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IdahoS 14332026 regular legislative sessionSenate

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

2 provisions identified: 0 benefits, 0 costs, 2 mixed.

Medicaid patients: 2026 funding added, cut

The law adjusts Idaho Medicaid funding for July 1, 2025 through June 30, 2026. It adds $783.59 million total ($1.54 million for operations and $782.05 million for benefits), including $601.78 million for the Hospital Assessment Fund. It also reduces prior FY 2026 amounts by about $676 million across the Medicaid plans and funds named in law. Net funding after these changes is about $107 million for that year.

Medicaid patients: 2027 funding reshaped

The law funds Idaho Medicaid for July 1, 2026 through June 30, 2027. It appropriates $1.16 billion total ($106 million for operations and $1.06 billion for benefits), including $601.78 million from the Hospital Assessment Fund. It also cuts about $670 million across the Coordinated, Enhanced, Basic, and Expansion plans and related funds. Net funding after the cuts is about $493 million for that year.

Sponsors & Cosponsors

Sponsor

  • FINANCE COMMITTEE

    Affiliation unavailable

Cosponsors

  • Kevin Cook

    Republican • Senate

  • Josh Tanner

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 55 • No: 47

House vote • 3/31/2026

House Floor Vote

Yes: 35 • No: 32

Senate vote • 3/30/2026

Senate Floor Vote

Yes: 20 • No: 15

Actions Timeline

  1. Signed by Governor on 04/02/26 Session Law Chapter 285 Effective: 04/02/2026 SECTION 3 & 4; 07/01/2026 SECTION 1 & 2

    4/2/2026

  2. Reported delivered to Governor at 1:24 p.m. on 04/01/26

    4/1/2026

  3. Reported signed by the Speaker & ordered delivered to Governor

    4/1/2026

  4. Received from Senate; Signed by Speaker; Returned to Senate

    4/1/2026House

  5. Reported enrolled; signed by President; to House for signature of Speaker

    4/1/2026Senate

  6. Returned From House Passed; referred to enrolling

    3/31/2026Senate

  7. Rules Suspended: Ayes 65 Nays 0 Abs/Excd 5, read in full as required – PASSED - 35-32-3

    3/31/2026House

  8. Read second time; Filed for Third Reading

    3/31/2026House

  9. Read First Time, Filed for Second Reading

    3/30/2026House

  10. Received from the Senate, Filed for First Reading

    3/30/2026House

  11. Read third time in full – PASSED - 20-15-0

    3/30/2026Senate

  12. Read second time; filed for Third Reading

    3/27/2026Senate

  13. Reported out of Committee with Do Pass Recommendation; Filed for second reading

    3/26/2026Senate

  14. Reported Printed; referred to Finance

    3/26/2026Senate

  15. Introduced; read first time; referred to JR for Printing

    3/25/2026Senate

Bill Text

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