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LEGISLATURE
OF
THE
STATE
OF
IDAHO
Sixty-eighth
Legislature
Second
Regular
Session
-
2026
IN
THE
SENATE
SENATE
BILL
NO.
1375
BY
FINANCE
COMMITTEE
AN
ACT
1
RELATING
TO
THE
APPROPRIATION
TO
HEALTH
AND
HUMAN
SERVICES;
APPROPRIATING
2
MONEYS
TO
THE
DEPARTMENT
OF
HEALTH
AND
WELFARE
FOR
THE
DIVISIONS
OF
3
YOUTH
SAFETY
AND
PERMANENCY,
EARLY
LEARNING
AND
DEVELOPMENT,
FAMILY
AND
4
COMMUNITY
PARTNERSHIPS,
WELFARE,
MEDICAID,
PUBLIC
HEALTH
SERVICES,
IN
-
5
DIRECT
SUPPORT
SERVICES,
LICENSING
AND
CERTIFICATION,
SUBSTANCE
ABUSE
6
TREATMENT
AND
PREVENTION,
MENTAL
HEALTH
SERVICES,
PSYCHIATRIC
HOS
-
7
PITALIZATION,
AND
INDEPENDENT
COUNCILS,
AND
TO
THE
STATE
INDEPENDENT
8
LIVING
COUNCIL
FOR
FISCAL
YEAR
2027;
LIMITING
THE
NUMBER
OF
AUTHORIZED
9
FULL
-
TIME
EQUIVALENT
POSITIONS;
PROVIDING
FOR
GENERAL
FUND
TRANSFERS
10
TO
THE
COOPERATIVE
WELFARE
FUND;
DIRECTING
EXPENDITURES
FOR
TRUSTEE
AND
1
1
BENEFIT
PAYMENTS;
PROVIDING
REQUIREMENTS
FOR
PROGRAM
INTEGRITY;
CLARI
-
12
FYING
THE
RESPONSIBILITY
FOR
THE
EDUCATIONAL
NEEDS
OF
CERTAIN
CHILDREN
13
IN
STATE
CARE;
DIRECTING
THE
USE
OF
CHILD
ABUSE
PROTECTION
AND
TREATMENT
14
ACT
FUNDS;
REQUIRING
A
MONTHLY
MEDICAID
TRACKING
REPORT;
ALLOWING
FOR
15
TRANSFER
OF
APPROPRIATIONS
BETWEEN
MEDICAID
PROGRAMS;
REQUIRING
A
RE
-
16
PORT
ON
MEDICAID
MANAGED
CARE
IMPLEMENTATION;
REQUIRING
COST
-
SHARING
17
FOR
SERVICES;
APPROPRIATING
AND
TRANSFERRING
MONEYS
FROM
THE
COOPER
-
18
ATIVE
WELFARE
(GENERAL)
FUND
TO
THE
RURAL
PHYSICIAN
INCENTIVE
FUND;
19
PROVIDING
REQUIREMENTS
FOR
BUDGET
INTEGRITY
FOR
MEDICAID;
ALLOCATING
20
FUNDING
FOR
SMOKING
CESSATION;
DIRECTING
EXPENDITURES
FOR
PROJECT
FIL
-
21
TER;
REQUIRING
REPORTS
ON
FACILITY
LICENSING
AND
CERTIFICATIONS;
LIM
-
22
ITING
THE
TRANSFER
OF
LEGISLATIVE
APPROPRIATIONS
BETWEEN
MENTAL
HEALTH
23
SERVICES
AND
PSYCHIATRIC
HOSPITALIZATION;
REQUIRING
REPORTS
REGARD
-
24
ING
FUNDING
FOR
BEHAVIORAL
HEALTH
COMMUNITY
CRISIS
CENTERS;
DIRECTING
25
THE
USE
OF
THE
STATE
OPIOID
RESPONSE
GRANT;
DIRECTING
USES
OF
THE
IDAHO
26
MILLENNIUM
INCOME
FUND;
PROVIDING
FOR
IDAHO
DRUG
FREE
YOUTH
OVERSIGHT;
27
PROVIDING
EXEMPTIONS
FROM
PROGRAM
TRANSFER
LIMITATIONS
FOR
THE
COMMU
-
28
NITY
HOSPITALIZATION
PROGRAM;
DIRECTING
ACQUISITIONS;
PROVIDING
FOR
29
ACCOUNTABILITY
REPORTS;
PROVIDING
FOR
CONDITIONS,
LIMITATIONS,
AND
RE
-
30
STRICTIONS;
AND
DECLARING
AN
EMERGENCY
AND
PROVIDING
AN
EFFECTIVE
DATE.
31
Be
It
Enacted
by
the
Legislature
of
the
State
of
Idaho:
32
SECTION
1.
There
is
hereby
appropriated
to
Health
and
Human
Services
33
the
following
amounts
to
be
expended
according
to
the
designated
programs
34
and
expense
classes
from
the
listed
funds
for
the
period
July
1,
2026,
35
through
June
30,
2027:
36
2
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
(1)
DEPARTMENT
OF
HEALTH
AND
WELFARE:
5
I.
YOUTH
SAFETY
&
PERMANENCY:
6
A.
