This bill amends Idaho's Medicaid laws by introducing a new chapter that requires legislative approval for specific Medicaid state plan amendments and waivers. It repeals Section 56-270, which previously governed legislative approval, and establishes new requirements for various amendments, including those related to rural emergency hospital designations, Medicaid cost-sharing, and Medicaid expansion limits. The bill also repeals Section 56-253 and amends several sections to clarify the Department of Health and Welfare's responsibilities regarding Medicaid managed care and provider payments. Additionally, it mandates that the Department seek legislative approval before implementing any amendments that expand coverage or increase state costs, while also outlining provisions for work requirements and eligibility determinations.
Furthermore, the bill expands Medicaid eligibility to individuals under sixty-five with a modified adjusted gross income at or below 133% of the federal poverty level and requires the Department to submit necessary state plan amendments within ninety days of the bill's approval. It ensures that eligibility will not be delayed due to federal waiver approvals and prohibits any waiver that would reduce federal financial participation below ninety percent for the specified individuals. The bill also allows the Department to take actions to offset potential reductions in federal funding and nullifies certain rules related to Medicaid benefits and cost-sharing, effective July 1, 2025, and January 1, 2026, respectively. An emergency clause is included for immediate effect upon passage and approval.
Statutes affected: Bill Text: 56-253, 56-263, 56-265, 56-267