H0913 Make Medicaid Eligibility Contingent On Meeting Work Requirements

OPPOSE - This bill keeps Idaho’s Medicaid expansion for adults earning up to 133% of the federal poverty level. It adds work or community service requirements, minimum 80 hours / month, requiring 3 months of compliance to enroll and allowing disenrollment for noncompliance. There are some exemptions from these work requirements. It also allows the state to cut provider payments or benefits to protect from higher costs if there are drops in federal funding.

This bill leaves Medicaid expansion intact, however, the work/reporting rules and pre-enrollment requirements create barriers very likely to reduce enrollment and cause coverage gaps, limiting real access to care. It is estimated that 40,000 people will lose coverage creating higher out-of-pocket costs and medical debt for many low-income residents.

This legislation was signed into law on April 10, 2026.