Labor & Employment

This bill updates Idaho Medicaid rules to increase transparency and oversight of payments to healthcare providers, particularly those serving people with disabilities. It establishes specific payment rates based on Medicare equivalents for most services, requires annual cost surveys with audits for residential habilitation providers, and mandates that providers spend allocated funds on direct care worker wages or face potential penalties. The legislation also introduces value-based payment options for certain providers, sets reimbursement percentages for different hospital types, and requires the state to reduce general fund spending on hospital payments by specified amounts. Additionally, it declares certain existing administrative rules null and void as of July 1, 2026, and requires all future provider rate changes to receive legislative approval through the budget process.

This bill updates how Idaho public school districts calculate salary allocations for instructional and pupil service staff based on their career ladder progression. It establishes specific rules for placing new teachers on the career ladder, including provisions for those with prior teaching experience in private or parochial schools and career technical education instructors with industry experience. The law also sets performance criteria that staff must meet to advance to higher compensation levels, with allocations remaining at previous levels if performance requirements are not satisfied. These changes affect how school districts determine funding for employee compensation starting July 1, 2026.