This law establishes a new Idaho Rural Health Transformation Fund to manage federal grant money aimed at improving healthcare access in rural areas. It creates a nine-member committee to oversee how these funds are spent, ensuring projects meet specific goals and produce long-term sustainability plans. The bill also directs the Department of Health and Welfare to hire additional staff and provides nearly $300 million in funding for the 2027 fiscal year to support indirect support services. Additionally, it requires the state to report on efforts to expand the job scope for physician assistants and dental hygienists as part of the broader rural health strategy.
This bill appropriates $35.6 million to Idaho's Department of Health and Welfare for public health services in fiscal year 2027, while simultaneously reducing funding for laboratory services and health care policy initiatives. It also decreases the number of authorized full-time equivalent positions by three and mandates several reports on program outcomes, vaccine utilization, and immigration status for HIV prevention services. Although the bill was signed by the President, the Governor exercised a line-item veto on the section reducing funds for the Health Care Policy Initiatives Program.
This bill requires legislative approval for the Idaho Department of Health and Welfare to adjust Medicaid payment rates for Federally Qualified Health Centers and Rural Health Clinics when their scope of services changes. It establishes a process where clinics must notify the department 60 days before implementing service changes and submit a rate adjustment application after six months of full implementation, requiring a minimum 4.5% cost increase to qualify. The legislation sets specific timelines for department review and allows clinics to appeal final rate decisions, while also repealing certain existing administrative rules effective October 1, 2026.
This bill allocates $900,000 in state funding to the State Board of Education and the University of Idaho Board of Regents to support health education programs for fiscal year 2027. The money is designated for specific medical residency and fellowship programs, including positions for Eastern Idaho, Family Medicine, and University of Utah medical education. Additionally, the bill authorizes two and a half new full-time equivalent positions and directs that 15 new graduate medical education residencies and fellowships be funded through the Rural Health Transformation Program. If those specific funds become available, unused general fund money originally set aside for graduate programs will instead be used to create new undergraduate medical education seats. The legislation takes effect on July 1, 2026, and requires a compliance report to be submitted to the state legislature by December 1, 2026.
This bill expands Medicaid eligibility in Idaho to include adults under 65 with incomes at or below 133% of the federal poverty level who currently lack other coverage. It requires the state to submit necessary plan amendments to the federal government within 90 days and ensures eligibility is not delayed while waiting for federal approval. The legislation includes provisions to maintain federal funding levels and requires a review of the program if federal support decreases, while also mandating community engagement requirements by December 2026 before enrollment becomes effective.
This Idaho bill requires health insurance companies to allow patients to pay discounted cash prices for covered medical services directly to providers. When patients pay these negotiated lower prices out of pocket, the amounts count toward their insurance deductibles and annual out-of-pocket limits, provided they submit proof to their insurer. The law applies to most health plans but excludes specific types like Medicaid, Medicare supplements, dental, vision, and short-term insurance. It also ensures providers accept the cash payment as full payment and cannot bill patients or insurers for additional amounts.
This bill allocates $200,000 from the state's General Fund to the Idaho Legislature for fiscal year 2026 to support the operations of the Medicaid Review Panel. The funding covers operating expenses from July 1, 2025, through June 30, 2026, and includes authority to carry forward any unused funds for nonrecurring expenses in the following fiscal year. The legislation also declares an emergency to allow the appropriation to take effect immediately upon passage, ensuring the panel can continue its work without interruption.
This bill appropriates $30.7 million to the Department of Health and Welfare and $250,000 to the Judicial Branch for fiscal year 2027 to fund assertive community treatment and peer support services. The funding comes from multiple sources, including the State-Directed Opioid Settlement Fund, the Idaho Millennium Income Fund, and federal cooperative welfare funds. The bill also allows the Department of Health and Welfare to transfer money freely between programs to support these services and permits up to $5.8 million of opioid settlement funds to be used for individuals with substance use or mental health issues who do not have opioid use disorder. These changes take effect on July 1, 2026, and the bill was signed into law by the Governor.
Idaho's H 648 requires health benefit plans covering FDA-approved anticancer medications to treat oral and injected drugs equally for cost-sharing (like copays and deductibles) starting January 1, 2027. This directly affects health insurance plans sold in Idaho that cover anticancer medications, ensuring patients pay the same out-of-pocket costs regardless of whether their medication is taken orally or administered via injection. The bill does not prevent insurers from using formularies, prior authorization, or other standard coverage controls. It specifically applies to medications approved by the FDA for cancer treatment, with the law taking effect July 1, 2026, for implementation.
This bill requires Idaho-resident students receiving state-funded medical or veterinary education to sign contracts committing to practice in Idaho for specific periods. Medical students must practice full-time in Idaho for four years after obtaining a license, finishing residency, or completing a fellowship. Veterinary students starting in fall 2027 must dedicate at least 600 annual hours to agricultural animal care (cattle, sheep, goats, swine) and complete a mixed practice program. Students who fail to meet these commitments must reimburse the state for their education costs over eight years without interest, with limited exceptions for hardship. A new reimbursement fund will manage these payments and distribute incentive grants to Idaho physicians.
