S1433 • 2026

APPROPRIATIONS – HEALTH AND WELFARE – MEDICAID – Relates to the appropriation to the Department of Health and Welfare for fiscal years 2026 and 2027.

Budget

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor: FINANCE COMMITTEE
Last action: 2026-04-02
Official status: LAW
Effective date: 2026-04-02

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

APPROPRIATIONS – HEALTH AND WELFARE – MEDICAID – Relates to the appropriation to the Department of Health and Welfare for fiscal years 2026 and 2027.

What This Bill Does

APPROPRIATIONS – HEALTH AND WELFARE – MEDICAID – Relates to the appropriation to the Department of Health and Welfare for fiscal years 2026 and 2027.

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

2026-04-02 Idaho State Legislature
Signed by Governor on 04/02/26 Session Law Chapter 285 Effective: 04/02/2026 SECTION 3 & 4; 07/01/2026 SECTION 1 & 2
2026-04-01 Idaho State Legislature
Reported enrolled; signed by President; to House for signature of Speaker
2026-04-01 Idaho State Legislature
Received from Senate; Signed by Speaker; Returned to Senate
2026-04-01 Idaho State Legislature
Reported signed by the Speaker & ordered delivered to Governor
2026-04-01 Idaho State Legislature
Reported delivered to Governor at 1:24 p.m. on 04/01/26
2026-03-31 Idaho State Legislature
Read second time; Filed for Third Reading
2026-03-31 Idaho State Legislature
Rules Suspended: Ayes 65 Nays 0 Abs/Excd 5, read in full as required – PASSED - 35-32-3 AYES – Berch, Bingham, Cannon(Cannon), Cornilles, Dygert, Egbert, Ehardt, Erickson, Fuhriman, Galaviz, Gannon, Hall(Stone), Handy, Healey, Hill(Hill), Holtzclaw, Manwaring, Mathias, McCann, Miller, Mitchell, Monks, Nelsen, Petzke, Pickett, Pohanka, Price, Raybould, Raymond, Rubel, Sauter, Tanner(14), Vander Woude, Veile, Weber NAYS – Alfieri, Barbieri, Beiswenger, Boyle, Bruce, Burgoyne, Cayler, Cheatum, Church, Crane(12), Crane(13), Ehlers, Furniss, Garner, Harris, Hawkins, Hostetler, Leavitt, Marmon, Mendive, Mickelsen, Rasor, Redman, Scott, Shepherd, Shirts(Batt), Skaug, Tanner(13), Thompson, Wheeler, Wisniewski, Mr. Speaker Absent – Green, Haws, Palmer Floor Sponsor - Tanner(14) Title apvd - to Senate
2026-03-31 Idaho State Legislature
Returned From House Passed; referred to enrolling
2026-03-30 Idaho State Legislature
Read third time in full – PASSED - 20-15-0 AYES – Anthon, Bernt, Burtenshaw, Carlson, Cook, Den Hartog, Galloway, Grow, Guthrie, Harris, Lakey, Lent, Rabe, Ruchti, Semmelroth, Taylor, VanOrden, Ward-Engelking, Wintrow, Woodward NAYS – Adams, Bjerke(Bjerke), Blaylock, Foreman, Hart, Keyser, Kohl, Lenney, Nichols, Okuniewicz, Ricks, Shippy, Toews, Zito, Zuiderveld Absent and excused – None Floor Sponsor - Cook Title apvd - to House
2026-03-30 Idaho State Legislature
Received from the Senate, Filed for First Reading
2026-03-30 Idaho State Legislature
Read First Time, Filed for Second Reading
2026-03-27 Idaho State Legislature
Read second time; filed for Third Reading
2026-03-26 Idaho State Legislature
Reported Printed; referred to Finance
2026-03-26 Idaho State Legislature
Reported out of Committee with Do Pass Recommendation; Filed for second reading
2026-03-25 Idaho State Legislature
Introduced; read first time; referred to JR for Printing

Official Summary Text

APPROPRIATIONS – HEALTH AND WELFARE – MEDICAID – Relates to the appropriation to the Department of Health and Welfare for fiscal years 2026 and 2027.

