S 1264 Idaho Senate · 68th Legislature, 2nd Regular Session (2026)

RURAL HEALTH TRANSFORMATION – Adds to existing law to establish the Idaho Rural Health Transformation Fund and the Rural Health Transformation Committee.

This bill establishes the Idaho Rural Health Transformation Fund to hold federal and state funds for rural health programs, and creates a committee to oversee the fund's allocation. The committee - composed of seven members (three from the Senate, three from the House, and one governor-appointed nonvoting member) - will set funding rules, review projects, require sustainability plans, and provide quarterly reports on fund usage. Funds must be used solely for federally approved rural health initiatives, with annual public financial reporting mandated. The committee will operate until all funds are expended.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
Senate Passage
Mar 2026
House Passage
Governor
Introduced Feb 6, 2026 Last action Mar 30, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Bill Text Engrossment 1 · 2 edits
MINOR
The bill was amended to expand the Rural Health Transformation Committee from seven to nine members, increasing representation from both the Senate and House of Representatives. Additionally, a new section was added granting the committee direct access to real-time data and scoring rubrics regarding rural health awards, enhancing its ability to monitor and evaluate program effectiveness.
Scope change
The committee's composition was expanded to include more legislators, and its oversight capabilities were strengthened by granting access to specific data portals and award information.
SCOPE

The committee size increased from seven to nine members, with the Senate appointing four members and the House appointing four members, plus one nonvoting member appointed by the governor.

REQUIREMENT

A new requirement was added mandating that the committee have access to all data regarding rural health transformation awards, including scoring data and rubrics, via a secure portal or similar method for real-time access.

Floor votes · Senate Mar 30, 2026

How they voted

2610
Passed
Total votes 36
Mar 30, 2026
D Democratic6
6 Yea
100% Yea
R Republican30
20 Yea 10 Nay
66% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
24
Key actions
4
Committee
6
Amendments
1
Mar 30, 2026
Upper · Passed
Read third time in full as amended – PASSED - 25-10-0AYES – Adams, Anthon, Bernt, Bjerke(Bjerke), Blaylock, Burtenshaw, Cook, Den Hartog, Foreman, Galloway, Grow, Guthrie, Harris, Lent, Rabe, Ricks, Ruchti, Semmelroth, Shippy, Taylor, Toews, VanOrden, Ward-Engelking, Wintrow, WoodwardNAYS – Carlson, Hart, Keyser, Kohl, Lakey, Lenney, Nichols, Okuniewicz, Zito, ZuiderveldAbsent and excused – NoneFloor Sponsor - CookTitle apvd - to House
upper
Mar 26, 2026
Introduced
Amendments reported printed
upper
Mar 26, 2026
Committee
Amendments ordered printed; referred for engrossment
upper
Mar 26, 2026
Upper · Passed
Reported out without recommendation, as amended
upper
Mar 26, 2026
Upper · Passed
Placed in the Committee of the Whole
upper
Mar 24, 2026
Committee
Referred to 14th Order for amendment
upper
Feb 12, 2026
Upper · Passed
Reported out of Committee with Do Pass Recommendation; Filed for second reading
upper
Feb 9, 2026
Committee
Reported Printed; referred to Health & Welfare
upper
Feb 6, 2026
Introduced
Introduced; read first time; referred to JR for Printing
upper
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.