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Read. Follow. Verify.Idaho Senate passes $5.66 billion FY 2027 maintenance appropriations bill for Health and Human Services
Last action · April 2, 2026: Signed by Governor on 04/02/26 Session Law Chapter 271 Effective: 04/02/2026 SECTION 25; 07/01/2026 SECTION 1-24, 26 & 27
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What This Bill Does
Senate Bill 1435 appropriates $5,663,172,000 to the Idaho Department of Health and Welfare and the State Independent Living Council for 2027, establishes full-time equivalent position limits, and sets operational requirements for Medicaid, child welfare, and public health programs.
Determines state funding levels, staffing caps, and statutory requirements for all major health, welfare, mental health, and Medicaid programs across Idaho for the 2027 .
Who It Affects
Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.
Department of Health and Welfare
Receives operational appropriations, staffing limits, and statutory reporting requirements for fiscal year 2027.
Medicaid enrollees
Subject to cost-sharing requirements, managed care implementation updates, and funding allocations across basic, enhanced, coordinated, and expansion plans.
State Independent Living Council
Receives designated general and dedicated fund appropriations totaling $690,600.
Public health districts
Receive minimum child abuse protection allocations and Millennium Income Fund distributions for tobacco and substance cessation programs.
Key Facts
- Appropriates a grand total of $5,663,172,000 across personnel, operating, and trustee/benefit expense classes for FY 2027.
- Establishes full-time equivalent (FTP) position limits for each program, including 609.50 positions for the Division of Welfare and 303.50 for the Division of Medicaid.
- Holds trustee and benefit payments strictly non-transferable to other expense classes under Section 4.
- Makes the Department of Health and Welfare responsible for the educational needs of school-age children placed in its custody by the judicial branch.
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- Requires the Department of Health and Welfare's Division of Medicaid and Division of Indirect Support Services to deliver a monthly Medicaid tracking report comparing appropriations to actual and forecasted expenditures.
- Extends the deadline for submitting state plan amendments and waivers for comprehensive Medicaid managed care to July 1, 2027.
- Allocates $640,000 from the Cooperative Welfare (General) Fund to the Rural Physician Incentive Fund on July 1, 2026.
- Distributes $2,100,000 from the Idaho Millennium Income Fund to public health districts for tobacco, vape, and substance cessation programs.
- Allocates $2,406,000 from the Idaho Millennium Income Fund for Project Filter prevention and cessation programs, prohibiting sponsorships or passive advertising.
- Grants $250,000 from the Idaho Millennium Income Fund to Idaho Drug Free Youth, disbursed in four quarterly payments of $62,500.
- Requires the department to report on all property, services, or settlement acquisitions valued at over $1,000,000 involving external stakeholder contacts or meeting coordination by the Office of the Governor.
Frequently Asked Questions
How much total funding is appropriated by this bill for FY 2027?
What is the deadline for submitting federal applications for comprehensive Medicaid managed care?
What funding is provided for tobacco and substance cessation programs?
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News Coverage
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Votes, people, money & the original sourceWhere This Stands
Current status: Signed into law.
Procedural history
14 actions- Apr 2, 2026EnrolledSigned by Governor on 04/02/26 Session Law Chapter 271 Effective: 04/02/2026 SECTION 25; 07/01/2026 SECTION 1-24, 26 & 27
- Apr 1, 2026Reported delivered to Governor at 1:24 p.m. on 04/01/26
- Apr 1, 2026Reported signed by the Speaker & ordered delivered to Governor
- Apr 1, 2026Received from Senate; Signed by Speaker; Returned to Senate
- Mar 31, 2026Reported enrolled; signed by President; to House for signature of Speaker
- Mar 31, 2026CommitteeReturned From House Passed; referred to enrolling
Show 8 earlier actions
- Mar 30, 2026FloorRules Suspended: Ayes 66 Nays 0 Abs/Excd 4, read in full as required – PASSED - 43-25-2 AYES – Alfieri, Barbieri, Beiswenger, Bingham, Bruce, Burgoyne, Cannon(Cannon), Cayler, Cornilles, Dygert, Ehardt, Ehlers, Erickson, Fuhriman, Furniss, Hall(Stone), Handy, Harris, Hawkins, Healey, Hill(Brown), Holtzclaw, Hostetler, Leavitt, Marmon, Mendive, Mickelsen, Miller, Mitchell, Monks, Nelsen, Pickett, Pohanka, Price, Rasor, Raymond, Scott, Shepherd, Tanner(14), Thompson, Vander Woude, Wisniewski, Mr. Speaker NAYS – Berch, Boyle, Cheatum, Church, Crane(12), Crane(13), Egbert, Galaviz, Gannon, Garner, Green, Haws, Manwaring, Mathias, Petzke, Raybould, Redman, Rubel, Sauter, Shirts(Batt), Skaug, Tanner(13), Veile, Weber, Wheeler Absent – McCann, Palmer Floor Sponsor - Tanner(14) Title apvd - to Senate
- Mar 30, 2026Read second time; Filed for Third Reading
- Mar 27, 2026IntroducedRead First Time, Filed for Second Reading
- Mar 27, 2026Received from the Senate, Filed for First Reading
- Mar 26, 2026FloorRules Suspended (2/3 Vote - Read in full as required) – PASSED - 22-13-0 AYES – Anthon, Bjerke(Bjerke), Blaylock, Carlson, Den Hartog, Foreman, Galloway, Grow, Hart, Keyser, Kohl, Lakey, Lenney, Nichols, Okuniewicz, Ricks, Shippy, Toews, VanOrden, Woodward, Zito, Zuiderveld NAYS – Adams, Bernt, Burtenshaw, Cook, Guthrie, Harris, Lent, Rabe, Ruchti, Semmelroth, Taylor, Ward-Engelking, Wintrow Absent and excused – None Floor Sponsor - Grow Title apvd - to House
- Mar 26, 2026Reported out of Committee with Do Pass Recommendation; Filed for second reading
- Mar 26, 2026CommitteeReported Printed; referred to Finance
- Mar 25, 2026IntroducedIntroduced; read first time; referred to JR for Printing
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Medicaid Managed Care Deadline Extension
The deadline for submitting federal state plan amendments and waivers for comprehensive Medicaid managed care was extended by one year from July 1, 2026, to July 1, 2027.
Connected Entities
Sources
legislature.idaho.gov
Analysis Score
0–100- Significance95How much this matters to a regular citizen
- Controversy25Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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