All Roll Calls
Yes: 20 • No: 15
IdahoS 14332026 regular legislative sessionSenateWALLET
APPROPRIATIONS – HEALTH AND WELFARE – MEDICAID – Relates to the appropriation to the Department of Health and Welfare for fiscal years 2026 and 2027.
Sponsored By: FINANCE COMMITTEE
Signed by Governor
APPROPRIATIONS
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 0 benefits, 0 costs, 3 mixed.
Medicaid 2026 funding added and cut
For July 1, 2025 to June 30, 2026, the law adds about $783.6 million to Medicaid. It also cuts about $676.3 million from Medicaid trustee and benefit payments across the Coordinated, Enhanced, Basic, and Expansion plans. These changes take effect on passage and approval.
Medicaid 2027 funding set and trimmed
Beginning July 1, 2026, Idaho funds Medicaid at about $1.163 billion for the year. About $106.2 million is for operations and about $1.057 billion is for benefit payments. The law also cuts about $669.9 million from Medicaid trustee and benefit payments across the Coordinated, Enhanced, Basic, and Expansion plans.
Emergency timing for Medicaid changes
Sections 3 and 4 take effect on and after passage and approval. Sections 1 and 2 take effect on and after July 1, 2026. This sets when the listed Medicaid funding increases and cuts begin.
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Sponsors & Cosponsors
Sponsor
FINANCE COMMITTEE
Affiliation unavailable
Cosponsors
Kevin Cook
Republican • Senate
Roll Call Votes
Senate vote • 3/30/2026
Senate Floor Vote
Yes: 20 • No: 15
Actions Timeline
Signed by Governor on 04/02/26 Session Law Chapter 285 Effective: 04/02/2026 SECTION 3 & 4; 07/01/2026 SECTION 1 & 2
4/2/2026Reported enrolled; signed by President; to House for signature of Speaker
4/1/2026SenateRead second time; Filed for Third Reading
3/31/2026SenateRead third time in full – PASSED - 20-15-0
3/30/2026SenateRead second time; filed for Third Reading
3/27/2026SenateReported Printed; referred to Finance
3/26/2026SenateIntroduced; read first time; referred to JR for Printing
3/25/2026Senate
Bill Text
Bill Text
Related Bills
H 0889 — STATE PROCUREMENT – Amends, repeals, and adds to existing law regarding the procurement of property by the State of Idaho.
S 1435 — APPROPRIATIONS – HEALTH AND HUMAN SERVICES – Relates to the maintenance appropriations to the Department of Health and Welfare and the State Independent Living Council for fiscal year 2027.
S 1429 — APPROPRIATIONS – HEALTH AND WELFARE – BEHAVIORAL HEALTH SERVICES – Relates to the appropriation to the Department of Health and Welfare for the Behavioral Health Services Division for fiscal years 2026 and 2027.
S 1410 — MEDICAID – Adds to existing law to provide legislative approval for the Department of Health and Welfare to submit a state plan amendment regarding change in encounter rate due to change in scope of services.
S 1439 — EDUCATION – Amends existing law to revise provisions regarding the Model School Facility Council.
S 1431 — APPROPRIATIONS – DEPARTMENT OF WATER RESOURCES – Relates to the appropriation to the Department of Water Resources for fiscal year 2027.
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