This bill amends Chapter 2, Title 56 of the Idaho Code to introduce several new provisions related to Medicaid, including work requirements, eligibility verification, and regulations concerning ineligible aliens, multistate enrollment, deceased enrollees, and retroactive eligibility. Specifically, it establishes a new Section 56-276 that mandates work requirements for Medicaid applicants aged 19 to 64, requiring them to demonstrate compliance for three consecutive months prior to application. The bill also introduces Section 56-277, which prohibits self-attestation for income, residency, identity, household composition, and citizenship or immigration status, necessitating verification from various state and federal agencies.

Additionally, the bill includes provisions in Sections 56-278 through 56-281 that outline the criteria for eligible aliens, the process for identifying deceased enrollees, and the limitations on retroactive eligibility for Medicaid benefits. For instance, Section 56-278 specifies that medical assistance will only be provided to individuals who are U.S. citizens or legally residing aliens, while Section 56-281 limits retroactive eligibility to one month for the expansion population and two months for the non-expansion population. The bill declares an emergency, indicating that these changes will take effect immediately upon passage and approval.