Current Bill Text

Read the full stored bill text

LEGISLATURE
OF
THE
STATE
OF
IDAHO
Sixty-eighth
Legislature
Second
Regular
Session
-
2026
IN
THE
SENATE
SENATE
BILL
NO.
1433
BY
FINANCE
COMMITTEE
AN
ACT
1
RELATING
TO
THE
APPROPRIATION
TO
THE
DEPARTMENT
OF
HEALTH
AND
WELFARE;
AP
-
2
PROPRIATING
ADDITIONAL
MONEYS
TO
THE
DEPARTMENT
OF
HEALTH
AND
WELFARE
3
FOR
THE
DIVISION
OF
MEDICAID
FOR
FISCAL
YEAR
2027;
REDUCING
THE
APPRO
-
4
PRIATION
TO
THE
DEPARTMENT
OF
HEALTH
AND
WELFARE
FOR
THE
DIVISION
OF
5
MEDICAID
FOR
FISCAL
YEAR
2027;
APPROPRIATING
ADDITIONAL
MONEYS
TO
THE
6
DEPARTMENT
OF
HEALTH
AND
WELFARE
FOR
THE
DIVISION
OF
MEDICAID
FOR
FISCAL
7
YEAR
2026;
REDUCING
THE
APPROPRIATION
TO
THE
DEPARTMENT
OF
HEALTH
AND
8
WELFARE
FOR
THE
DIVISION
OF
MEDICAID
FOR
FISCAL
YEAR
2026;
AND
DECLARING
9
AN
EMERGENCY
AND
PROVIDING
EFFECTIVE
DATES.
10
Be
It
Enacted
by
the
Legislature
of
the
State
of
Idaho:
1
1
SECTION
1.
In
addition
to
any
other
appropriation
provided
by
law,
12
there
is
hereby
appropriated
to
the
Department
of
Health
and
Welfare
for
the
13
Division
of
Medicaid
the
following
amounts
to
be
expended
according
to
the
14
designated
programs
and
expense
classes
from
the
listed
funds
for
the
period
15
July
1,
2026,
through
June
30,
2027:
16
FOR
17
FOR
18
TRUSTEE
AND
OPERATING
19
BENEFIT
EXPENDITURES
20
PAYMENTS
TOTAL
I.
MEDICAID
ADMINISTRATION
AND
MEDICAL
MGMT:
21
FROM:
22
Medicaid
Management
Information
Systems
Dedicated
23
Fund
24
$10,272,100
$10,272,100
Cooperative
Welfare
(Dedicated)
25
Fund
26
1,715,800
1,715,800
Cooperative
Welfare
(Federal)
27
Fund
28
94,244,800
$486,000
94,730,800
TOTAL
29
$106,232,700
$486,000
$106,718,700
II.
COORDINATED
MEDICAID
PLAN:
30
FROM:
31
Cooperative
Welfare
(General)
32
Fund
33
$16,914,400
$16,914,400
Cooperative
Welfare
(Federal)
34
Fund
35
31,522,700
31,522,700
TOTAL
36
$48,437,100
$48,437,100

2
FOR
1
FOR
2
TRUSTEE
AND
OPERATING
3
BENEFIT
EXPENDITURES
4
PAYMENTS
TOTAL
III.
ENHANCED
MEDICAID
PLAN:
5
FROM:
6
Cooperative
Welfare
(General)
7
Fund
8
$33,127,700
$33,127,700
Cooperative
Welfare
(Federal)
9
Fund
10
61,738,400
61,738,400
TOTAL
1
1
$94,866,100
$94,866,100
IV.
BASIC
MEDICAID
PLAN:
12
FROM:
13
Cooperative
Welfare
(General)
14
Fund
15
$42,163,300
$42,163,300
Cooperative
Welfare
(Dedicated)
16
Fund
17
37,087,600
37,087,600
Idaho
Millennium
Income
18
Fund
19
25,000,000
25,000,000
Cooperative
Welfare
(Federal)
20
Fund
21
125,168,800
125,168,800
TOTAL
22
$229,419,700
$229,419,700
V.
EXPANSION
MEDICAID
PLAN:
23
FROM:
24
Cooperative
Welfare
(General)
25
Fund
26
$52,555,000
$52,555,000
Cooperative
Welfare
(Dedicated)
27
Fund
28
29,518,500
29,518,500
TOTAL
29
$82,073,500
$82,073,500
VI.
HOSPITAL
ASSESSMENT:
30
FROM:
31
Hospital
Assessment
32
Fund
33
$601,781,000
$601,781,000
GRAND
TOTAL
34
$106,232,700
$1,057,063,400
$1,163,296,100
SECTION
2.
Notwithstanding
any
other
provision
of
law
to
the
contrary,
35
the
appropriation
made
to
the
Department
of
Health
and
Welfare
for
the
Divi
-
36

3
sion
of
Medicaid
is
hereby
reduced
by
the
following
amounts
according
to
the
1
designated
programs
from
trustee
and
benefit
payments
from
the
listed
funds
2
for
the
period
July
1,
2026,
through
June
30,
2027:
3
I.
COORDINATED
MEDICAID
PLAN:
4
FROM:
5
Hospital
Assessment
Fund
6
$103,577,700
Cooperative
Welfare
(Dedicated)
Fund
7
1,445,100
Cooperative
Welfare
(Federal)
Fund
8
85,532,500
TOTAL
9
$190,555,300
II.
ENHANCED
MEDICAID
PLAN:
10
FROM:
1
1
Hospital
Assessment
Fund
12
$4,172,700
Cooperative
Welfare
(Federal)
Fund
13
4,958,600
TOTAL
14
$9,131,300
III.
BASIC
MEDICAID
PLAN:
15
FROM:
16
Hospital
Assessment
Fund
17
$115,270,400
Cooperative
Welfare
(Dedicated)
Fund
18
1,023,000
Cooperative
Welfare
(Federal)
Fund
19
140,359,600
TOTAL
20
$256,653,000
IV.
EXPANSION
MEDICAID
PLAN:
21
FROM:
22
Cooperative
Welfare
(General)
Fund
23
$46,676,200
Hospital
Assessment
Fund
24
25,064,800
Cooperative
Welfare
(Dedicated)
Fund
25
1,525,700
Cooperative
Welfare
(Federal)
Fund
26
140,335,000
TOTAL
27
$213,601,700
GRAND
TOTAL
28
$669,941,300
SECTION
3.
In
addition
to
the
appropriation
made
in
Section
1,
Chap
-
29
ter
209,
Laws
of
2025,
and
any
other
appropriation
provided
for
by
law,
there
30
is
hereby
appropriated
to
the
Department
of
Health
and
Welfare
for
the
Divi
-
31
sion
of
Medicaid
the
following
amounts
to
be
expended
according
to
the
desig
-
32
nated
programs
and
expense
classes
from
the
listed
funds
for
the
period
July
33
1,
2025,
through
June
30,
2026:
34

