This bill establishes a pilot program in Idaho to explore the use of certain psychoactive substances, including psilocybin, MDMA, and ibogaine, for treating serious behavioral health conditions like PTSD, depression, and addiction. The program would be administered by the Department of Health and Welfare and is limited to eligible participants such as veterans, first responders, and Idaho residents aged 21 or older with qualifying conditions. Participation would be voluntary, and all medicine use must occur under strict medical supervision with comprehensive screening, safety protocols, and informed consent requirements. The program is designed to be revenue-neutral, primarily funded through program fees and donations rather than state tax dollars, and must collect data on safety and outcomes to inform future legislative decisions.
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 bill requires health insurance plans in Idaho to cover fertility preservation services for people facing medically necessary cancer treatments that could impair their fertility. It specifically applies to insurance companies, hospital service corporations, managed care organizations, fraternal benefit societies, and health exchanges that offer medical coverage for health conditions, accidents, or sickness. The law defines fertility preservation services as the collection and preservation of sperm, unfertilized eggs, and ovarian tissue, but excludes the storage of unfertilized genetic materials. Coverage is mandated only when the American Society of Clinical Oncology or the American Society for Reproductive Medicine indicates that a cancer treatment may cause impaired fertility, and the procedures must follow established medical practices or professional guidelines. The bill takes effect on July 1, 2026.
This bill requires nonprofit hospitals that received assets from public hospital districts in Idaho to maintain ongoing accountability and transparency. It mandates that these hospitals annually publish details about their membership structure, board selection methods, board member information, and any major transactions or potential mergers. The law allows the attorney general to take legal action if a hospital fails to meet these reporting requirements, ensuring public oversight continues even after the original hospital district is dissolved.
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 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 updates Idaho laws governing enhanced short-term health insurance plans, primarily affecting insurance carriers and individuals purchasing these temporary coverage options. It clarifies renewal rules by establishing that carriers must offer affected individuals the chance to reapply for coverage when enhanced short-term plans reach their renewal limits, while also requiring carriers to provide at least 180 days notice before nonrenewing all their individual market plans. The legislation sets a maximum total duration of 36 months for these plans and requires carriers to offer alternative health benefit plans on a guaranteed issue basis if they discontinue a specific enhanced short-term product after being in use for 36 months. Additionally, the bill prohibits carriers from writing new individual market business for five years if they choose to nonrenew all their individual market plans.
This bill allows family members to provide personal care services to eligible Medicaid recipients in Idaho, subject to legislative approval. It authorizes the Department of Health and Welfare to seek federal permission for legally responsible individuals to deliver up to 25 hours of care per week, with oversight by the department. The law limits the total number of family caregivers to 1,000 at any time and ensures that individuals needing more than 25 hours of care can still receive additional support from non-family providers. The bill also directs the department to create rules for managing a wait list for these services.
This bill establishes minimum reimbursement rates for independent pharmacies in Idaho by requiring plan sponsors, pharmacy benefit managers, and third-party payers to pay at least the national average drug acquisition cost plus a minimum professional dispensing fee of $12.35, which will increase annually based on inflation. The law defines key terms related to pharmacy reimbursement and mandates that pharmacy benefit managers register with the Idaho Department of Insurance and prohibits certain pricing practices like spread pricing. Additionally, the bill requires the state insurance department to issue guidance to payers and mandates that any underpayments to pharmacies be corrected retroactively from the effective date of the law.
This bill formally approves most temporary and pending rules from the Idaho Department of Insurance and the Division of Occupational and Professional Licenses for the 2026 legislative session. The House Business Committee reviewed these rules and approved them with one exception: the Building Safety rules (IDAPA 24.39.30) were not approved. Additionally, the bill allows one specific pending rule regarding short-term health insurance coverage to become effective at the end of the legislative session. This procedural measure streamlines the legislative review process for administrative rules without changing the actual content of the regulations themselves.
