Idaho 2026 Regular Session

Agenda Mar 20th, 2026

Senate Health and Welfare Committee

Key Moments

  • Megan Egbert — Moves to approve the minutes from March 5th, March 9th, and March 16th.
  • Megan Egbert — Representative Egbert asked how the department would carry out the work and whether it has sufficient FTEs and resources to complete it, prompting a direct response in the same exchange.
  • Lori McCann — Asked what is contained in Title 42 U.S.C. 1396A regarding community engagement requirements.
  • Lori McCann — Asked what has been happening in the department since the last time work requirement checks were required.
  • Lori McCann — The chair indicated there was no public testimony.
  • Lori McCann — Supportive of tightening eligibility requirements and noted business community concerns.
  • Lori McCann — Supported tightening eligibility requirements and said business leaders told her workers are asking to reduce hours to remain eligible for Medicaid expansion.
  • Lori McCann — Continued explaining employer frustration over workers reducing hours to maintain eligibility and said she supports the bill.
  • Lori McCann — The speaker references the bill's impact on people losing coverage and on hospitals and health care providers, arguing it will cause harm similar to Medicaid expansion repeal.
  • Lori McCann — The speaker states support for the motion while noting a reservation about the phrase 'no person.'
  • Lori McCann — Says she will support the motion but has reservations about the plan versus the federal plan and may change her vote on the floor.
  • Lori McCann — The transcript says 'Representative Kaler'; likely a member asking about the bill's parental rights termination timeline.
  • Lucas Cayler — Asked whether the estimate of 15,000 to 20,000 disenrollments is a projection or a rough estimate.
  • Lucas Cayler — Asked about the bill's path forward in the Senate and whether the Health and Welfare chair would hear it.
  • Lucas Cayler — Referenced as having prompted Wheeler's question.
  • Josh Wheeler — Called on next for questions.
  • Josh Wheeler — Said he supports the motion and asked whether the sponsor would accept changing the look back from three months to one month in the Senate.
  • Josh Wheeler — Was addressed in discussion about whether to reveal negotiating position and about possible pushback from the department.
  • Josh Wheeler — Asked whether the department's pushback would be about the tighter implementation timeline.
  • Josh Wheeler — The chair asked for any further questions before moving to a vote.
  • Josh Wheeler — Asked whether there was any public testimony on the motion.
  • Josh Wheeler — Moves to send Senate Bill 1266 to the floor with a due pass recommendation.
  • David Leavitt — David Leavitt explained that he wanted to secure the provision without negotiating from a weak position, then clarified that the department’s pushback was not about the 90-day period itself but about when redeterminations would begin. He described the required notice timeline, saying the department would need to send notices two to three months in advance, select a group, and ask them to come in for redetermination, followed by a 30-day appeal process. He also noted that federal rules now require eligibility checks every six months instead of annually. The discussion then shifted to work requirements, where he said the federal requirements were less strict than earlier proposals, referenced the prior waiver process, explained that waivers are no longer necessary under the changed federal law, and said he matched the bill language to the federal language. The exchange concluded with concern about the workload this would place on the department without additional FTEs.
  • David Leavitt — Moves to send Senate Bill 1316 to the floor with a due pass recommendation.
  • Brandon Shippy — Brandon Shippy said he would vote against the motion and criticized the bill, arguing that it is designed to create paperwork and administrative hurdles that would cause people to trip up, fail requirements, and lose coverage.
  • Glenneda Zuiderveld — The speaker is responding to concerns about timing and says the department has budgeted for redetermination.
  • Dori Healey — Introduces Senate Bill 1266 and explains it is cleanup to similar legislation from last year.
  • Dori Healey — Asks where the parental-rights-termination language appears in the bill.
  • Dori Healey — The transcript likely misheard Representative Healy's name as 'Peeley' in the response.
  • Dori Healey — Representative Healy is being addressed for explanation of the amendment.
  • Dori Healey — Explains that the 12-month language is a technical cleanup to align the bill with Idaho code.
  • Dori Healey — Representative Healy is asked to explain the effect of the change in paragraph G.
  • Dori Healey — Representative Healy is being asked whether the change is only a code standardization or a substantive change to the termination timeline.
  • Dori Healey — Confirms the 12-month language is a technical correction and not a policy change.
  • Dori Healey — Representative Healy is responding to the concern about the parental-rights timeline.
  • Dori Healey — Representative Healy is assumed to carry the bill on the floor.
  • Dori Healey — Introduces Senate Bill 1316 and explains it as a codification of existing practice regarding newborn screening and parental refusal forms.
  • Dori Healey — Explains that Senate Bill 1316 aligns exemption language with current hospital practice and prior legislation.
  • Dori Healey — Representative Healy is expected to carry Senate Bill 1316 on the floor.
  • Faye Thompson — Faye Thompson asks for clarification on the bill language, specifically the change from 15 months to 12 months, and the discussion continues with follow-up references to Representative Kaler as the explanation is addressed directly to them.
  • Jordan Redman — His light was seen first, and he was called on first.
  • Jordan Redman — Jordan Redman explained that the federal Medicaid work requirement involves at least 80 hours per month of qualifying activities, including paid work, community service, job training, education, or a combination of those activities. He then raised an unresolved question about whether any carve-out would be automatic or require a separate mechanism.
  • Tanya Burgoyne — Initially identified as having the next question, then corrected to Representative Egbert.
  • Ilana Rubel — Representative Rubel is mentioned repeatedly during a continuous exchange about the bill’s impact. The discussion covers a question about the three-month look-back and then shifts to concerns about how the bill could affect uninsured care, rural hospitals, and the broader consequences of the proposal.
  • Ilana Rubel — The speaker responds to comments attributed to Rubel about the timing and process.
  • Lori McCann — Referenced as having asked the same question many times in committee.
  • Lori McCann — Called on next for questions.
  • Lori McCann — Asked what happens to children if a parent loses eligibility under the three-month look back.
  • Lori McCann — Addressed in response to her question about children and family coverage.
  • Lori McCann — Was about to ask about the statutory community engagement requirements in Title 42 U.S.C. 1396A.