Relates to the appropriation to the Department of Health and Welfare for fiscal year 2027.

LEGISLATURE OF THE STATE OF IDAHO Sixty-eighth Legislature Second Regular Session - 2026 IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. 978 BY APPROPRIATIONS COMMITTEE AN ACT1 RELATING TO THE APPROPRIATION TO THE DEPARTMENT OF HEALTH AND WELFARE; AP-2 PROPRIATING ADDITIONAL MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE3 FOR THE PUBLIC HEALTH SERVICES DIVISION FOR FISCAL YEAR 2027; REDUC-4 ING THE APPROPRIATION FOR THE DEPARTMENT OF HEALTH AND WELFARE FOR THE5 PUBLIC HEALTH SERVICES DIVISION FOR THE LABORATORY SERVICES PROGRAM6 FOR FISCAL YEAR 2027; REDUCING THE APPROPRIATION FOR THE DEPARTMENT7 OF HEALTH AND WELFARE FOR THE PUBLIC HEALTH SERVICES DIVISION FOR THE8 HEALTH CARE POLICY INITIATIVES PROGRAM FOR FISCAL YEAR 2027; REDUCING9 THE NUMBER OF AUTHORIZED FULL-TIME EQUIVALENT POSITIONS; REQUIRING A10 REPORT FOR THE SUICIDE PREVENTION AND AWARENESS PROGRAM; REQUIRING A11 REPORT FOR THE HIV PREVENTION AND SURVEILLANCE PROGRAM; REQUIRING A RE-12 PORT FOR THE HEPATITIS PREVENTION AND SURVEILLANCE PROGRAM; REQUIRING A13 REPORT FOR THE IMMUNIZATION ASSESSMENT FUND; REQUIRING A REPORT REGARD-14 ING IMMIGRATION STATUS FOR THE HIV PREVENTION AND SURVEILLANCE PROGRAM;15 PROVIDING FOR CONDITIONS, LIMITATIONS, AND RESTRICTIONS; AND DECLARING16 AN EMERGENCY AND PROVIDING AN EFFECTIVE DATE.17

Be It Enacted by the Legislature of the State of Idaho:18

SECTION 1. In addition to any other appropriation provided by law,19 there is hereby appropriated to the Department of Health and Welfare for the20 Public Health Services Division the following amounts to be expended accord-21 ing to the designated programs and expense classes from the listed funds for22 the period July 1, 2026, through June 30, 2027:23 FOR24 FOR25 FOR TRUSTEE AND PERSONNEL26 OPERATING BENEFIT COSTS27 EXPENDITURES PAYMENTS TOTAL I. PHYSICAL HEALTH SERVICES:28 FROM:29 Idaho Immunization Dedicated Vaccine30 Fund31 $28,020,000 $28,020,000 Cooperative Welfare (Federal)32 Fund33 $960,400 2,577,200 $3,768,800 7,306,400 TOTAL34 $960,400 $30,597,200 $3,768,800 $35,326,400

2 FOR1 FOR2 FOR TRUSTEE AND PERSONNEL3 OPERATING BENEFIT COSTS4 EXPENDITURES PAYMENTS TOTAL II. LABORATORY SERVICES:5 FROM:6 Cooperative Welfare (Dedicated)7 Fund8 $78,400 $200,000 $278,400 III. SUICIDE PREVENTION AND AWARENESS:9 FROM:10 Cooperative Welfare (General)11 Fund12 $3,900 $15,100 $19,000 GRAND TOTAL13 $1,038,800 $30,801,100 $3,783,900 $35,623,800

SECTION 2. Notwithstanding any other provision of law to the contrary,14 the appropriation made to the Department of Health and Welfare for the Public15 Health Services Division for the Laboratory Services Program is hereby re-16 duced by $78,400 for personnel costs from the Cooperative Welfare (Federal)17 Fund for the period July 1, 2026, through June 30, 2027.18

