House Joint Memorial No. 7 is a resolution from the Idaho Legislature addressing the expansion of Medicaid eligibility as approved by the state's voters in the 2018 election. The resolution reaffirms the Legislature's commitment to the policies established in Chapter 318, Laws of 2019, which included 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 Idaho's pending waiver submissions. Additionally, it directs the Chief Clerk of the House of Representatives to send copies of the memorial to key federal officials, including the President of the United States and the congressional delegation representing Idaho. This action underscores the state's desire to move forward with its Medicaid expansion plans in alignment with the will of its citizens.