APPROPRIATIONS – HEALTH AND WELFARE – MEDICAID – Relates to the appropriation to the Department of Health and Welfare for fiscal years 2025 and 2026.

This bill appropriates $691.59 million in state and federal funds to Idaho's Department of Health and Welfare for Medicaid programs during fiscal years 2025-2026. It specifies funding allocations across six Medicaid plans (including Basic, Expansion, and Enhanced plans) and includes a $17.4 million reduction for the Expansion Medicaid Plan. Key provisions require the Medicaid division to report on outpatient addiction treatment models, transition to annual contracts (reducing mid-year adjustments), and submit annual reports on emergency Medicaid usage. The bill also enforces federal funding restrictions, ensuring state funds won't replace lost federal support without legislative approval.