SECTION 3. Notwithstanding any other provision of law to the contrary,19 the appropriation made to the Department of Health and Welfare for the Public20 Health Services Division for the Health Care Policy Initiatives Program is21 hereby reduced by the following amounts according to the designated expense22 classes from the listed funds for the period July 1, 2026, through June 30,23 2027.24 FOR25 FOR26 FOR TRUSTEE AND PERSONNEL27 OPERATING BENEFIT COSTS28 EXPENDITURES PAYMENTS TOTAL FROM:29 Cooperative Welfare (General)30 Fund31 $16,300 $129,800 $146,100 Cooperative Welfare (Dedicated)32 Fund33 $3,200 75,000 78,200 Cooperative Welfare (Federal)34 Fund35 0 16,500 237,800 254,300 TOTAL36 $3,200 $107,800 $367,600 $478,600

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SECTION 4. FTP AUTHORIZATION. Notwithstanding any other authorization1 provided by law, the full-time equivalent position authorization provided2 to the Department of Health and Welfare for the Public Health Services Divi-3 sion is hereby reduced by three (3.00) for the period July 1, 2026, through4 June 30, 2027.5

SECTION 5. REQUIRING A REPORT FOR THE SUICIDE PREVENTION AND AWARENESS6 PROGRAM. The Department of Health and Welfare shall submit a report to the7 Joint Finance-Appropriations Committee by December 31, 2026, identifying8 outcomes and return on investment for moneys appropriated for the Suicide9 Prevention and Awareness Program. The format and content of this report will10 be determined in consultation with the Budget and Policy Analysis Division11 of the Legislative Services Office.12

SECTION 6. REQUIRING A REPORT FOR THE HIV PREVENTION AND SURVEILLANCE13 PROGRAM. The Department of Health and Welfare and the public health dis-14 tricts shall submit a report to the Joint Finance-Appropriations Committee15 by December 31, 2026, identifying outcomes and return on investment for16 moneys appropriated for the HIV Prevention and Surveillance Program. The17 format and content of this report will be determined in consultation with the18 Budget and Policy Analysis Division of the Legislative Services Office.19

SECTION 7. REQUIRING A REPORT FOR THE HEPATITIS PREVENTION AND SURVEIL-20 LANCE PROGRAM. The Department of Health and Welfare shall submit a report to21 the Joint Finance-Appropriations Committee by December 31, 2026, identify-22 ing outcomes and return on investment for moneys appropriated for the Hep-23 atitis Prevention and Surveillance Program. The format and content of this24 report will be determined in consultation with the Budget and Policy Analy-25 sis Division of the Legislative Services Office.26

SECTION 8. REQUIRING A REPORT FOR THE IMMUNIZATION ASSESSMENT FUND. The27 Department of Health and Welfare shall submit a report to the Joint Finance-28 Appropriations Committee by December 31, 2026, identifying the vaccine uti-29 lization rate and a cost-savings analysis for the State of Idaho and ser-30 vice providers regarding vaccines purchased using the Immunization Assess-31 ment Fund. The format and content of this report will be determined in con-32 sultation with the Budget and Policy Analysis Division of the Legislative33 Services Office.34

SECTION 9. REQUIRING A REPORT REGARDING IMMIGRATION STATUS FOR THE HIV35 PREVENTION AND SURVEILLANCE PROGRAM. The Department of Health and Welfare36 shall compile a report from the public health districts to submit to the37 Joint Finance-Appropriations Committee by December 31, 2026, on the docu-38 mented immigration status of individuals utilizing HIV prevention services39 through the HIV Prevention and Surveillance Program. The format and content40 of this report will be determined in consultation with the Budget and Policy41 Analysis Division of the Legislative Services Office.42

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SECTION 10. CONDITIONS, LIMITATIONS, AND RESTRICTIONS. Appropriati-1 ons made pursuant to this act are subject to the conditions, limitations, and2 restrictions specified in this act.3

SECTION 11. An emergency existing therefor, which emergency is hereby4 declared to exist, this act shall be in full force and effect on and after5 July 1, 2026.6