This bill appropriates state and federal funds to the Idaho Department of Health and Welfare and the State Independent Living Council for fiscal year 2027, covering programs like Medicaid, child welfare, mental health services, and substance abuse treatment. It establishes specific funding amounts for various divisions including youth safety, early learning, family partnerships, and benefit payments, while also limiting the number of authorized full-time equivalent positions. The legislation includes requirements for program integrity, monthly Medicaid tracking reports, and cost-sharing for certain services, and directs how specific funds must be used for initiatives like smoking cessation, opioid response, and rural physician incentives.
This bill appropriates specific funding amounts to Idaho's Medicaid program for fiscal years 2026 and 2027, affecting the Department of Health and Welfare's Division of Medicaid. It allocates money from various state and federal funds to support different Medicaid plans, including Basic, Enhanced, Coordinated, and Expansion plans, as well as administrative costs and hospital assessments. The legislation also reduces certain appropriations from the Hospital Assessment Fund and other sources for these same programs during the covered periods. Once signed into law, the bill directs how these funds will be distributed and spent to cover Medicaid benefits and operational expenses for eligible Idaho residents.
This bill, known as the Idaho Parental Rights Act, establishes and protects parents' fundamental right to make medical decisions for their minor children. It requires health care providers and government entities to obtain parental consent before providing nonemergency medical services to children under 18, with limited exceptions for emergencies or when parents have given blanket written consent. The law also creates a legal mechanism allowing parents to sue state or local governments if their parental rights are violated, and if they win, they can recover attorney fees and costs. Additionally, the bill repeals previous laws that allowed minors to consent to certain medical treatments without parental permission and removes confidentiality protections that might prevent parents from accessing their children's medical information.
This bill appropriates $35.7 million to Idaho's Department of Health and Welfare for public health services in fiscal year 2027, while reducing the budget for laboratory services by $78,400 and cutting three full-time equivalent positions. The funding covers physical health services, immunization programs, and disease prevention efforts including suicide prevention, HIV surveillance, and hepatitis monitoring. The legislation requires the department to submit annual reports by December 31, 2026, detailing outcomes and return on investment for these programs. The bill also mandates a specific report on vaccine utilization rates and cost savings from the Immunization Assessment Fund.
This bill expands exemptions for newborn health screenings in Idaho. It allows parents or guardians to opt out based on religious, philosophical, or conscientious beliefs (previously only religious objections were permitted), or by providing a physician's certification that screenings would endanger the child's health. The change directly affects parents seeking exemptions for infants' required screenings under current law. It takes effect July 1, 2026, after passing unanimously in the Idaho Senate.
H 591 repeals Idaho Code Section 31-3502, which previously defined eligibility criteria for financial assistance programs. This change directly affects individuals seeking state financial aid who would have been evaluated under the repealed law. The bill removes the existing eligibility rules but does not establish new requirements or programs. It takes effect on July 1, 2026, as declared an emergency.
H 528 allows Idaho patients to use their own blood or blood from a donor they specifically choose (a "directed donor") for transfusions, provided the blood is collected by a federally compliant blood establishment. Healthcare providers cannot block this option unless the blood use would be unsafe, time-sensitive, or for an emergency. The bill also shields providers from liability for injuries from using this blood, unless their gross negligence caused harm. This law, effective July 1, 2026, does not override federal blood donation rules.