YOUTH
SAFETY
&
PERMANENCY:
7
FROM:
8
Cooperative
Welfare
(General)
9
Fund
10
$18,538,400
$4,677,100
$23,215,500
Cooperative
Welfare
(Dedicated)
1
1
Fund
12
76,500
20,000
96,500
Cooperative
Welfare
(Federal)
13
Fund
14
30,851,600
5,928,500
36,780,100
TOTAL
15
$49,466,500
$10,625,600
$60,092,100
B.
FOSTER
&
ASSISTANCE
PAYMENTS:
16
FROM:
17
Cooperative
Welfare
(General)
18
Fund
19
$29,996,300
$29,996,300
Cooperative
Welfare
(Dedicated)
20
Fund
21
150,000
150,000
Cooperative
Welfare
(Federal)
22
Fund
23
31,306,700
31,306,700
TOTAL
24
$61,453,000
$61,453,000
DIVISION
TOTAL
25
$49,466,500
$10,625,600
$61,453,000
$121,545,100
II.
EARLY
LEARNING
&
DEVELOPMENT:
26
A.
EARLY
LEARNING
AND
DEVELOPMENT:
27
FROM:
28
Cooperative
Welfare
(General)
29
Fund
30
$8,453,200
$1,505,600
$2,860,200
$12,819,000
Cooperative
Welfare
(Dedicated)
31
Fund
32
131,100
46,300
783,100
960,500
Cooperative
Welfare
(Federal)
33
Fund
34
6,009,600
1,860,500
2,853,500
10,723,600
TOTAL
35
$14,593,900
$3,412,400
$6,496,800
$24,503,100
3
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
B.
IDAHO
CHILD
CARE
PROGRAM:
5
FROM:
6
Cooperative
Welfare
(General)
7
Fund
8
$24,800
$1,175,000
$1,199,800
Cooperative
Welfare
(Federal)
9
Fund
10
676,100
$1,604,600
60,784,400
63,065,100
TOTAL
1
1
$700,900
$1,604,600
$61,959,400
$64,264,900
C.
SOUTHWEST
IDAHO
TREATMENT
CENTER:
12
FROM:
13
Cooperative
Welfare
(General)
14
Fund
15
$5,967,300
$439,300
$91,300
$6,497,900
Cooperative
Welfare
(Dedicated)
16
Fund
17
345,500
137,800
10,600
493,900
Cooperative
Welfare
(Federal)
18
Fund
19
4,393,300
1,562,500
147,200
6,103,000
TOTAL
20
$10,706,100
$2,139,600
$249,100
$13,094,800
DIVISION
TOTAL
21
$26,000,900
$7,156,600
$68,705,300
$101,862,800
III.
FAMILY
AND
COMMUNITY
PARTNERSHIPS:
22
FROM:
23
Cooperative
Welfare
(General)
24
Fund
25
$430,200
$133,400
$450,000
$1,013,600
Cooperative
Welfare
(Dedicated)
26
Fund
27
19,500
50,000
69,500
Cooperative
Welfare
(Federal)
28
Fund
29
3,005,000
270,900
2,900,000
6,175,900
TOTAL
30
$3,435,200
$423,800
$3,400,000
$7,259,000
IV.
DIVISION
OF
WELFARE:
31
A.
SELF
-
RELIANCE
OPERATIONS:
32
FROM:
33
Cooperative
Welfare
(General)
34
Fund
35
$19,674,300
$5,565,000
$25,239,300
4
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
Cooperative
Welfare
(Dedicated)
5
Fund
6
862,100
3,539,000
4,401,100
Cooperative
Welfare
(Federal)
7
Fund
8
32,918,900
17,333,000
50,251,900
TOTAL
9
$53,455,300
$26,437,000
$79,892,300
B.
BENEFIT
PAYMENTS:
10
FROM:
1
1
Cooperative
Welfare
(General)
12
Fund
13
$19,630,600
$19,630,600
Cooperative
Welfare
(Dedicated)
14
Fund
15
500,000
500,000
Cooperative
Welfare
(Federal)
16
Fund
17
32,318,800
32,318,800
TOTAL
18
$52,449,400
$52,449,400
DIVISION
TOTAL
19
$53,455,300
$26,437,000
$52,449,400
$132,341,700
V.
DIVISION
OF
MEDICAID:
20
A.
MEDICAID
ADMINISTRATION
AND
MEDICAL
MGMT:
21
FROM:
22
Cooperative
Welfare
(General)
23
Fund
24
$13,184,000
$14,230,400
$5,205,700
$32,620,100
Medicaid
Management
Information
Systems
Dedicated
25
Fund
26
82,900
82,900
Cooperative
Welfare
(Dedicated)
27
Fund
28
461,600
8,883,800
9,345,400
Idaho
Millennium
Income
29
Fund
30
108,400
142,300
250,700
Cooperative
Welfare
(Federal)
31
Fund
32
18,710,400
37,158,800
19,518,700
75,387,900
TOTAL
33
$32,547,300
$60,415,300
$24,724,400
$117,687,000
5
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
B.
COORDINATED
MEDICAID
PLAN:
5
FROM:
6
Cooperative
Welfare
(General)
7
Fund
8
$324,757,700
$324,757,700
Hospital
Assessment
9
Fund
10
103,577,700
103,577,700
Cooperative
Welfare
(Dedicated)
1
1
Fund
12
1,445,100
1,445,100
Cooperative
Welfare
(Federal)
13
Fund
14
853,459,000
853,459,000
TOTAL
15
$1,283,239,500
$1,283,239,500
C.
