MEDICAID – Amends existing law to provide stop-loss thresholds for value care organizations.

This bill amends Idaho's Medicaid law to establish financial safety nets for value care organizations participating in new payment models. It requires the Medicaid department to include stop-loss thresholds in agreements with these organizations: $250,000 for 2026, $500,000 for 2027, and $1 million for 2028 onward. These thresholds protect providers from excessive financial risk if patient care costs exceed budgeted amounts under value-based payment arrangements. The change directly affects Idaho Medicaid providers who adopt value-based payment contracts, ensuring cost predictability while transitioning from traditional reimbursement methods.