This bill amends Chapter 2, Title 56 of the Idaho Code by adding a new section, 56-276, which establishes provisions for Medicaid presumptive eligibility determinations by qualified hospitals. The bill outlines the responsibilities of hospitals in making these determinations, including notifying the department of each determination within five business days, assisting individuals with their Medicaid applications, and providing clear written communication to applicants regarding the status of their presumptive eligibility. Additionally, the bill mandates the establishment of performance standards for hospitals and an appeals process for disputes regarding violations of these standards.

The legislation also details the consequences for hospitals that fail to meet the performance standards, including a system of notifications for violations and mandatory training for hospital staff after a second violation. If a hospital receives a third violation within a twelve-month period, it will lose its qualification to make presumptive eligibility determinations. The bill declares an emergency, making it effective on July 1, 2026.