ENHANCED
MEDICAID
PLAN:
16
FROM:
17
Cooperative
Welfare
(General)
18
Fund
19
$317,708,200
$317,708,200
Hospital
Assessment
20
Fund
21
4,172,700
4,172,700
Cooperative
Welfare
(Dedicated)
22
Fund
23
347,297,000
347,297,000
Cooperative
Welfare
(Federal)
24
Fund
25
752,848,700
752,848,700
TOTAL
26
$1,422,026,600
$1,422,026,600
D.
BASIC
MEDICAID
PLAN:
27
FROM:
28
Cooperative
Welfare
(General)
29
Fund
30
$202,906,400
$202,906,400
Hospital
Assessment
31
Fund
32
115,270,400
115,270,400
Cooperative
Welfare
(Dedicated)
33
Fund
34
1,023,000
1,023,000
Cooperative
Welfare
(Federal)
35
Fund
36
582,661,100
582,661,100
TOTAL
37
$901,860,900
$901,860,900
6
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
E.
EXPANSION
MEDICAID
PLAN:
5
FROM:
6
Cooperative
Welfare
(General)
7
Fund
8
$89,470,200
$89,470,200
Hospital
Assessment
9
Fund
10
25,064,800
25,064,800
Cooperative
Welfare
(Dedicated)
1
1
Fund
12
196,248,900
196,248,900
Cooperative
Welfare
(Federal)
13
Fund
14
1,010,215,500
1,010,215,500
TOTAL
15
$1,320,999,400
$1,320,999,400
F.
EXTENDED
EMPLOYMENT
SERVICES:
16
FROM:
17
Cooperative
Welfare
(General)
18
Fund
19
$299,900
$91,700
$2,969,800
$3,361,400
DIVISION
TOTAL
20
$32,847,200
$60,507,000
$4,955,820,600
$5,049,174,800
VI.
PUBLIC
HEALTH
SERVICES:
21
A.
PHYSICAL
HEALTH
SERVICES:
22
FROM:
23
Cooperative
Welfare
(General)
24
Fund
25
$2,309,000
$969,700
$1,678,900
$4,957,600
Cancer
Control
26
Fund
27
76,000
205,000
82,600
363,600
Central
Tumor
Registry
28
Fund
29
360,000
360,000
Rural
Nursing
Loan
Repayment
30
Fund
31
875,000
875,000
Cooperative
Welfare
(Dedicated)
32
Fund
33
3,176,900
5,712,700
12,386,200
21,275,800
Idaho
Millennium
Income
34
Fund
35
2,406,000
2,100,000
4,506,000
7
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
Cooperative
Welfare
(Federal)
5
Fund
6
11,230,500
17,967,500
35,005,100
64,203,100
TOTAL
7
$16,792,400
$27,620,900
$52,127,800
$96,541,100
B.
LABORATORY
SERVICES:
8
FROM:
9
Cooperative
Welfare
(General)
10
Fund
1
1
$2,369,900
$716,000
$3,085,900
Cooperative
Welfare
(Dedicated)
12
Fund
13
498,400
273,800
772,200
Cooperative
Welfare
(Federal)
14
Fund
15
1,352,600
939,300
2,291,900
TOTAL
16
$4,220,900
$1,929,100
$6,150,000
C.
SUICIDE
PREVENTION
AND
AWARENESS:
17
FROM:
18
Cooperative
Welfare
(General)
19
Fund
20
$361,200
$316,600
$1,129,400
$1,807,200
Cooperative
Welfare
(Federal)
21
Fund
22
0
115,000
80,000
195,000
TOTAL
23
$361,200
$431,600
$1,209,400
$2,002,200
D.
HEALTH
CARE
POLICY
INITIATIVES:
24
FROM:
25
Cooperative
Welfare
(General)
26
Fund
27
$117,500
$32,700
$142,000
$292,200
Cooperative
Welfare
(Dedicated)
28
Fund
29
81,400
75,000
156,400
Cooperative
Welfare
(Federal)
30
Fund
31
119,200
33,000
356,300
508,500
TOTAL
32
$318,100
$140,700
$498,300
$957,100
DIVISION
TOTAL
33
$21,692,600
$30,122,300
$53,835,500
$105,650,400
8
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
VII.
INDIRECT
SUPPORT
SERVICES:
5
FROM:
6
Cooperative
Welfare
(General)
7
Fund
8
$12,185,100
$8,525,700
$20,710,800
Cooperative
Welfare
(Dedicated)
9
Fund
10
1,626,200
1,502,100
3,128,300
Cooperative
Welfare
(Federal)
1
1
Fund
12
14,142,500
9,780,300
23,922,800
TOTAL
13
$27,953,800
$19,808,100
$47,761,900
VIII.
LICENSING
AND
CERTIFICATION:
14
FROM:
15
Cooperative
Welfare
(General)
16
Fund
17
$2,084,900
$251,400
$2,336,300
Cooperative
Welfare
(Dedicated)
18
Fund
19
1,037,300
12,200
1,049,500
Cooperative
Welfare
(Federal)
20
Fund
21
4,791,100
639,600
5,430,700
TOTAL
22
$7,913,300
$903,200
$8,816,500
IX.
