Bill > H0138

This bill amends existing Idaho law to significantly restrict and conditionally implement Medicaid expansion for low-income adults. The bill requires multiple specific conditions to be met before Medicaid can be expanded to include individuals under 65 with incomes up to 133% of the federal poverty level, including implementing work requirements (20 hours per week through employment, volunteering, or work programs), creating an enrollment cap of 50,000 people, establishing a 36-month lifetime benefit limit, conducting biannual eligibility redeterminations, and prohibiting coverage for certain medical procedures like gender reassignment. The expansion would only be allowed if federal funding remains at 90%, and individuals could alternatively receive premium tax credits for private insurance. The bill requires the state department to notify the legislature about any federal waiver requests and mandates termination of the expanded eligibility if any conditions are not continuously met. Importantly, the bill includes exceptions for American Indians and Alaska Natives, and sets an effective date of July 1, 2025, with provisions to potentially halt expansion if federal financial participation changes.

Health and Social Services

Health and Welfare Committee (H)

https://legislature.idaho.gov/sessioninfo/2025/legislation/H0138/