MEDICAID – Amends, repeals, and adds to existing law to provide that legislative approval is required for certain state plan amendments and waivers and to provide legislative approval for certain state plan amendments and waivers.

This Idaho bill (H 328) requires legislative approval before the state can make certain Medicaid program changes. Specifically, it mandates that lawmakers must approve any Medicaid expansion, cost increases, or new coverage rules (like work requirements for adults) before implementation, effective July 2026. The bill also creates specific approval pathways for rural hospital reimbursement, cost-sharing policies, managed care systems, and Medicaid eligibility limits. It repeals prior laws and removes outdated administrative rules to align with these new legislative oversight requirements. The changes directly affect Idaho's Medicaid program, state health officials, and potentially Medicaid beneficiaries who might face new eligibility conditions.