Tanya Burgoyne — Tanya Burgoyne asked about a definition referenced on page 11, then clarified that she meant definition 11 and did not have the page number, continuing the same line of inquiry.
Mr. Larson — Question was directed to Mr. Larson.
Mr. Larson — Asked to locate the relevant definition in the rule text.
Mr. Larson — Asked for clarification on which definition was being referenced.
Mr. Larson — Introduced RS 32849 and thanked Representative Erickson for working on it.
Mr. Larson — Explained that the state was supposed to begin providing the services on January 1, 2025, but has not yet faced consequences and wants to show good-faith effort by seeking the waiver.
Mr. Larson — Explained the anticipated fiscal impact if the program begins in state fiscal year 2028, including general fund and federal fund costs.
Mr. Larson — Said the proposal would affect the Idaho Department of Juvenile Corrections, IDOC, county jails, and county juvenile detention centers, and noted Director Dowell was present for questions.
Mr. Larson — Explained the waiver and appropriation sequence and offered to answer questions at a hearing on the merits.
Mr. Larson — Answered that an eligible juvenile is defined in federal law.
Mr. Larson — Clarified that an eligible juvenile is under 18 and leaving a correctional facility such as juvenile detention, state prison, or county jail.
Mr. Larson — Said there is no prohibition on returning for case management services and that the proposal does not force a move to private insurance or Medicaid.
Mr. Larson — Stated that federal law and the legislation do not mandate Medicaid enrollment if the person has other insurance after release.
Mr. Larson — Confirmed that noncompliance could result in cuts to Medicaid funding.
Mr. Larson — Said the state could face Medicaid cuts for noncompliance and that the proposal is being presented now because of the state's fiscal situation.
Mr. Larson — Said he does not know where CMS penalties would be applied, only that penalties could occur.
Mr. Larson — Said he would provide more information about CMS penalties if the proposal receives a hearing on the merits.
Mr. Larson — Was told he has heard the committee's major concerns and will need to address them at a full hearing.
Mr. Larson — Was asked to clarify the question, though the transcript cuts off before the full question is completed.
Mr. Larson — Explained that under the Eighth Amendment, the incarcerating entity bears the cost of medically necessary items and that the proposal may save costs.
Mr. Larson — Was asked why a waiver is needed if the program is mandated; the transcript then becomes garbled and humorous.
Dr. Christine Hahn — Identified herself as the state epidemiologist in the Idaho Division of Public Health and began explaining suspected case reporting.
Julie VanOrden — Likely intended reference in the phrase 'Chairman Van Nuwa' when the gavel is returned; name is unclear in transcript.
Marco Erickson — Thanked for working with the agency on RS 32849.
Dori Healey — Representative Healy asked for clarification on the bill’s definition of an eligible juvenile and then followed up with questions about what happens to a juvenile’s health coverage after release, including whether they would automatically be placed on Medicaid or instead return to coverage through their parents’ insurance if they go back home.
Steven Tanner — Representative Tanner first sought recognition to ask a question, then followed up by asking where Medicaid cuts would occur if federal penalties were imposed, specifically whether the reduction would affect basic Medicaid or another Medicaid category.
Josh Wheeler — Moved to introduce RS 32849.
Carl Bjerke — As Vice Chair, took over discussion of the rule and introduced Mr. Larson.
Jared Larson — Presented the reportable disease provisions rule docket and explained its purpose.
Dr. Turner — Named as available to answer questions about the rule docket.
Dr. Hahn — Dr. Hahn is introduced as a witness available to answer detailed questions about the rule docket, and shortly afterward the chair turns to her to provide a more precise explanation of how the rule is carried out in practice.
Lori McCann — Referenced by name during committee discussion of the rule docket.
Megan Egbert — Moved to approve the minutes from January 28 and January 29.
Megan Egbert — Representative Egbert asked a follow-up question about Section A, seeking clarification on how medically necessary screening or diagnostic services for incarcerated youth would be paid for if Medicaid were not covering those services, and continued pressing the point with another quick question in the same exchange.