This bill changes how Idaho pays counties for housing state prisoners in county jails. Counties will now receive $80 per day for the first seven days of each inmate's stay (up from $55), then $75 daily thereafter. The state must also cover all medical/dental costs for these inmates, and counties must bill the state every 60 days with payment due within 60 days. The changes take effect July 1, 2026, as an emergency measure.
This bill amends Idaho law to include tribal health facilities in the process for emergency detentions of individuals with mental illness. It allows tribal police officers, physicians, or medical staff at tribal health facilities to detain a person without a court order if they are severely disabled due to mental illness or pose an imminent danger to themselves or others. The law requires that such detentions be reviewed by a court within 24 hours, and the person must be held in a medical facility (not a criminal detention unit). This change ensures tribal health facilities can provide the same emergency mental health services as non-tribal hospitals.
This bill appropriates state funding to Idaho's Department of Health and Welfare and the State Independent Living Council for fiscal year 2027, covering programs like Medicaid, child welfare, mental health services, and substance abuse treatment. It establishes specific budget allocations for various divisions including youth safety, early learning, family partnerships, and benefit payments, while also setting limits on the number of authorized full-time positions. The legislation includes requirements for program integrity, monthly Medicaid tracking reports, and specific fund transfers to support initiatives such as rural physician incentives and smoking cessation programs.
Idaho's S 1319, the Emergency Care Affordability Act, protects patients from surprise bills by requiring out-of-network freestanding emergency rooms to accept the in-network rate as full payment for emergency services. It prohibits these facilities from billing patients for costs exceeding the in-network rate (known as "balance billing") and mandates that health insurance plans pay providers directly for emergency care at the in-network rate, including covering the patient's cost-sharing. The law applies specifically to emergency services provided in freestanding emergency rooms (like standalone facilities not attached to hospitals) and covers all health benefit plans, including self-funded plans. This ensures patients receive emergency care without facing unexpected high costs from out-of-network providers.
