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Read. Follow. Verify.Idaho establishes work requirements, stricter eligibility verifications, and reduced retroactive coverage for Medicaid
Last action · March 17, 2026: Reported Printed and Referred to Health & Welfare
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What This Bill Proposed
Idaho House Bill 912 requires non-pregnant adult Medicaid recipients between ages 19 and 65 to meet work requirements and submit documentary evidence rather than self-attestation. The law also mandates monthly and quarterly multi-agency data checks to verify income, residency, citizenship, and multi-state or deceased enrollment, restricts retroactive coverage, and bars ineligible aliens from receiving medical assistance.
Enrollees face new documentation hurdles, mandatory work compliance checks, more frequent eligibility redeterminations, and the risk of disenrollment or referral to immigration authorities if they fail to meet verification standards.
Who It Would Have Affected
Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.
Medicaid applicants and enrollees
Adult enrollees must meet work requirements and provide documentary evidence, while all applicants face stricter verification rules, more frequent eligibility redeterminations, and limits on retroactive coverage.
Idaho Department of Health and Welfare
The department is required to implement monthly and quarterly database cross-checks, process work requirement verifications, conduct more frequent redeterminations, and submit annual implementation reports to the legislature.
Hospitals, clinics, and qualified entities
Qualified entities conducting presumptive eligibility determinations must collect and transmit immigration status attestations and ensure applicants certify their citizenship.
Key Facts
- The Idaho Department of Health and Welfare must implement work requirements for applicable Medicaid enrollees aged 19 to 65 no later than December 31, 2026.
- Applicants must demonstrate three consecutive months of compliance with work requirements prior to application, backed by documentary evidence rather than self-attestation.
- The department must verify work compliance at least quarterly between redetermination periods using state wage data, education or training enrollment, or volunteer service documentation.
- Exemptions from work requirements are restricted, and exemptions for medically frail individuals cannot exceed the scope defined under 42 CFR 440.315(f) and require medical certification.
Show all 12 facts
- Self-attestation of income, residency, identity, household composition, and citizenship is prohibited without prior verification, except as required by federal law.
- The department must review recipient information monthly using data from the State Tax Commission, Social Security Administration, Department of Health and Human Services, HUD, and the FBI.
- Nonelderly adult Medicaid recipients whose eligibility is based on modified adjusted gross income standards must undergo eligibility redeterminations at least once every six months.
- Medical assistance is barred to individuals who are not United States citizens, lawful permanent residents, Cuban or Haitian entrants, or individuals residing under a compact of free association.
- Applicants identified as lacking lawful immigration status must be promptly referred to U.S. Immigration and Customs Enforcement or other federal authorities.
- Address change information and out-of-state electronic benefit transactions must be reviewed monthly to identify out-of-state movers by January 1, 2027.
- Monthly cross-checks against the Social Security Death Master File and state vital records must be conducted by January 1, 2027, to remove deceased enrollees and recoup payments made after the date of death.
- Retroactive Medicaid eligibility is limited to one month prior to application for expansion population individuals and two months prior for non-expansion individuals.
Frequently Asked Questions
Who is subject to the new Medicaid work requirements?
Can applicants use self-attestation to prove income or residency?
What happens to retroactive Medicaid coverage under this legislation?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · in House committee.
Procedural history
2 actions- Mar 17, 2026CommitteeReported Printed and Referred to Health & Welfare
- Mar 17, 2026IntroducedIntroduced, read first time, referred to JRA 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.
Shift from Self-Attestation to Mandated Multi-Agency Verification
The bill systematically eliminates self-attestation across multiple eligibility categories, requiring regular data-sharing agreements with tax, labor, law enforcement, and federal agencies.
Connected Entities
Sources
legislature.idaho.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 85)
- Controversy80Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz65Current news / social attention level
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