This bill updates Idaho Medicaid rules to increase transparency and oversight of payments to healthcare providers, particularly those serving people with disabilities. It establishes specific payment rates based on Medicare equivalents for most services, requires annual cost surveys with audits for residential habilitation providers, and mandates that providers spend allocated funds on direct care worker wages or face potential penalties. The legislation also introduces value-based payment options for certain providers, sets reimbursement percentages for different hospital types, and requires the state to reduce general fund spending on hospital payments by specified amounts. Additionally, it declares certain existing administrative rules null and void as of July 1, 2026, and requires all future provider rate changes to receive legislative approval through the budget process.
H 793 revises Idaho's beer excise tax revenue distribution, affecting state funds and the beer industry. It increases the portion of low-alcohol beer tax revenue (≤5% ABV) going to the substance abuse treatment fund from 12% to 20%, while allocating 33% to the Idaho law enforcement fund (with 60% dedicated to the Project Choice program) and the remainder to the general fund. For high-alcohol beer (>5% ABV), it temporarily adjusts funding to hop growers and wine producers (1.5%/3.5% in 2022-2023, rising to 5%/1.5% permanently from 2024), with the rest going to the general fund. The bill removes obsolete language and takes effect July 1, 2026.
This bill (H 491) expands legal protection for people who provide emergency first aid without compensation. It ensures individuals offering good-faith first aid - including mental health or suicide crisis support - in accidents or emergencies cannot be sued for civil damages, unless proven grossly negligent. The immunity ends when care is transferred to a hospital, medical professional, or ambulance staff. The law takes effect July 1, 2026, and applies to all Idaho residents receiving such aid.
H 724 establishes specific safety rights for children in Idaho foster care, including the right to a safe environment, freedom from abuse, timely medical assessments, and consideration of safety during placement changes. The bill requires the Idaho Department of Health and Welfare to provide a written notice of these rights to each child at initial placement, placement changes, and annually, with foster homes required to post the notice. These rights must be addressed within existing court proceedings for foster care cases but do not create new legal claims or enforcement mechanisms. The law aims to ensure foster children’s safety through clear, accessible protections already integrated into current foster care processes.
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.
Idaho's H 531 amends school medication policies to improve access to epinephrine for students with severe allergies. It allows students to self-administer epinephrine auto-injectors and requires schools to maintain stock supplies for emergency use by trained staff. The bill mandates staff training on recognizing allergic reactions, proper storage/administration, and reporting incidents. It also provides legal protection for schools and staff acting reasonably during emergencies, while requiring prescriptions for student-specific use. This directly affects students with life-threatening allergies, school nurses, and designated school personnel.
H 528 allows Idaho patients to use their own blood or blood from a donor they specifically choose (a "directed donor") for transfusions, provided the blood is collected by a federally compliant blood establishment. Healthcare providers cannot block this option unless the blood use would be unsafe, time-sensitive, or for an emergency. The bill also shields providers from liability for injuries from using this blood, unless their gross negligence caused harm. This law, effective July 1, 2026, does not override federal blood donation rules.