4
FOR
1
FOR
2
TRUSTEE
AND
OPERATING
3
BENEFIT
EXPENDITURES
4
PAYMENTS
TOTAL
I.
MEDICAID
ADMINISTRATION
AND
MEDICAL
MGMT:
5
FROM:
6
Cooperative
Welfare
(Federal)
7
Fund
8
$1,535,300
$486,000
$2,021,300
II.
COORDINATED
MEDICAID
PLAN:
9
FROM:
10
Cooperative
Welfare
(General)
1
1
Fund
12
$28,468,900
$28,468,900
Cooperative
Welfare
(Federal)
13
Fund
14
18,049,600
18,049,600
TOTAL
15
$46,518,500
$46,518,500
III.
ENHANCED
MEDICAID
PLAN:
16
FROM:
17
Cooperative
Welfare
(General)
18
Fund
19
$40,277,100
$40,277,100
Cooperative
Welfare
(Federal)
20
Fund
21
25,536,000
25,536,000
TOTAL
22
$65,813,100
$65,813,100
IV.
BASIC
MEDICAID
PLAN:
23
FROM:
24
Cooperative
Welfare
(General)
25
Fund
26
$22,938,000
$22,938,000
Medicaid
Budget
Stabilization
27
Fund
28
8,507,700
8,507,700
Cooperative
Welfare
(Dedicated)
29
Fund
30
15,165,200
15,165,200
Cooperative
Welfare
(Federal)
31
Fund
32
19,936,800
19,936,800
TOTAL
33
$66,547,700
$66,547,700

5
FOR
1
FOR
2
TRUSTEE
AND
OPERATING
3
BENEFIT
EXPENDITURES
4
PAYMENTS
TOTAL
V.
EXPANSION
MEDICAID
PLAN:
5
FROM:
6
Cooperative
Welfare
(General)
7
Fund
8
$908,400
$908,400
VI.
HOSPITAL
ASSESSMENT:
9
FROM:
10
Hospital
Assessment
1
1
Fund
12
$601,781,000
$601,781,000
GRAND
TOTAL
13
$1,535,300
$782,054,700
$783,590,000
SECTION
4.
Notwithstanding
any
other
provision
of
law
to
the
contrary,
14
the
appropriation
made
to
the
Department
of
Health
and
Welfare
for
the
Divi
-
15
sion
of
Medicaid
in
Section
1,
Chapter
209,
Laws
of
2025,
is
hereby
reduced
by
16
the
following
amounts
according
to
the
designated
programs
from
trustee
and
17
benefit
payments
from
the
listed
funds
for
the
period
July
1,
2025,
through
18
June
30,
2026:
19
I.
COORDINATED
MEDICAID
PLAN:
20
FROM:
21
Hospital
Assessment
Fund
22
$103,577,700
Cooperative
Welfare
(Dedicated)
Fund
23
1,445,100
Cooperative
Welfare
(Federal)
Fund
24
85,532,500
TOTAL
25
$190,555,300
II.
ENHANCED
MEDICAID
PLAN:
26
FROM:
27
Hospital
Assessment
Fund
28
$4,172,700
Cooperative
Welfare
(Federal)
Fund
29
4,958,600
TOTAL
30
$9,131,300
III.
BASIC
MEDICAID
PLAN:
31
FROM:
32
Hospital
Assessment
Fund
33
$115,270,400
Cooperative
Welfare
(Dedicated)
Fund
34
1,023,000

6
Cooperative
Welfare
(Federal)
Fund
1
140,359,600
TOTAL
2
$256,653,000
IV.
EXPANSION
MEDICAID
PLAN:
3
FROM:
4
Hospital
Assessment
Fund
5
$25,064,800
Cooperative
Welfare
(Dedicated)
Fund
6
1,525,700
Cooperative
Welfare
(Federal)
Fund
7
193,415,900
TOTAL
8
$220,006,400
GRAND
TOTAL
9
$676,346,000
SECTION
5.
An
emergency
existing
therefor,
which
emergency
is
hereby
10
declared
to
exist,
Sections
3
and
4
of
this
act
shall
be
in
full
force
and
ef
-
1
1
fect
on
and
after
passage
and
approval,
and
Sections
1
and
2
of
this
act
shall
12
be
in
full
force
and
effect
on
and
after
July
1,
2026.
13