House Joint Memorial No. 7 is a resolution from the Idaho Legislature addressing the expansion of Medicaid eligibility approved by Idaho voters in 2018. The resolution reaffirms the Legislature's commitment to the policies established in Chapter 318, Laws of 2019, which include specific qualifying restrictions on Medicaid expansion. These restrictions, which encompass family planning, alcohol and drug treatment, and work or educational requirements, require federal approval for implementation. The Idaho Department of Health and Welfare submitted waiver requests to the Centers for Medicare and Medicaid Services (CMS) in 2019, but the state has yet to receive a formal response, which the Legislature views as a violation of the 10th Amendment.

The resolution calls on the United States Department of Health and Human Services to review and expedite the approval of the pending waiver submissions made by Idaho. It emphasizes the importance of adhering to the will of the people and the need for timely federal action to support the state's Medicaid program. The Chief Clerk of the House of Representatives is authorized to forward copies of this memorial to key federal officials, including the President of the Senate, the Speaker of the House of Representatives, and the congressional delegation representing Idaho.