REVISED REVISED REVISED REVISED REVISED REVISED REVISED
STATEMENT OF PURPOSE
RS27130C1
This bill directs the Idaho Department of Health and Welfare to seek a waiver from CMS to implement
Medicaid expansion passed in Proposition 2 in 2018 and ask for specific sideboards that include:
1. To direct the Department of Health and Welfare to collect participant information to related to the
presence of or risk for substance disorders so they can be referred to treatment.
2. Allow for an option for individuals between 100 percent and 138 percent FPL to stay on the exchange.
3. A work/education/volunteer requirement.
4. Make sure the 90/10 federal match stays in place.
5. Place the participants in managed care.
6. A review of the program in the year 2023.
7. Mental health services waiver.
8. Work reporting requirements align with SNAP work reporting requirement (every six months).
FISCAL NOTE
The fiscal note only covers the cost of this bill. The underlying program of Medicaid expansion is covered
in other legislation.
• Optional 100-138% FPL on exchange could save between $3 and $5 million.
• Managed care could save approximately $2 million.
• Work requirement:
o The Idaho Department of Health and Welfare estimates that, after accounting for individuals who
are exempt and already working, there will be approximately 11,000 people will be subject to the work
requirement.
o Based on the costs for administering the SNAP work program, to which this work program is aligned,
the estimated annual cost for the work program, state funds, is $1,600,000. One time reprogramming
costs are $212,500
o Though the savings can't be quantified, for every person who transitions out of poverty as a result of
the work requirement, there will be a savings of approximately $4300 realized. The program will need
to help 248 people transition out of poverty to pay for itself.
Contact:
Senator Mary Souza
(208) 332-1000
Senator Steven P. Thayn
(208) 322-1000
DISCLAIMER: This statement of purpose and fiscal note are a mere attachment to this bill and prepared by a proponent
of the bill. It is neither intended as an expression of legislative intent nor intended for any use outside of the legislative
process, including judicial review (Joint Rule 18).
Statement of Purpose / Fiscal Note S1204


Statutes affected:
Bill Text: 56-253, 56-254, 56-255, 56-267
Engrossment 1: 56-253, 56-267, 56-263
Engrossment 2: 56-253, 56-267, 56-263