Bill > S1433

This bill adjusts appropriations for the Department of Health and Welfare's Division of Medicaid for fiscal years 2026 and 2027, totaling a net increase of $486,949,800. * **Fiscal Year 2027:** * Additional appropriations totaling $1,163,296,100 are made to the Division of Medicaid for various plans (Medicaid Administration and Medical Mgmt, Coordinated, Enhanced, Basic, Expansion) and Hospital Assessment. Major funding sources include the Cooperative Welfare (Federal) Fund ($281,652,200), Cooperative Welfare (General) Fund ($100,597,100), Cooperative Welfare (Dedicated) Fund ($66,521,900), Medicaid Management Information Systems Dedicated Fund ($10,272,100), Idaho Millennium Income Fund ($25,000,000), and Hospital Assessment Fund ($601,781,000). * Reductions totaling $669,941,300 are made to the Division of Medicaid's appropriations for various plans. Major funding sources for these reductions include the Hospital Assessment Fund ($244,913,000), Cooperative Welfare (Federal) Fund ($364,245,900), and Cooperative Welfare (Dedicated) Fund ($60,783,400). * The net effect for FY2027 is an increase of $493,354,800. * **Fiscal Year 2026:** * Additional appropriations totaling $783,590,000 are made to the Division of Medicaid for various plans (Medicaid Administration and Medical Mgmt, Coordinated, Enhanced, Basic, Expansion) and Hospital Assessment. Major funding sources include the Hospital Assessment Fund ($601,781,000), Cooperative Welfare (Federal) Fund ($64,957,700), Cooperative Welfare (General) Fund ($69,684,300), Cooperative Welfare (Dedicated) Fund ($15,165,200), and Medicaid Budget Stabilization Fund ($8,507,700). * Reductions totaling $676,346,000 are made to the Division of Medicaid's appropriations for various plans. Major funding sources for these reductions include the Hospital Assessment Fund ($244,913,000), Cooperative Welfare (Federal) Fund ($318,707,400), Cooperative Welfare (Dedicated) Fund ($17,994,200). * The net effect for FY2026 is a decrease of $6,414,800. The bill declares an emergency and specifies that sections related to FY2026 take effect immediately, while sections related to FY2027 take effect on July 1, 2026.

Budget and Finance, Justice

Finance Committee (Senate)

https://legislature.idaho.gov/sessioninfo/2026/legislation/S1433/