STATEMENT OF PURPOSE
RS28767 / H0316
This legislation limits eligibility for the county medically indigent program and state Catastrophic Health Care
fund by preventing anyone who qualifies for Medicaid or insurance from receiving assistance through the
programs. Additionally, the legislation eliminates state aid for public health districts. State aid to health
districts will be replaced by new county aid which will be funded from savings accruing to the county medically
indigent program. Lastly, the legislation amends state statute regarding public health districts to ensure that
health districts can continue with existing administrative relationships with state agencies if desired as well as
language clarifying that local health district boards are responsible for setting salaries of local health district
officials.
FISCAL NOTE
For fiscal year 2022, there will be a savings to the state general fund of $4.9 million as a result of the state no
longer providing state aid to public health districts. For fiscal year 2023 and each year thereafter, savings to the
general fund increases to $9.8 million due to no longer providing state aid to public health districts and $8.5
million due to savings to the CAT fund.
For fiscal year 2022, counties will save an estimated $6 million in indigent fund expenses. The savings will be
used to provide additional funding to public health districts, estimated to be $4.9 million. For fiscal year 2023
and each year thereafter, counties will save an estimated $12 million in indigent fund expenses. The savings
will be used to provide additional funding to public health districts, estimated to be $9.8 million.
Contact:
Representative John Vander Woude
(208) 332-1000
DISCLAIMER: This statement of purpose and fiscal note are a mere attachment to this bill and prepared by a proponent
of the bill. It is neither intended as an expression of legislative intent nor intended for any use outside of the legislative
process, including judicial review (Joint Rule 18).
Statement of Purpose / Fiscal Note Bill SOP/FN INTRODUCED: 03/09/2021, 9:26 AM


Statutes affected:
Bill Text: 39-401, 39-411, 39-413, 39-414, 39-414A, 39-423, 39-425
Engrossment 1: 39-401, 39-411, 39-413, 39-414, 39-414A, 39-423, 39-425