Amends, repeals, and adds to existing law to provide for a county share of funding for Medicaid expansion.

This legislation addresses the county medical indigency program, the Catastrophic Health Care Cost Program, and Medicaid Expansion. On the bill’s effective date, the following changes will be implemented: • The county medical indigency programs will end after one year • The Catastrophic Health Care Cost Program will suspend on June 30, 2021 • Counties can continue using the charity levee to cover court-ordered involuntary mental health services • Proposed Expansion County Contribution ◦ Implement sales-tax based formula to create stabilization fund for Medicaid expansion based on quarterly count of actual Medicaid enrollees statewide ◦ County cost share = 30% of state costs ◦ DHW reports total county cost share to tax commission by the 30th of month after the calendar quarter ends ◦ Quarterly collection nine months retroactive; tax commission begins collecting December 31, 2020, and every three months thereafter ◦ Total county cost share for the quarter subtracted from the counties' portion of sales tax revenue sharing before existing formula calculations take place ◦ Collections flow into a stabilization fund with the goal of growing a savings account to counterbalance population growth and economic downturns ◦ County per member per year share capped at 3% annual growth ◦ LSO review of funding formula every three years starting in 2022 • The following sections of Idaho Code are repealed (under Title 31, Counties and County Law, Chapter 35, Hospitals for Indigent Sick): ◦ 31-3501: Declaration of Policy ◦ 31-3502: Definitions ◦ 31-3503C: Powers and Duties of the Department ◦ 31-3503E: Medicaid Eligibility Determination ◦ 31-3503F: Medical Home ◦ 31-3504: Application for Financial Assistance ◦ 31-3505: Time and manner of Filing Applications for Financial Assistance ◦ 31-3505A: Investigation of Application by the Clerk ◦ 31-3505B: Approval by the County Commissioners ◦ 31-3505C: Powers and Duties of the Department ◦ 31-3505D: Appeal of Initial Determination Denying an