House Bill 533 Summary

• Ends county medical assistance programs - County commissioners cannot approve new applications for financial assistance after 180 days from the bill's effective date; existing approved cases may be administered for up to 12 months.

• Suspends catastrophic health care cost program - No new applications approved after one year from effective date; final decisions on outstanding applications due by June 30, 2021, after which the program suspends operations.

• Establishes medicaid expansion funding mechanism - Creates medicaid expansion fund and medicaid stabilization fund; counties assessed quarterly for a portion of medicaid expansion costs under section 56-267, starting January 1, 2020, with assessments deducted from sales tax revenue distributions.

• Implements staggered effective dates - Most provisions effective July 1, 2021; certain sections effective on passage/approval or July 1, 2020, to allow transition time.

• Makes technical amendments - Removes or revises numerous sections related to medical indigent assistance programs, county hospital administration, and reimbursement procedures across multiple Idaho Code chapters.