S 1433

                    LEGISLATURE OF THE STATE OF IDAHO
 Sixty-eighth Legislature  Second Regular Session - 2026
                                      IN THE SENATE
                                   SENATE BILL NO. 1433
                                   BY FINANCE COMMITTEE
1AN ACT
2  RELATING TO THE APPROPRIATION TO THE DEPARTMENT OF HEALTH AND WELFARE; AP-
3      PROPRIATING ADDITIONAL MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE
4      FOR THE DIVISION OF MEDICAID FOR FISCAL YEAR 2027; REDUCING THE APPRO-
5      PRIATION TO THE DEPARTMENT OF HEALTH AND WELFARE FOR THE DIVISION OF
6      MEDICAID FOR FISCAL YEAR 2027; APPROPRIATING ADDITIONAL MONEYS TO THE
7      DEPARTMENT OF HEALTH AND WELFARE FOR THE DIVISION OF MEDICAID FOR FISCAL
8      YEAR 2026; REDUCING THE APPROPRIATION TO THE DEPARTMENT OF HEALTH AND
9      WELFARE FOR THE DIVISION OF MEDICAID FOR FISCAL YEAR 2026; AND DECLARING
10     AN EMERGENCY AND PROVIDING EFFECTIVE DATES.
11 Be It Enacted by the Legislature of the State of Idaho:
12     SECTION 1. In addition to any other appropriation provided by law,
13 there is hereby appropriated to the Department of Health and Welfare for the
14 Division of Medicaid the following amounts to be expended according to the
15 designated programs and expense classes from the listed funds for the period
16 July 1, 2026, through June 30, 2027:
17FOR
18FOR  TRUSTEE AND
19OPERATING  BENEFIT
20EXPENDITURES       PAYMENTS       TOTAL
21 I. MEDICAID ADMINISTRATION AND MEDICAL MGMT:
22 FROM:
23 Medicaid Management Information Systems Dedicated
24 Fund  $10,272,100  $10,272,100
25 Cooperative Welfare (Dedicated)
26 Fund  1,715,800  1,715,800
27 Cooperative Welfare (Federal)
28 Fund  94,244,800  $486,000     94,730,800
29  TOTAL  $106,232,700  $486,000   $106,718,700
30 II. COORDINATED MEDICAID PLAN:
31 FROM:
32 Cooperative Welfare (General)
33 Fund  $16,914,400    $16,914,400
34 Cooperative Welfare (Federal)
35 Fund  31,522,700     31,522,700
36  TOTAL  $48,437,100   $48,437,100
                                         2
1FOR
2FOR  TRUSTEE AND
3OPERATING       BENEFIT
4EXPENDITURES     PAYMENTS  TOTAL
5  III. ENHANCED MEDICAID PLAN:
6  FROM:
7  Cooperative Welfare (General)
8  Fund  $33,127,700     $33,127,700
9  Cooperative Welfare (Federal)
10 Fund  61,738,400       61,738,400
11  TOTAL  $94,866,100      $94,866,100
12 IV. BASIC MEDICAID PLAN:
13 FROM:
14 Cooperative Welfare (General)
15 Fund  $42,163,300      $42,163,300
16 Cooperative Welfare (Dedicated)
17 Fund  37,087,600       37,087,600
18 Idaho Millennium Income
19 Fund  25,000,000       25,000,000
20 Cooperative Welfare (Federal)
21 Fund  125,168,800      125,168,800
22  TOTAL  $229,419,700    $229,419,700
23 V. EXPANSION MEDICAID PLAN:
24 FROM:
25 Cooperative Welfare (General)
26 Fund  $52,555,000      $52,555,000
27 Cooperative Welfare (Dedicated)
28 Fund  29,518,500       29,518,500
29  TOTAL  $82,073,500      $82,073,500
30 VI. HOSPITAL ASSESSMENT:
31 FROM:
32 Hospital Assessment
33 Fund  $601,781,000     $601,781,000
34  GRAND TOTAL  $106,232,700   $1,057,063,400   $1,163,296,100
35      SECTION 2. Notwithstanding any other provision of law to the contrary,
36 the appropriation made to the Department of Health and Welfare for the Divi-
                                        3
1  sion of Medicaid is hereby reduced by the following amounts according to the
2  designated programs from trustee and benefit payments from the listed funds
3  for the period July 1, 2026, through June 30, 2027:
4  I. COORDINATED MEDICAID PLAN:
5  FROM:
6  Hospital Assessment Fund  $103,577,700
7  Cooperative Welfare (Dedicated) Fund  1,445,100
8  Cooperative Welfare (Federal) Fund  85,532,500
9   TOTAL  $190,555,300
10 II. ENHANCED MEDICAID PLAN:
11 FROM:
12 Hospital Assessment Fund  $4,172,700
13 Cooperative Welfare (Federal) Fund  4,958,600
14  TOTAL  $9,131,300
15 III. BASIC MEDICAID PLAN:
