MEDICAID – Amends existing law to provide minimum risk-sharing levels for value care organizations.

H 201 amends Idaho's Medicaid law to establish minimum financial risk-sharing requirements for value care organizations participating in Medicaid's value-based payment programs. It directly affects Medicaid providers who enter into these value-based agreements with the state. The bill mandates that these organizations must share increasing financial risk over time: starting at 40% for 2026, rising to 50% in 2027, 60% in 2028, and 70% beginning in 2029 and each subsequent year. The changes, effective July 1, 2025, aim to transition Medicaid payments toward quality-based models while requiring cost-neutral or cost-saving arrangements.