This bill amends Section 56-267 of the Idaho Code to establish specific conditions under which Medicaid eligibility expansion can be implemented. It prohibits the state from executing any plan that expands Medicaid eligibility until July 1, 2026, unless certain criteria are met. These criteria include maintaining a 90% federal financial participation rate, implementing work requirements for able-bodied adults, allowing eligible individuals to receive advance premium tax credits instead of enrolling in Medicaid, and maintaining a cap on enrollment. Additionally, the bill outlines various exemptions and conditions for termination of eligibility if the specified requirements are not met.

The bill also mandates that the Department of Health and Welfare notify the legislature regarding the status of any federal waiver requests or state plan amendments related to Medicaid eligibility expansion. If the conditions for eligibility expansion are not met by the specified date, the department is required to terminate eligibility for affected individuals by October 1, 2026. Furthermore, the bill includes provisions to ensure that no funds are used for gender reassignment procedures for Medicaid participants aged 18 and older. An emergency clause is included, making the act effective on July 1, 2025.

Statutes affected:
Bill Text: 56-267