ID H0249

Requires health risk assessments to include questions about substance use disorders to allow the Department of Health and Welfare to refer individuals to treatment.

Directs the director to seek federal waivers to limit retroactive Medicaid eligibility from 90 days to 30 days and to establish an employment and training program for Medicaid participants consistent with SNAP requirements.

Authorizes the director to seek a waiver allowing individuals at 100% of federal poverty level to choose advanced premium tax credits for qualified health plans through the Idaho health insurance exchange instead of Medicaid enrollment.

Expands Medicaid eligibility to persons under 65 years of age with modified adjusted gross income at or below 133% of the federal poverty level, effective upon state plan amendment submission within 90 days of approval.

Provides that Medicaid expansion becomes null and void if federal financial participation drops below 90% or if section 1905(y) of the Social Security Act is amended, held unlawful, or declared unconstitutional; requires legislative health and welfare committees to review and recommend on expansion status by January 31, 2023.