TallyIDAHOLegislative Tracker

Idaho Bills

817 bills · 2026 Regular Session

S1319senate

Adds to existing law to establish the Emergency Care Affordability Act.

This legislation establishes the Freestanding Emergency Room and Emergency Care Affordability Act to improve transparency, promote affordability and create clear, predictable standards governing billing and reimbursement for emergency medical services provided by out-of-network freestanding emergency rooms. Federal law established baseline consumer protections for emergency services; however, gaps remain with respect to billing practices at out-of-network freestanding emergency rooms. This legislation addresses those gaps by limiting balance billing, requiring application of in-network cost-sharing, and establishing payment standards based on in-network allowed amounts for comparable emergency services.. The bill requires a freestanding emergency room disclose to patients if it does not participate in Medicare, Medicaid, or TRICARE, ensuring seniors, veterans, and other covered persons enrolled in the public health care programs receive timely notice of potential financial responsibility. These disclosure requirements are intended to prevent covered persons from receiving full, undisclosed charges for emergency services solely due to a facility's non-participation in a particular Medicare, Medicaid or TRICARE. The legislation voids unenforceable billing agreements, establishes protections against excessive billing, and provides remedies for violations. The bill allows voluntary participation by self-funded health plans and authorizes limited oversight by the Department of Insurance.

Treg Bernt · SD-021

In Committee

2411

S1429senateSigned

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

RS33787 / S1429 This appropriation to the Department of Health and Welfare for the Divisions of Mental Health Services, Psychiatric Hospitalization, and Substance Abuse Treatment and Prevention provides enhancements to the FY 2027 maintenance budget that include a budget-neutral fund adjustment for Substance Abuse Treatment and Prevention (enhancement #24), a budget reduction to move appropriation to the Idaho Department of Juvenile Corrections for clinical staff (enhancement #7), the partial restoration of ongoing program funding that was made onetime in FY 2026 as well as appropriations for Idaho Behavioral Health Plan grant increases (enhancement #9), a partial, onetime restoration of ongoing budget rescissions for Mental Health Services (enhancement #30), a benefit cost fund shift for State Hospital South (enhancement #8), a fund adjustment for State Hospital North and South to account for the way that revenue is received through the Idaho Behavioral Health Plan (enhancement #23), replacement items (enhancement #58), a fund adjustment to shift General Fund burden to the State Hospital endowment funds (enhancement #59), and a Governor initiative to shift General Fund burden to the State-Directed Opioid Settlement for the Allumbaugh House. The bill includes transfer limitation exemption language and reporting language.

Kevin Cook · SD-032

Enacted

3927

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