Bill > H0912

This bill establishes new provisions for Medicaid eligibility and verification in Idaho, requiring individuals to demonstrate compliance with work requirements, which are defined by federal law (42 U.S.C. 1396a(xx)), to remain enrolled in Medicaid, with specific documentation needed for verification and exemptions, and mandates that the Department of Health and Welfare implement these requirements by December 31, 2026. It also prohibits the Department from accepting self-attestation for key eligibility factors like income, residency, identity, household composition, and citizenship or immigration status, instead requiring verification through various state and federal data sources on a regular basis, and mandates eligibility redeterminations for non-elderly adults every six months and for others every twelve months. Furthermore, the bill clarifies that medical assistance will not be provided to individuals who are not U.S. residents and citizens or lawfully admitted aliens, requiring income of ineligible household members to be included in eligibility calculations and mandating verification of immigration status, with exceptions for emergency medical services, and sets implementation dates for these provisions. The bill also introduces measures to prevent multistate enrollment by cross-checking address changes and electronic benefit transactions against state enrollment data, and by submitting enrollment information to a national database, with reporting requirements for the Department, and requires prompt removal of deceased enrollees from the program and recoupment of any payments made after their death, with all these measures to be implemented by specific dates. Finally, it limits retroactive Medicaid eligibility, allowing for one month prior coverage for the Medicaid expansion population and two months prior for the non-expansion population, and declares an emergency for immediate effect.

Health and Social Services

Ways and Means Committee (House)

https://legislature.idaho.gov/sessioninfo/2026/legislation/H0912/