Relates to the appropriation to the Department of Health and Welfare for the Behavioral Health Services Division for fiscal years 2026 and 2027.

LEGISLATURE OF THE STATE OF IDAHO Sixty-eighth Legislature Second Regular Session - 2026 IN THE SENATE SENATE BILL NO. 1429 BY FINANCE COMMITTEE AN ACT1 RELATING TO THE APPROPRIATION TO DEPARTMENT OF HEALTH AND WELFARE; APPROPRI-2 ATING ADDITIONAL MONEYS TO THE DEPARTMENT OF HEALTH AND WELFARE FOR THE3 DIVISIONS OF SUBSTANCE ABUSE TREATMENT AND PREVENTION, MENTAL HEALTH4 SERVICES, AND PSYCHIATRIC HOSPITALIZATION FOR FISCAL YEAR 2027; REDUC-5 ING THE APPROPRIATION TO THE DEPARTMENT OF HEALTH AND WELFARE FOR THE6 DIVISIONS OF SUBSTANCE ABUSE TREATMENT AND PREVENTION, MENTAL HEALTH7 SERVICES, AND PSYCHIATRIC HOSPITALIZATION FOR FISCAL YEAR 2027; AUTHO-8 RIZING ADDITIONAL FULL-TIME EQUIVALENT POSITIONS FOR THE DIVISION OF9 MENTAL HEALTH SERVICES; PROVIDING A TRANSFER LIMITATION EXEMPTION FOR10 MENTAL HEALTH SERVICES AND PSYCHIATRIC HOSPITALIZATION; REQUIRING A11 REPORT ON THE IDAHO BEHAVIORAL HEALTH PLAN; PROVIDING FOR CONDITIONS,12 LIMITATIONS, AND RESTRICTIONS; APPROPRIATING ADDITIONAL MONEYS TO13 THE DEPARTMENT OF HEALTH AND WELFARE FOR THE DIVISION OF PSYCHIATRIC14 HOSPITALIZATION FOR FISCAL YEAR 2026; REDUCING THE APPROPRIATION TO15 THE DEPARTMENT OF HEALTH AND WELFARE FOR THE DIVISION OF PSYCHIATRIC16 HOSPITALIZATION FOR FISCAL YEAR 2026; AND DECLARING AN EMERGENCY AND17 PROVIDING EFFECTIVE DATES.18

Be It Enacted by the Legislature of the State of Idaho:19

SECTION 1. In addition to any other appropriation provided by law,20 there is hereby appropriated to the Department of Health and Welfare the21 following amounts to be expended according to the designated programs and22 expense classes from the listed funds for the period July 1, 2026, through23 June 30, 2027:24 FOR25 FOR26 FOR FOR TRUSTEE AND PERSONNEL27 OPERATING CAPITAL BENEFIT COSTS28 EXPENDITURES OUTLAY PAYMENTS TOTAL I. SUBSTANCE ABUSE TREATMENT & PREVENTION:29 FROM:30 Cooperative Welfare (Dedicated)31 Fund32 $533,900 $116,100 $650,000 II. MENTAL HEALTH SERVICES:33 A. CHILDREN'S MENTAL HEALTH:34 FROM:35 Cooperative Welfare (General)36 Fund37 $840,900 $2,505,200 $3,346,100

2 FOR1 FOR2 FOR FOR TRUSTEE AND PERSONNEL3 OPERATING CAPITAL BENEFIT COSTS4 EXPENDITURES OUTLAY PAYMENTS TOTAL Cooperative Welfare (Federal)5 Fund6 1,055,100 $266,500 1,780,700 3,102,300 TOTAL7 $1,896,000 $266,500 $4,285,900 $6,448,400 B. ADULT MENTAL HEALTH:8 FROM:9 Cooperative Welfare (General)10 Fund11 $134,000 $100,000 $351,800 $585,800 State-Directed Opioid Settlement12 Fund13 0 0 992,600 992,600 TOTAL14 $134,000 $100,000 $1,344,400 $1,578,400 DIVISION TOTAL15 $2,030,000 $366,500 $5,630,300 $8,026,800 III. PSYCHIATRIC HOSPITALIZATION:16 A. STATE HOSPITAL NORTH:17 FROM:18 Cooperative Welfare (Dedicated)19 Fund20 $1,136,600 $441,400 $95,000 $126,300 $1,799,300 State Hospital North Endowment Income21 Fund22 0 212,900 0 0 212,900 TOTAL23 $1,136,600 $654,300 $95,000 $126,300 $2,012,200 B. STATE HOSPITAL SOUTH:24 FROM:25 Cooperative Welfare (Dedicated)26 Fund27 $5,540,500 $5,540,500 Mental Hospital Endowment Income28 Fund29 0 $216,100 216,100 TOTAL30 $5,540,500 $216,100 $5,756,600 DIVISION TOTAL31 $6,677,100 $654,300 $311,100 $126,300 $7,768,800 GRAND TOTAL32 $9,241,000 $1,020,800 $311,100 $5,872,700 $16,445,600

SECTION 2. Notwithstanding any other provision of law to the contrary,33 the appropriation made to the Department of Health and Welfare is hereby34 reduced by the following amounts from the designated programs and expense35

