The bill amends Section 56-265 of the Idaho Code to establish specific requirements for value care organizations within the Medicaid program. It introduces new provisions that mandate these organizations to select minimum risk-sharing levels, which will progressively increase from 40% in 2026 to 70% by 2029. Additionally, the bill emphasizes the importance of value-based payment arrangements, allowing the department to enter into agreements with providers that focus on measurable healthcare quality and positive health outcomes for participants.

Furthermore, the bill includes a technical correction and outlines various reimbursement rates for different types of hospitals, including critical access and out-of-state facilities. It also mandates the department to work with Idaho hospitals to develop value-based payment methods and a quality payment program for inpatient and outpatient services. The act declares an emergency, making it effective from July 1, 2025.

Statutes affected:
Bill Text: 56-265