16 FROM:
17 Hospital Assessment Fund  $115,270,400
18 Cooperative Welfare (Dedicated) Fund  1,023,000
19 Cooperative Welfare (Federal) Fund  140,359,600
20  TOTAL  $256,653,000
21 IV. EXPANSION MEDICAID PLAN:
22 FROM:
23 Cooperative Welfare (General) Fund  $46,676,200
24 Hospital Assessment Fund  25,064,800
25 Cooperative Welfare (Dedicated) Fund  1,525,700
26 Cooperative Welfare (Federal) Fund  140,335,000
27  TOTAL  $213,601,700
28  GRAND TOTAL  $669,941,300
29      SECTION 3. In addition to the appropriation made in Section 1, Chap-
30 ter 209, Laws of 2025, and any other appropriation provided for by law, there
31 is hereby appropriated to the Department of Health and Welfare for the Divi-
32 sion of Medicaid the following amounts to be expended according to the desig-
33 nated programs and expense classes from the listed funds for the period July
34 1, 2025, through June 30, 2026:
                                                4
1FOR
2FOR  TRUSTEE AND
3OPERATING  BENEFIT
4EXPENDITURES  PAYMENTS       TOTAL
5  I. MEDICAID ADMINISTRATION AND MEDICAL MGMT:
6  FROM:
7  Cooperative Welfare (Federal)
8  Fund  $1,535,300        $486,000   $2,021,300
9  II. COORDINATED MEDICAID PLAN:
10 FROM:
11 Cooperative Welfare (General)
12 Fund  $28,468,900   $28,468,900
13 Cooperative Welfare (Federal)
14 Fund  18,049,600    18,049,600
15  TOTAL  $46,518,500   $46,518,500
16 III. ENHANCED MEDICAID PLAN:
17 FROM:
18 Cooperative Welfare (General)
19 Fund  $40,277,100   $40,277,100
20 Cooperative Welfare (Federal)
21 Fund  25,536,000    25,536,000
22  TOTAL  $65,813,100   $65,813,100
23 IV. BASIC MEDICAID PLAN:
24 FROM:
25 Cooperative Welfare (General)
26 Fund  $22,938,000   $22,938,000
27 Medicaid Budget Stabilization
28 Fund  8,507,700     8,507,700
29 Cooperative Welfare (Dedicated)
30 Fund  15,165,200    15,165,200
31 Cooperative Welfare (Federal)
32 Fund  19,936,800    19,936,800
33  TOTAL  $66,547,700   $66,547,700
                                        5
1FOR
2FOR  TRUSTEE AND
3OPERATING        BENEFIT
4EXPENDITURES      PAYMENTS  TOTAL
5  V. EXPANSION MEDICAID PLAN:
6  FROM:
7  Cooperative Welfare (General)
8  Fund  $908,400        $908,400
9  VI. HOSPITAL ASSESSMENT:
10 FROM:
11 Hospital Assessment
12 Fund  $601,781,000    $601,781,000
13  GRAND TOTAL  $1,535,300    $782,054,700    $783,590,000
14      SECTION 4. Notwithstanding any other provision of law to the contrary,
15 the appropriation made to the Department of Health and Welfare for the Divi-
16 sion of Medicaid in Section 1, Chapter 209, Laws of 2025, is hereby reduced by
17 the following amounts according to the designated programs from trustee and
18 benefit payments from the listed funds for the period July 1, 2025, through
19 June 30, 2026:
20 I. COORDINATED MEDICAID PLAN:
21 FROM:
22 Hospital Assessment Fund  $103,577,700
23 Cooperative Welfare (Dedicated) Fund  1,445,100
24 Cooperative Welfare (Federal) Fund  85,532,500
25  TOTAL  $190,555,300
26 II. ENHANCED MEDICAID PLAN:
27 FROM:
28 Hospital Assessment Fund  $4,172,700
29 Cooperative Welfare (Federal) Fund  4,958,600
30  TOTAL  $9,131,300
31 III. BASIC MEDICAID PLAN:
32 FROM:
33 Hospital Assessment Fund  $115,270,400
34 Cooperative Welfare (Dedicated) Fund  1,023,000
                                        6
1  Cooperative Welfare (Federal) Fund  140,359,600
2   TOTAL  $256,653,000
3  IV. EXPANSION MEDICAID PLAN:
4  FROM:
5  Hospital Assessment Fund  $25,064,800
6  Cooperative Welfare (Dedicated) Fund  1,525,700
7  Cooperative Welfare (Federal) Fund  193,415,900
8   TOTAL  $220,006,400
9   GRAND TOTAL  $676,346,000
10      SECTION 5. An emergency existing therefor, which emergency is hereby
11 declared to exist, Sections 3 and 4 of this act shall be in full force and ef-
12 fect on and after passage and approval, and Sections 1 and 2 of this act shall
13 be in full force and effect on and after July 1, 2026.