.

Idaho's H 59, the Medical Ethics Defense Act, protects healthcare providers' right to refuse participation in or payment for medical procedures conflicting with their conscience. It directly affects doctors, nurses, pharmacists, hospitals, clinics, and insurance payers by allowing them to object based on religious, moral, or ethical beliefs without facing discrimination or retaliation. Key provisions require written notice of objections to employers and prohibit adverse actions like termination for conscientious refusal, while clarifying that this does not override duties to provide non-conflicting care. The law defines "health care provider" broadly to cover all medical professionals and institutions, ensuring they can decline specific services - such as certain prescriptions or procedures - without penalty.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Mar 2025
Senate Passage
Mar 2025
Signed into Law
Mar 2025
Introduced Jan 24, 2025 Signed Mar 20, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Bill Text Engrossment 1 · 2 edits
MINOR
The bill was amended in the Senate to strengthen protections for health care providers' conscientious objections by adding the word 'sincerely' to the definition of conscience and requiring 'reasonable' accommodation efforts. These changes clarify that conscience must be genuinely held and that entities must make reasonable efforts to accommodate objections rather than just any good faith effort.
Scope change
The bill's scope remains focused on protecting health care providers' rights to exercise conscientious objections, but the amendments tighten the definitions to ensure protections apply to sincerely held beliefs and require more rigorous accommodation standards.
DEFINITION

Added the word 'sincerely' to the definition of conscience to emphasize that protected beliefs must be genuinely held rather than merely claimed.

Changed 'good faith efforts to accommodate' to 'good faith efforts to reasonably accommodate' to require entities to make reasonable efforts when handling conscientious objections.

Floor votes · Senate Mar 10, 2025 · House Feb 11, 2025

How they voted

285
Passed · 1 other
Total votes 34
Mar 10, 2025
D Democratic5
5 Nay
100% Nay
R Republican29
28 Yea 1
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
32
Key actions
10
Committee
6
Amendments
3
Mar 20, 2025
Signed into law
Reported Signed by Governor on March 19, 2025 Session Law Chapter 101 Effective: 03/19/2025
lower
Mar 17, 2025
Upper · Passed
Signed by President; returned to House
upper
Mar 14, 2025
Lower · Passed
Reported Enrolled; Signed by Speaker; Transmitted to Senate
lower
Mar 13, 2025
Lower · Passed
Rules Suspended: Ayes 62 Nays 4 Abs/Excd 4, read in full as required – PASSED - 58-9-3AYES – Alfieri, Andrus, Barbieri, Beiswenger, Boyle, Bruce, Burgoyne, Cannon, Cayler, Cheatum, Clow, Cornilles, Crane(12), Crane(13), Dygert, Ehardt, Ehlers, Fuhriman, Furniss, Garner, Handy, Harris, Hawkins, Hill, Holtzclaw, Horman, Hostetler, Leavitt, Manwaring, Marmon, McCann, Mendive, Mickelsen, Miller, Mitchell, Monks, Nelsen, Palmer, Petzke, Pickett, Pohanka, Price, Rasor, Raybould, Raymond, Redman, S
lower
Mar 11, 2025
Committee
Bills as Amended Referred to JRA for Engrossing
lower
Mar 11, 2025
Lower · Passed
House Concurred in Senate Amendments
lower
Mar 11, 2025
Introduced
Returned from the Senate Amended; Held at Desk
lower
Mar 10, 2025
Senate · Passed
Senate Vote: pass (28-5-1)
senate
Feb 25, 2025
Introduced
Amendments reported printed
upper
Feb 25, 2025
Introduced
Amendments ordered printed
upper
Feb 25, 2025
Upper · Passed
Placed in the Committee of the Whole
upper
Feb 24, 2025
Committee
Referred to 14th Order for amendment
upper
Feb 21, 2025
Upper · Passed
Reported out of Committee with Do Pass Recommendation; Filed for second reading
upper
Feb 12, 2025
Introduced
Introduced, read first time; referred to: Health & Welfare
upper
Feb 11, 2025
Lower · Passed
Read Third Time in Full – PASSED - 58-11-1AYES – Alfieri, Andrus, Barbieri, Beiswenger, Boyle, Bruce, Burgoyne, Cannon, Cayler, Cheatum, Clow, Cornilles, Crane(12), Crane(13), Dygert, Ehlers, Erickson, Fuhriman, Furniss, Garner, Handy, Harris, Hawkins, Healey, Hill, Holtzclaw, Horman, Hostetler, Leavitt, Marmon, McCann, Mendive, Mickelsen, Miller, Mitchell, Monks, Palmer, Petzke, Pickett, Pohanka, Price, Rasor, Raybould, Raymond, Redman, Sauter, Scott, Shepherd, Shirts, Skaug, Tanner(13), Ta
lower
Feb 7, 2025
Lower · Passed
Reported out of Committee with Do Pass Recommendation, Filed for Second Reading
lower
Jan 27, 2025
Committee
Reported Printed and Referred to Health & Welfare
lower
Jan 24, 2025
Introduced
Introduced, read first time, referred to JRA for Printing
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.