SUBSTANCE
ABUSE
TREATMENT
&
PREVENTION:
23
FROM:
24
Prevention
of
Minors'
Access
to
Tobacco
25
Fund
26
$21,800
$21,800
Cooperative
Welfare
(Dedicated)
27
Fund
28
$7,000
438,300
445,300
Liquor
Control
29
Fund
30
533,900
$116,100
650,000
Idaho
Millennium
Income
31
Fund
32
320,000
1,600,000
1,920,000
Cooperative
Welfare
(Federal)
33
Fund
34
761,800
3,460,200
19,302,300
23,524,300
TOTAL
35
$1,302,700
$4,240,300
$21,018,400
$26,561,400
9
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
X.
MENTAL
HEALTH
SERVICES:
5
A.
CHILDREN'S
MENTAL
HEALTH:
6
FROM:
7
Cooperative
Welfare
(General)
8
Fund
9
$3,759,200
$2,715,000
$1,550,400
$8,024,600
Cooperative
Welfare
(Federal)
10
Fund
1
1
2,661,600
1,904,400
1,812,600
6,378,600
TOTAL
12
$6,420,800
$4,619,400
$3,363,000
$14,403,200
B.
ADULT
MENTAL
HEALTH:
13
FROM:
14
Cooperative
Welfare
(General)
15
Fund
16
$13,510,300
$4,249,600
$7,960,700
$25,720,600
Cooperative
Welfare
(Federal)
17
Fund
18
1,085,700
1,165,300
778,700
3,029,700
TOTAL
19
$14,596,000
$5,414,900
$8,739,400
$28,750,300
DIVISION
TOTAL
20
$21,016,800
$10,034,300
$12,102,400
$43,153,500
XI.
PSYCHIATRIC
HOSPITALIZATION:
21
A.
COMMUNITY
HOSPITALIZATION:
22
FROM:
23
Cooperative
Welfare
(General)
24
Fund
25
$534,800
$4,249,900
$4,784,700
B.
STATE
HOSPITAL
NORTH:
26
FROM:
27
Cooperative
Welfare
(General)
28
Fund
29
$9,415,100
$852,900
$45,600
$10,313,600
Cooperative
Welfare
(Dedicated)
30
Fund
31
2,579,000
382,200
2,961,200
State
Hospital
North
Endowment
Income
32
Fund
33
652,800
1,192,600
104,400
1,949,800
Cooperative
Welfare
(Federal)
34
Fund
35
1,709,300
0
0
1,709,300
TOTAL
36
$14,356,200
$2,427,700
$150,000
$16,933,900
10
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
C.
STATE
HOSPITAL
SOUTH:
5
FROM:
6
Cooperative
Welfare
(General)
7
Fund
8
$6,678,900
$225,200
$5,300
$6,909,400
Cooperative
Welfare
(Dedicated)
9
Fund
10
13,774,200
3,339,100
900
17,114,200
Mental
Hospital
Endowment
Income
1
1
Fund
12
5,446,400
2,208,700
284,700
7,939,800
Cooperative
Welfare
(Federal)
13
Fund
14
5,586,500
893,100
20,300
6,499,900
TOTAL
15
$31,486,000
$6,666,100
$311,200
$38,463,300
D.
STATE
HOSPITAL
WEST:
16
FROM:
17
Cooperative
Welfare
(General)
18
Fund
19
$1,694,100
$468,700
$8,300
$2,171,100
Cooperative
Welfare
(Dedicated)
20
Fund
21
4,154,400
1,783,800
5,938,200
Cooperative
Welfare
(Federal)
22
Fund
23
4,400
0
0
4,400
TOTAL
24
$5,852,900
$2,252,500
$8,300
$8,113,700
DIVISION
TOTAL
25
$51,695,100
$11,881,100
$4,719,400
$68,295,600
XII.
INDEPENDENT
COUNCILS:
26
A.
DEVELOPMENTAL
DISABILITIES
COUNCIL:
27
FROM:
28
Cooperative
Welfare
(General)
29
Fund
30
$205,800
$20,100
$225,900
Cooperative
Welfare
(Dedicated)
31
Fund
32
15,000
15,000
Cooperative
Welfare
(Federal)
33
Fund
34
497,200
275,900
$31,600
804,700
TOTAL
35
$703,000
$311,000
$31,600
$1,045,600
11
FOR
1
FOR
2
FOR
TRUSTEE
AND
PERSONNEL
3
OPERATING
BENEFIT
COSTS
4
EXPENDITURES
PAYMENTS
TOTAL
B.
DOMESTIC
VIOLENCE
COUNCIL:
5
FROM:
6
Cooperative
Welfare
(General)
7
Fund
8
$198,300
$79,200
$277,500
Domestic
Violence
Project
9
Fund
10
219,500
164,600
$171,800
555,900
Cooperative
Welfare
(Dedicated)
1
1
Fund
12
40,000
40,000
Cooperative
Welfare
(Federal)
13
Fund
14
318,300
269,200
12,515,400
13,102,900
TOTAL
15
$736,100
$553,000
$12,687,200
$13,976,300
DIVISION
TOTAL
16
$1,439,100
$864,000
$12,718,800
$15,021,900
(2)
STATE
INDEPENDENT
LIVING
COUNCIL:
17
FROM:
18
General
19
Fund
20
$173,700
$109,900
$283,600
State
Independent
Living
Council
(Ded)
21
Fund
22
312,200
94,800
407,000
TOTAL
23
$485,900
$204,700
$690,600
GRAND
TOTAL
24
$298,704,400
$183,208,000
$5,246,222,800
$5,728,135,200
SECTION
2.
