This bill establishes a framework for Assertive Community Treatment (ACT) in Idaho, targeting individuals with serious and persistent mental illness who have not been adequately served by traditional services. It amends existing law by adding a new section, 56-2208, which authorizes the Department of Health and Welfare to submit a state plan amendment to the Centers for Medicare and Medicaid Services by March 1, 2026, to include ACT as a rehabilitative service. Additionally, a new Chapter 25 is introduced, defining terms related to ACT, outlining objectives and eligibility criteria, and establishing provisions for the creation of ACT programs and teams, as well as measures for outcomes and fidelity standards.

The bill emphasizes the need for a multidisciplinary, community-based approach to mental health treatment, ensuring that services are available 24/7 and tailored to the complex needs of participants. It sets forth specific eligibility criteria for individuals to receive ACT services, focusing on those with a history of high-cost service utilization and significant functional impairments. The legislation also mandates the development of rules for program administration, including staffing requirements and reimbursement processes, while ensuring that services are delivered in accordance with fidelity standards to maintain program integrity and effectiveness. An emergency clause is included, allowing the act to take effect immediately upon passage and approval.