Bill
Bill > H0345
ID H0345
Amends, repeals, and adds to existing law to provide that legislative approval is required for certain state plan amendments and waivers and to provide legislative approval for certain state plan amendments and waivers.
summary
Introduced
02/28/2025
02/28/2025
In Committee
03/11/2025
03/11/2025
Crossed Over
03/06/2025
03/06/2025
Passed
03/17/2025
03/17/2025
Dead
Signed/Enacted/Adopted
03/20/2025
03/20/2025
Introduced Session
2025 Regular Session
Bill Summary
RELATING TO LEGISLATIVE APPROVAL FOR MEDICAID STATE PLAN AMENDMENTS AND WAIVERS; REPEALING SECTION 56-270, IDAHO CODE, AS ENACTED BY SECTION 1, CHAPTER 288, LAWS OF 2024, RELATING TO LEGISLATIVE APPROVAL OF WAIVERS AND STATE PLAN AMENDMENTS; AMENDING TITLE 56, IDAHO CODE, BY THE ADDITION OF A NEW CHAPTER 22, TITLE 56, IDAHO CODE, TO PROVIDE THAT LEGISLATIVE APPROVAL IS REQUIRED FOR CERTAIN STATE PLAN AMENDMENTS AND WAIVERS, TO PROVIDE LEGISLATIVE APPROVAL FOR A STATE PLAN AMENDMENT REGARDING RURAL EMERGENCY HOSPITAL DESIGNATION, TO PROVIDE LEGISLATIVE APPROVAL FOR A STATE PLAN AMENDMENT REGARDING MEDICAID COST-SHARING, TO PROVIDE LEGISLATIVE APPROVAL FOR STATE PLAN AMENDMENTS AND WAIVERS REGARDING COMPREHENSIVE MEDICAID MANAGED CARE, TO PROVIDE LEGISLA- TIVE APPROVAL FOR STATE PLAN AMENDMENTS AND WAIVERS REGARDING MEDICAID EXPANSION LIMITS, TO PROVIDE LEGISLATIVE APPROVAL FOR A STATE PLAN AMENDMENT REGARDING PRACTICE AUTHORITY PROTECTION, AND TO PROVIDE LEG- ISLATIVE APPROVAL FOR A STATE PLAN AMENDMENT REGARDING SITE NEUTRAL PAYMENTS; REPEALING SECTION 56-253, IDAHO CODE, RELATING TO POWERS AND DUTIES OF THE DIRECTOR; AMENDING SECTION 56-263, IDAHO CODE, TO REMOVE OBSOLETE LANGUAGE AND TO PROVIDE THAT THE DEPARTMENT OF HEALTH AND WEL- FARE SHALL DISCONTINUE CERTAIN CONTRACTING AND REIMBURSEMENT; AMENDING SECTION 56-265, IDAHO CODE, TO PROVIDE THAT FEDERALLY QUALIFIED HEALTH CENTERS SHALL
AI Summary
This bill addresses legislative oversight of Medicaid state plan amendments and waivers in Idaho, establishing a comprehensive framework for requiring legislative approval before the Department of Health and Welfare can implement significant changes to the state's Medicaid program. The bill mandates legislative approval for several specific areas, including rural emergency hospital designations, Medicaid cost-sharing, comprehensive managed care, Medicaid expansion limits, practice authority protection, and site-neutral payments. Key provisions include requiring work requirements for able-bodied Medicaid recipients, allowing some eligible individuals to receive premium tax credits instead of Medicaid, implementing biannual eligibility redeterminations, and prohibiting funding for certain medical procedures. The bill also discontinues some existing Medicaid programs, such as the Healthy Connections value care program, and provides mechanisms for the department to seek federal approvals for various state plan amendments. Additionally, the legislation ensures that any expansion of Medicaid coverage or increases in state costs must first receive explicit legislative approval, with exemptions for existing programs and changes that do not expand coverage or increase state expenses.
Committee Categories
Health and Social Services
Sponsors (0)
No sponsors listed
Other Sponsors (1)
Health and Welfare Committee (H)
Last Action
SECTION 9, 10, 11, & 12 (on 03/20/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://legislature.idaho.gov/sessioninfo/2025/legislation/H0345/ |
| BillText | https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2025/legislation/H0345.pdf |
| Fiscal Note/Analysis - Statement of Purpose / Fiscal Note | https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2025/legislation/H0345SOP.pdf |
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