FTP
AUTHORIZATION.
In
accordance
with
Section
67
-
3519,
25
Idaho
Code,
each
of
the
programs
in
Health
and
Human
Services
listed
below
26
is
authorized
no
more
than
the
following
number
of
full
-
time
equivalent
po
-
27
sitions
at
any
point
during
the
period
July
1,
2026,
through
June
30,
2027,
28
unless
specifically
authorized
by
the
Governor.
The
Joint
Finance
-
Appro
-
29
priations
Committee
will
be
notified
promptly
of
any
increased
positions
so
30
authorized.
31
Youth
Safety
and
Permanency
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
500.53
32
Early
Learning
and
Development
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
142.83
33
Idaho
Child
Care
Program
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
5.50
34
Southwest
Idaho
Treatment
Center
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
111.00
35
Family
and
Community
Partnerships
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
38.55
36
Division
of
Welfare
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
609.50
37
Division
of
Medicaid
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
303.50
38
12
Public
Health
Services
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
214.22
1
Indirect
Support
Services
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
244.75
2
Licensing
and
Certification
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
68.00
3
Substance
Abuse
Treatment
and
Prevention
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
12.00
4
Children's
Mental
Health
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
53.80
5
Adult
Mental
Health
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
132.00
6
State
Hospital
North
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
137.19
7
State
Hospital
South
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
300.41
8
State
Hospital
West
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
53.99
9
Developmental
Disabilities
Council
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
6.00
10
Domestic
Violence
Council
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
5.00
1
1
State
Independent
Living
Council
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
4.00
12
SECTION
3.
GENERAL
FUND
TRANSFERS.
As
appropriated,
the
Office
of
the
13
State
Controller
shall
periodically
make
transfers
from
the
General
Fund
to
14
the
Cooperative
Welfare
Fund
as
requested
by
the
director
of
the
Department
15
of
Health
and
Welfare
and
approved
by
the
Board
of
Examiners.
16
SECTION
4.
TRUSTEE
AND
BENEFIT
PAYMENTS.
Notwithstanding
the
provi
-
17
sions
of
Section
67
-
3511,
Idaho
Code,
funds
appropriated
in
Section
1
of
this
18
act
in
the
trustee
and
benefit
payments
expense
class
shall
not
be
trans
-
19
ferred
to
any
other
expense
classes
for
the
period
July
1,
2026,
through
June
20
30,
2027.
21
SECTION
5.
PROGRAM
INTEGRITY.
Notwithstanding
any
other
provision
of
22
law
to
the
contrary,
the
Department
of
Health
and
Welfare
shall
be
required
23
to
provide
those
services
authorized
or
mandated
by
law
in
each
program,
only
24
to
the
extent
of
funding
and
available
resources
appropriated
for
each
bud
-
25
geted
program.
26
SECTION
6.
EDUCATIONAL
NEEDS.
The
Department
of
Health
and
Welfare
27
shall
be
responsible
for
the
educational
needs
of
school
-
age
children
placed
28
in
its
custody
by
the
judicial
branch
for
either
child
protective
issues
or
29
mental
health
issues.
If
the
department
places
a
child
in
a
licensed
resi
-
30
dential
treatment
facility
that
includes
a
nonpublic
accredited
school
and
31
it
is
determined
by
the
department
that
it
is
in
the
best
interests
of
the
32
child
to
be
educated
at
the
residential
treatment
facility,
then
it
is
the
33
responsibility
of
the
department
to
pay
for
such
education
per
student,
per
34
educational
day.
Other
Idaho
state
agencies
shall
not
be
precluded
from
35
exercising
their
responsibility
to
ensure
a
free
and
appropriate
education
36
for
these
students
within
the
requirements
of
federal
disability
law.
The
37
fiscal
impact
of
this
section
is
included
within
existing
department
base
38
appropriations.
39
SECTION
7.
CHILD
ABUSE
PROTECTION
AND
TREATMENT
ACT
FUNDS.
Of
the
40
amount
appropriated
in
Section
1
of
this
act
from
the
Cooperative
Welfare
41
(Federal)
Fund,
a
minimum
of
$42,000
of
federal
Child
Abuse
Protection
and
42
Treatment
Act
funds
appropriated
to
the
Department
of
Health
and
Welfare
43
shall
be
provided
to
the
public
health
districts
each
year.
Funds
for
each
44
public
health
district
shall
be
distributed
at
one
-
seventh
(1/7)
of
the
45
13
total
amount,
which
shall
be
used
for
the
citizen
review
panels
pursuant
to
1
Section
16
-
1647,
Idaho
Code.
2
SECTION
8.
MEDICAID
TRACKING
REPORT.
The
Department
of
Health
and
Wel
-
3
fare's
Division
of
Medicaid
and
Division
of
Indirect
Support
Services
shall
4
deliver
a
report
that
compares
the
Medicaid
appropriation,
distributed
by
5
month
for
the
year,
to
the
actual
expenditures
and
remaining
forecasted
ex
-
6
penditures
for
the
year
on
a
monthly
basis
to
the
Legislative
Services
Office
7
and
the
Division
of
Financial
Management.
The
report
shall
also
include
a
8
forecast,
updated
monthly,
of
the
next
fiscal
year's
anticipated
trustee
and
9
benefit
expenditures.
The
format
of
the
report
and
the
information
included
10
therein
shall
be
determined
by
the
Legislative
Services
Office
and
the
Divi
-
1
1
sion
of
Financial
Management.
