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Idaho House Bill 713 Establishes Cost-Sharing Calculation Rules for Health Plans

Original title: INSURANCE – Adds to existing law to establish cost-sharing requirements for health benefit plans.

Last action · February 17, 2026: Reported Printed and Referred to Health & Welfare

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Idaho insurers are required to count third-party payments toward an enrollee's cost-sharing limits under House Bill 713, starting January 1, 2027. The measure applies to health benefit plans entered into, amended, extended, or renewed on or after that date, with an emergency clause setting an administrative effective date of July 1, 2026.

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.

Directly affected

Health insurance enrollees

Directly affected

Health insurers

Insurers must update their calculation methods for cost-sharing requirements to include payments made on behalf of enrollees by third parties.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Do these rules apply to all prescription drugs?
No, the section does not apply to a prescription drug if there is a medically appropriate generic equivalent and the patient's doctor indicates the generic is appropriate.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

2 actions
  1. Feb 17, 2026Committee
    Reported Printed and Referred to Health & Welfare
  2. Feb 16, 2026Introduced
    Introduced, 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

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Inclusion of Third-Party Payments

The measure mandates that third-party financial assistance must count toward an individual's cost-sharing obligations under specified conditions.

Connected Entities

Idaho, HEALTH AND WELFARE COMMITTEE
locationIdaho“Jurisdiction passing the legislation”Map →
OrganizationHEALTH AND WELFARE COMMITTEE“House committee sponsoring House Bill 713”Map →

Sources

Open source document

legislature.idaho.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 60)
  • Controversy30
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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