House Joint Memorial No. 7 is a resolution from the Idaho Legislature that addresses 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 included specific qualifying restrictions on Medicaid expansion. These restrictions, which encompass family planning, alcohol and drug treatment, work or educational requirements, and a preference for newly eligible recipients to apply for public assistance through the state's insurance exchange, 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. 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 Senate, the Speaker of the House of Representatives, the congressional delegation from Idaho, and the Secretary of the United States Department of Health and Human Services.