MEDICAID – Amends existing law to require certain federal waivers for continued medicaid expansion eligibility.

H 138 requires Idaho to meet specific conditions to maintain its Medicaid expansion program for low-income adults under 65 (with modified adjusted gross income at or below 133% of the federal poverty level). Key provisions include implementing work requirements for able-bodied adults, capping enrollment at 50,000 people, maintaining a 5% improper payment rate, and prohibiting Medicaid funds for gender reassignment procedures for adults 18+ or for any provider contracts involving prohibited services. If all conditions aren't met by July 1, 2026, the state must terminate the expansion by October 1, 2026. The bill also mandates federal waiver approval for these changes and requires legislative notification on waiver status.