3 classes from the listed funds for the period July 1, 2026, through June 30,1 2027:2 FOR3 FOR4 FOR TRUSTEE AND PERSONNEL5 OPERATING BENEFIT COSTS6 EXPENDITURES PAYMENTS TOTAL I. SUBSTANCE ABUSE TREATMENT & PREVENTION:7 FROM:8 Liquor Control9 Fund10 $533,900 $116,100 $650,000 II. MENTAL HEALTH SERVICES:11 A. CHILDREN'S MENTAL HEALTH:12 FROM:13 Cooperative Welfare (General)14 Fund15 $288,400 $288,400 B. ADULT MENTAL HEALTH:16 FROM:17 Cooperative Welfare (General)18 Fund19 $496,300 $496,300 DIVISION TOTAL20 $288,400 $496,300 $784,700 III. PSYCHIATRIC HOSPITALIZATION:21 A. STATE HOSPITAL NORTH:22 FROM:23 Cooperative Welfare (General)24 Fund25 $212,900 $212,900 Cooperative Welfare (Federal)26 Fund27 $1,699,300 0 1,699,300 TOTAL28 $1,699,300 $212,900 $1,912,200 B. STATE HOSPITAL SOUTH:29 FROM:30 Mental Hospital Endowment Income31 Fund32 $43,900 $43,900

4 FOR1 FOR2 FOR TRUSTEE AND PERSONNEL3 OPERATING BENEFIT COSTS4 EXPENDITURES PAYMENTS TOTAL Cooperative Welfare (Federal)5 Fund6 5,496,600 5,496,600 TOTAL7 $5,540,500 $5,540,500 DIVISION TOTAL8 $7,239,800 $212,900 $7,452,700 GRAND TOTAL9 $7,773,700 $501,300 $612,400 $8,887,400

SECTION 3. FTP AUTHORIZATION. In addition to any other authorization10 provided by law, the full-time equivalent position authorization provided11 to the Department of Health and Welfare for the Mental Health Services Di-12 vision is hereby increased by fifteen (15.00) for the period July 1, 2026,13 through June 30, 2027.14

SECTION 4. TRANSFER LIMITATION EXEMPTION. Notwithstanding any other15 provisions of law to the contrary, the Department of Health and Welfare Divi-16 sion of Mental Health Services and Division of Psychiatric Hospitalization17 may transfer moneys appropriated for personnel costs and trustee and bene-18 fit payments pursuant to Section 67-3511, Idaho Code, for the period July 1,19 2026, through June 30, 2027.20

SECTION 5. REQUIRING A REPORT ON THE IDAHO BEHAVIORAL HEALTH PLAN. The21 Department of Health and Welfare Division of Mental Health Services shall22 provide a report on fiscal year 2025 and fiscal year 2026 expenditures for23 the Idaho Behavioral Health Plan. The report shall include actual expendi-24 tures for services provided to the adults' population and services provided25 to the children's population under the Idaho Behavioral Health Plan. The26 format of the report and the type of information included therein shall be27 determined by the Legislative Services Office Budget and Policy Analysis Di-28 vision. The report shall be submitted to the Joint Finance-Appropriations29 Committee and the Legislative Services Office Budget and Policy Analysis Di-30 vision no later than December 1, 2026.31

SECTION 6. CONDITIONS, LIMITATIONS, AND RESTRICTIONS. Appropriations32 made pursuant to this act are subject to the conditions, limitations, and re-33 strictions specified in this act.34

SECTION 7. In addition to the appropriation made in Section 1, Chap-35 ter 209, Laws of 2025, and any other appropriation provided by law, there is36 hereby appropriated to the Department of Health and Welfare for the Division37 of Psychiatric Hospitalization the following amounts to be expended accord-38 ing to the designated programs and expense classes from the Cooperative Wel-39 fare (Dedicated) Fund for the period July 1, 2025, through June 30, 2026:40

5 FOR1 FOR2 FOR TRUSTEE AND PERSONNEL3 OPERATING BENEFIT COSTS4 EXPENDITURES PAYMENTS TOTAL State Hospital North5 $700,000 $436,400 $46,000 $1,182,400 State Hospital South6 4,871,600 0 0 4,871,600 TOTAL7 $5,571,600 $436,400 $46,000 $6,054,000

SECTION 8. Notwithstanding any other provision of law to the contrary,8 the appropriation made to the Department of Health and Welfare in Section 1,9 Chapter 209, Laws of 2025, is hereby reduced by the following amounts for the10 Division of Psychiatric Hospitalization from the designated programs from11 personnel costs from the Cooperative Welfare (Federal) Fund for the period12 July 1, 2025, through June 30, 2026:13 State Hospital North14 $1,182,400 State Hospital South15 4,871,600 TOTAL16 $6,054,000

SECTION 9. An emergency existing therefor, which emergency is hereby17 declared to exist, Sections 7 and 8 of this act shall be in full force and ef-18 fect on and after passage and approval, and Sections 1 through 6 of this act19 shall be in full force and effect on and after July 1, 2026.20