12
SECTION
9.
TRANSFER
OF
APPROPRIATIONS.
Notwithstanding
the
provisions
13
of
Section
67
-
3511,
Idaho
Code,
funding
provided
for
the
trustee
and
bene
-
14
fit
payments
expense
class
in
the
Department
of
Health
and
Welfare's
Divi
-
15
sion
of
Medicaid
may
be
transferred
in
excess
of
ten
percent
(10%)
among
the
16
Coordinated
Medicaid
Plan,
Enhanced
Medicaid
Plan,
Basic
Medicaid
Plan,
Ex
-
17
pansion
Medicaid
Plan,
and
Medicaid
Administration
and
Medical
Management
18
Programs,
but
shall
not
be
transferred
to
any
other
budgeted
program
or
ex
-
19
pense
class
within
the
Department
of
Health
and
Welfare
for
the
period
July
20
1,
2026,
through
June
30,
2027.
21
SECTION
10.
MEDICAID
MANAGED
CARE
IMPLEMENTATION.
The
Department
of
22
Health
and
Welfare's
Division
of
Medicaid
shall
provide
a
report
to
the
23
Legislative
Services
Office
and
the
Division
of
Financial
Management
on
24
progress
in
integrating
managed
care
approaches
into
the
state
Medicaid
25
system.
The
format
of
the
report
and
information
contained
therein
shall
be
26
determined
by
the
Legislative
Services
Office
and
the
Division
of
Financial
27
Management.
The
report
shall
be
submitted
no
later
than
December
1,
2026.
28
SECTION
11.
COST
-
SHARING
REQUIREMENT.
The
Department
of
Health
and
29
Welfare
shall
implement
cost
-
sharing
in
the
Division
of
Medicaid,
as
re
-
30
quired
by
Section
56
-
257,
Idaho
Code,
to
the
maximum
extent
that
is
federally
31
allowable
for
the
expanded
population
of
children
whose
families'
gross
32
taxable
income
exceeds
one
hundred
eighty
-
five
percent
(185%)
but
does
not
33
exceed
three
hundred
percent
(300%)
of
the
federal
poverty
limit,
for
Medic
-
34
aid
-
eligible
services
as
identified
in
House
Bill
No.
43,
as
enacted
by
the
35
First
Regular
Session
of
the
Sixty
-
fourth
Idaho
Legislature.
36
SECTION
12.
CASH
TRANSFER.
Of
the
amount
appropriated
in
Section
1
of
37
this
act
from
the
Cooperative
Welfare
(General)
Fund,
there
is
hereby
appro
-
38
priated
and
the
Office
of
the
State
Controller
shall
transfer
$640,000
from
39
the
Cooperative
Welfare
(General)
Fund
to
the
Rural
Physician
Incentive
Fund
40
on
July
1,
2026,
or
as
soon
thereafter
as
practicable,
for
the
Department
of
41
Health
and
Welfare
for
the
period
July
1,
2026,
through
June
30,
2027.
42
SECTION
13.
BUDGET
INTEGRITY.
Notwithstanding
any
other
provision
of
43
law
to
the
contrary,
and
consistent
with
its
cost
containment
strategy,
44
14
the
Department
of
Health
and
Welfare's
Division
of
Medicaid
shall
submit
1
its
budget
request
in
accordance
with
applicable
Idaho
law
as
of
the
date
2
of
submission.
This
section
does
not
prohibit
the
agency
or
Governor
from
3
making
requests
of
the
Legislature
that
would
impact
any
portion
of
the
4
department's
budget.
However,
any
proposed
changes
to
Idaho
Code
with
an
5
anticipated
budgetary
impact
shall
be
identified
in
the
agency
budget
re
-
6
quest
and
Governor's
budget
recommendation
in
narrative
form
only,
without
7
numerical
entries.
Further,
the
department
shall
submit
its
budget
request
8
based
on
the
forecasted
amount
for
the
most
recent
month
available
from
the
9
report
identified
in
Section
8
of
this
act
and
for
the
estimated
needs
of
10
maintaining
operations
of
the
division.
1
1
SECTION
14.
SMOKING
CESSATION.
Of
the
amount
appropriated
in
Section
1
12
of
this
act,
$2,100,000
from
the
Idaho
Millennium
Income
Fund
shall
be
dis
-
13
tributed
to
the
public
health
districts
for
the
purpose
of
prevention
and
14
cessation
programs
for
tobacco,
vape,
and
other
substances
as
funds
allow.
15
These
moneys
shall
be
distributed
to
each
district
based
on
the
approved
for
-
16
mula
of
the
board
of
trustees
of
the
Idaho
district
boards
of
health
as
pro
-
17
vided
in
Section
39
-
411(6),
Idaho
Code.
18
SECTION
15.
PROJECT
FILTER
ALLOWABLE
USES.
Of
the
amount
appropriated
19
in
Section
1
of
this
act,
$2,406,000
from
the
Idaho
Millennium
Income
Fund
20
shall
be
expended
for
the
purpose
of
prevention
and
cessation
programs
from
21
tobacco,
vape,
and
other
substances
as
funds
allow.
No
moneys
for
Project
22
Filter
from
the
Idaho
Millennium
Income
Fund
shall
be
used
for
sponsorships
23
or
passive
advertising.
24
SECTION
16.
