The bill establishes the Idaho Rural Health Transformation Fund and the Rural Health Transformation Committee, as outlined in a new Chapter 25 of Title 56 of the Idaho Code. The fund will consist of federal grant money and other legislative appropriations, specifically designated for federally approved rural health transformation purposes. The committee, composed of nine members appointed from both the Senate and House of Representatives, will oversee the fund's operations, establish rules for governance, and evaluate the success of funded programs. The committee will also require sustainability plans for initiatives funded by the transformation moneys and will remain active until all funds have been appropriated and expended.

Additionally, the bill mandates that the Idaho Rural Health Transformation Fund be subject to annual public reporting of all receipts and expenditures. The committee will receive regular updates on the progress of funded projects and will have access to all relevant data regarding rural health transformation program awards. The bill declares an emergency, allowing it to take effect immediately upon passage and approval.