H0863

Amends existing law to revise provisions regarding provider payment.

Complete·3/30/26
Introduced Text

Idaho H0863 revises Medicaid provider payment rates, aligning them with Medicare rates and establishing new rules for certain services.

Idaho H0863 amends existing law to revise Medicaid provider payment rates. The bill aligns payments for primary care procedures with up to 100% of the current Medicare rate and sets payments for other procedures at 90% of the Medicare rate. For services without a Medicare equivalent, the Department of Health and Welfare can set payment rates through rules, subject to legislative approval. The bill also nullifies certain administrative rules related to Medicaid Plan Benefits and declares an emergency.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Sponsors

0
0
Democratic CaucusRepublican Caucus

Roll Call Votes

19 Yea

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15 Nay

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1 Absent

R

Calendar

Mar 23

10:00 AM

Third Reading Calendar

Mar 20

10:00 AM

Second Reading Calendar

History

Mar 30

House

Reported Signed by Governor on March 26, 2026 Session Law Chapter 161 Effective: 03/26/26 SECTION 1-2; 07/01/26 IDAPA Sunset Clause

Mar 30

House

SECTION 3

Mar 26

House

Delivered to Governor at 4:39 p.m. on March 25, 2026