REPORTS
ON
FACILITY
LICENSING
AND
CERTIFICATIONS.
The
De
-
25
partment
of
Health
and
Welfare's
Licensing
and
Certification
Program
shall
26
provide
biannual
reports
to
the
Legislative
Services
Office
Budget
and
Pol
-
27
icy
Analysis
Division
and
the
Division
of
Financial
Management
on
the
sta
-
28
tus
of
facility
licensing
and
certifications
as
well
as
staff
workload
and
29
caseload
issues.
The
format
of
the
report
and
the
type
of
information
in
-
30
cluded
therein
shall
be
determined
by
the
Legislative
Services
Office
and
31
the
Division
of
Financial
Management.
The
first
report
shall
be
submitted
32
no
later
than
December
31,
2026,
and
the
second
report
shall
be
submitted
no
33
later
than
June
30,
2027.
34
SECTION
17.
LIMITING
TRANSFER
OF
LEGISLATIVE
APPROPRIATIONS.
Notwith
-
35
standing
the
provisions
of
Section
67
-
3511,
Idaho
Code,
moneys
appropriated
36
from
the
Cooperative
Welfare
(General)
Fund
to
the
Department
of
Health
and
37
Welfare's
Divisions
of
Mental
Health
Services
and
Psychiatric
Hospitaliza
-
38
tion
may
be
transferred
between
divisions
but
shall
not
be
transferred
to
any
39
other
division
or
program
within
the
Department
of
Health
and
Welfare
with
-
40
out
legislative
approval.
41
SECTION
18.
BEHAVIORAL
HEALTH
COMMUNITY
CRISIS
CENTERS.
The
seven
be
-
42
havioral
health
community
crisis
centers
shall
submit
a
report
that
indi
-
43
cates
the
levels
of
funding
support
by
fund
source.
The
format
of
the
report
44
and
the
information
included
therein
shall
be
determined
by
the
Legislative
45
15
Services
Office
Budget
and
Policy
Analysis
Division.
The
contents
of
these
1
reports
shall
aid
in
providing
a
clearer
understanding
of
the
financial
sit
-
2
uations
of
the
behavioral
health
community
crisis
centers.
These
reports
3
shall
be
submitted
by
the
Department
of
Health
and
Welfare
to
the
Legislative
4
Services
Office
Budget
and
Policy
Analysis
Division
no
later
than
December
5
31,
2026.
6
SECTION
19.
STATE
OPIOID
RESPONSE
GRANT.
Funds
available
for
naloxone
7
shall
be
available
only
to
first
responders
for
distribution
in
the
state
of
8
Idaho.
9
SECTION
20.
IDAHO
MILLENNIUM
INCOME
FUND.
Of
the
funds
appropriated
10
from
the
Idaho
Millennium
Income
Fund
in
Section
1
of
this
act,
$250,000
1
1
shall
be
used
by
Idaho
Drug
Free
Youth
to
support
its
various
programs,
12
including
its
annual
youth
summit,
program
chapters,
and
drug
free
school
13
coordinators.
Idaho
Drug
Free
Youth
shall
provide
to
the
Department
of
14
Health
and
Welfare
a
document
that
demonstrates
operational
and
fiscal
ac
-
15
countability
for
the
supported
programs.
Idaho
Drug
Free
Youth
shall
work
16
collaboratively
with
the
Department
of
Health
and
Welfare
and
shall
sign
an
17
attestation
letter
or
equivalent
document
that
ensures
funds
will
be
used
in
18
accordance
with
this
section,
in
accordance
with
Section
21
of
this
act,
and
19
in
accordance
with
any
other
applicable
rule
or
law
and
accounted
for
using
20
generally
accepted
accounting
principles.
21
SECTION
21.
IDAHO
DRUG
FREE
YOUTH
OVERSIGHT.
(1)
The
Department
of
22
Health
and
Welfare
shall
provide
oversight
for
the
funds
provided
in
Section
23
20
of
this
act
for
Idaho
Drug
Free
Youth.
The
Department
of
Health
and
Wel
-
24
fare
shall:
25
(a)
Provide
four
distributions
of
$62,500
for
a
total
distribution
of
26
$250,000.
Distributions
shall
occur
no
later
than
July
15,
2026,
Octo
-
27
ber
15,
2026,
January
15,
2027,
and
April
15,
2027;
28
(b)
Receive
and
compile
two
reports
from
Idaho
Drug
Free
Youth
and
29
transmit
each
report
to
the
Legislative
Services
Office
Budget
and
Pol
-
30
icy
Analysis
Division
on
behalf
of
the
Joint
Millennium
Fund
Committee
31
by
December
30,
2026,
and
by
June
30,
2027,
or
as
soon
thereafter
as
is
32
practicable.
The
format
of
the
report
and
the
content
therein
shall
be
33
determined
by
the
Legislative
Services
Office
Budget
and
Policy
Analy
-
34
sis
Division;
35
(c)
Withhold
or
recover
distributions
pursuant
to
paragraph
(a)
of
this
36
subsection
if
Idaho
Drug
Free
Youth
is
not
operating
or
has
indicated
it
37
intends
to
no
longer
operate
prior
to
the
close
of
the
fiscal
year,
if
it
38
does
not
provide
any
of
the
required
reports,
or
otherwise
as
needed
to
39
address
legal
or
fiscal
concerns
regarding
funds
provided
to
Idaho
Drug
40
Free
Youth;
and
41
(d)
Assist
Idaho
Drug
Free
Youth,
as
needed,
to
ensure
services
are
be
-
42
ing
provided
as
intended
by
this
act
and
to
meet
the
needs
of
program
43
participants.
