HEALTH CARE – Adds to existing law to establish provisions regarding certain out-of-pocket payments for health care services.
This Idaho bill requires health insurance companies to allow patients to pay discounted cash prices for covered medical services directly to providers. When patients pay these negotiated lower prices out of pocket, the amounts count toward their insurance deductibles and annual out-of-pocket limits, provided they submit proof to their insurer. The law applies to most health plans but excludes specific types like Medicaid, Medicare supplements, dental, vision, and short-term insurance. It also ensures providers accept the cash payment as full payment and cannot bill patients or insurers for additional amounts.
Bill status
signed
all 5 stages cleared
Introduction
Mar 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Apr 2026
Introduced Mar 18, 2026
Signed Apr 2, 2026
Floor votes · Senate Mar 30, 2026 · House Mar 20, 2026
How they voted
30–5
Passed · 1 other
Total votes 36
Mar 30, 2026
D
Democratic6
100% Yea
R
Republican30
80% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
16
Key actions
6
Committee
1
Mar 31, 2026
Upper · Passed
Signed by President; returned to House
upper
Mar 31, 2026
Upper · Passed
Received from the House enrolled/signed by Speaker
upper
Mar 31, 2026
Lower · Passed
Reported Enrolled; Signed by Speaker; Transmitted to Senate
lower
Mar 30, 2026
Upper · Passed
Read third time in full – PASSED - 29-5-1AYES – Adams, Anthon, Bernt, Bjerke(Bjerke), Blaylock, Burtenshaw, Carlson, Cook, Den Hartog, Foreman, Grow, Guthrie, Harris, Keyser, Lakey, Lenney, Lent, Okuniewicz, Rabe, Ricks, Ruchti, Semmelroth, Shippy, Taylor, Toews, VanOrden, Ward-Engelking, Wintrow, WoodwardNAYS – Hart, Kohl, Nichols, Zito, ZuiderveldAbsent and excused – GallowayFloor Sponsor - CookTitle apvd - to House
upper
Mar 24, 2026
Upper · Passed
Reported out of Committee with Do Pass Recommendation; Filed for second reading
upper
Mar 23, 2026
Introduced
Introduced, read first time; referred to: Commerce & Human Resources
upper
Mar 20, 2026
Lower · Passed
Read Third Time in Full – PASSED - 49-21-0AYES – Beiswenger, Berch, Bingham, Boyle, Bruce, Cannon, Cheatum, Church, Cornilles, Crane(12), Crane(13), Dygert, Egbert, Ehardt, Erickson, Fuhriman, Galaviz, Gannon, Garner, Green, Hall(Stone), Handy, Haws, Healey, Holtzclaw, Manwaring, Mathias, McCann, Mickelsen, Miller, Mitchell, Monks, Nelsen, Palmer, Petzke, Pickett, Pohanka, Raybould, Raymond, Redman, Rubel, Sauter, Shepherd, Shirts, Vander Woude, Veile, Weber, Wheeler, Mr. SpeakerNAYS – Alf
lower
Mar 18, 2026
Introduced
Introduced, read first time, referred to JRA for Printing
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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