Idaho Capitol Watch

HB 345: MEDICAID – Amends, repeals, and adds to existing law to provide that legislative approval is required for certain state plan amendments and waivers and to provide legislative approval for certain state plan amendments and waivers.

Requires legislative approval for Medicaid state plan amendments/waivers that expand coverage or increase state costs. Authorizes specific reforms including work requirements for able-bodied adults, comprehensive managed care, cost-sharing, rural emergency hospital payments, and prohibits funding for certain procedures.

Status

Signed by Governor (March 20, 2025) · Originated in the Idaho House · Introduced February 28, 2025

Sponsors

  • HEALTH AND WELFARE COMMITTEE

Committees

  • JRA for Printing

Bill history

  • March 11, 2025 — Senate: Reported out of Committee with Do Pass Recommendation; Filed for second reading (do_pass)
  • March 11, 2025 — Senate: Rules Suspended (2/3 Vote - Read in full as required) – PASSED - 29-6-0AYES – Adams, Anthon, Bernt, Bjerke, Blaylock, Burtenshaw, Cook, Den Hartog, Foreman, Galloway, Grow, Guthrie, Harris, Hart, Keys (passed)
  • March 13, 2025 — House: Reported Enrolled; Signed by Speaker; Transmitted to Senate
  • March 13, 2025 — Senate: Received from the House enrolled/signed by Speaker
  • March 13, 2025 — Senate: Signed by President; returned to House
  • March 14, 2025 — Senate: Returned Signed by the President; Ordered Transmitted to Governor
  • March 17, 2025 — Senate: Delivered to Governor at 10:55 a.m. on March 14, 2025
  • March 20, 2025 — Senate: Reported Signed by Governor on March 19, 2025 Session Law Chapter 118 Effective: 03/19/2025; 07/01/2025 IDAPA Sunset Clause - SECTION 9, 10, 11, & 12

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Canonical URL: https://idahocapitolwatch.com/bills/2025-HB345