44
(2)
The
Department
of
Health
and
Welfare
shall
not
have
the
authority
to
45
directly
manage
Idaho
Drug
Free
Youth
or
direct
Idaho
Drug
Free
Youth
to
per
-
46
form
functions
not
required
by
this
section
or
Section
20
of
this
act.
The
47
16
Department
of
Health
and
Welfare
shall
assist
Idaho
Drug
Free
Youth
to
ensure
1
funds
are
used
in
accordance
with
this
act.
If
the
Department
of
Health
and
2
Welfare
has
reason
to
believe
funds
are
misused
in
violation
of
this
section
3
or
Section
20
of
this
act,
or
any
rule
or
law,
the
Department
of
Health
and
4
Welfare
may
withhold
funds
until
Idaho
Drug
Free
Youth
is
in
compliance
with
5
this
act
and
applicable
law.
The
Department
of
Health
and
Welfare
shall
im
-
6
mediately
notify
the
Legislative
Services
Office
Budget
and
Policy
Analysis
7
Division
on
behalf
of
the
Joint
Millennium
Fund
Committee
of
any
misuse
or
8
perceived
misuse
of
funds.
The
Department
of
Health
and
Welfare
shall
work
9
collaboratively
with
Idaho
Drug
Free
Youth
to
develop
an
appropriate
correc
-
10
tive
action
plan.
1
1
SECTION
22.
EXEMPTIONS
FROM
PROGRAM
TRANSFER
LIMITATIONS.
The
Commu
-
12
nity
Hospitalization
Program
is
hereby
exempted
from
the
provisions
of
Sec
-
13
tion
67
-
3511(2),
Idaho
Code,
allowing
unlimited
transfers
into
the
Commu
-
14
nity
Hospitalization
Program
from
other
programs
within
the
Department
of
15
Health
and
Welfare
for
all
moneys
appropriated
to
it
for
the
period
July
1,
16
2026,
through
June
30,
2027.
17
SECTION
23.
ACQUISITIONS.
(1)
Consistent
with
the
provisions
of
Chap
-
18
ter
92,
Title
67,
Idaho
Code,
the
Idaho
Department
of
Health
and
Welfare
is
19
encouraged
to
engage
in
open,
competitive
acquisition
processes.
For
all
20
acquisitions
during
the
period
July
1,
2026,
through
June
30,
2027,
for
prop
-
21
erty,
services,
or
settlement
valued
at
more
than
$1,000,000,
the
Idaho
De
-
22
partment
of
Health
and
Welfare
shall
make
a
report
to
the
Joint
Finance
-
Ap
-
23
propriations
Committee
when
the
acquisition
process
includes:
24
(a)
Any
targeted
requests
for
information
or
questions
conveyed
on
be
-
25
half
of
external
stakeholders
by
the
Office
of
the
Governor;
or
26
(b)
Facilitation
or
coordination
of
meetings
or
communications
with
27
potential
or
actual
bidders
by
the
Office
of
the
Governor.
28
(2)
Such
report
shall
be
made
by
the
Idaho
Department
of
Health
and
Wel
-
29
fare
to
the
Joint
Finance
-
Appropriations
Committee
and
the
Legislative
Ser
-
30
vices
Office
Budget
and
Policy
Analysis
Division
within
30
business
days
of
31
such
contact
and
include:
32
(a)
The
nature
and
purpose
for
contact
from
the
Office
of
the
Governor;
33
(b)
The
amount
of
the
contract
for
property,
services,
or
settlement
34
subject
to
the
acquisition
process;
35
(c)
The
duration
of
the
contract
for
property,
services,
or
settlement;
36
(d)
The
parties
involved;
37
(e)
The
subject;
and
38
(f)
Whether
the
acquisition
was
part
of
or
awarded
as
a
result
of
an
39
open,
competitive
acquisition
process
or
a
sole
source
or
other
noncom
-
40
petitive
procurement
pursuant
to
Section
67
-
9221,
Idaho
Code.
41
SECTION
24.
ACCOUNTABILITY
REPORTS.
Funds
specifically
identified
in
42
statute
or
in
an
appropriation
act
as
intended
for
a
certain
purpose
may
43
be
used
only
for
that
purpose.
Funds
provided
in
this
act
are
subject
to
44
accountability
reports
and
management
reviews
in
accordance
with
Section
45
67
-
702,
Idaho
Code,
provided
the
Legislative
Services
Office
auditor
has
46
sufficient
resources
to
conduct
those
reports.
State
agencies
that
are
47
17
authorized
to
contract
for
outside
audits
shall
submit
those
reports
to
the
1
Joint
Finance
-
Appropriations
Committee
when
those
reports
become
avail
-
2
able.
3
SECTION
25.
CONDITIONS,
LIMITATIONS,
AND
RESTRICTIONS.
Appropriations
4
made
pursuant
to
this
act
are
subject
to
the
conditions,
limitations,
and
re
-
5
strictions
specified
in
this
act.
6
SECTION
26.
An
emergency
existing
therefor,
which
emergency
is
hereby
7
declared
to
exist,
this
act
shall
be
in
full
force
and
effect
on
and
after
8
July
1,
2026.
9