Amends, repeals, and adds to existing law to provide that legislative approval is required for certain state plan amendments and waivers and to provide legislative approval for certain state plan amendments and waivers.

The Medicaid Reform and Cost-Containment Act strengthens Idaho’s Medicaid program by controlling cost, ensuringitslong-termsustainability, protectingruralhealthcareaccess, andimplementingnecessarysafeguards against fraud and abuse. By requiring legislative oversight of Medicaid waivers and amendments, this legislation ensures that critical safety net providers, including rural emergency hospitals and community-based clinics, continue to serve Idaho’s most vulnerable populations. This act prioritizes cost containment by establishing sideboards on Medicaid expansion to maintain fiscal responsibility while ensuring resources are directed to those most in need. Furthermore, it provides a trigger for cost management if Medicaid is changed at the federal level. By balancing healthcare access with financial accountability, this legislation keeps Idaho’s Medicaid program sustainable, efficient, and focused on delivering high-quality care while preventing unnecessary dependency on government services.