ID H0759

Requires annual cost surveys of all home and community-based Medicaid services without Medicare equivalent rates, with at least 15% of responses audited, and mandates a public report by December 31 each year

Providers must annually spend at least the amount allocated for direct care worker wages and employee-related expenses on those categories, with non-compliance potentially resulting in corrective action plans, intake closure, or termination of provider agreements

Nullifies administrative rules in IDAPA 16.03.26, Sections 051 and 052 (relating to Medicaid Plan Benefits) effective July 1, 2026

Supports budget reductions for Medicaid residential habilitation rates, referencing $176.5 million in general funds currently spent on services for people with disabilities; rate increases from 2022 legislation (Chapter 252) are deemed no longer appropriate due to a court order halting implementation of the K.W. v. Armstrong lawsuit service changes

Declared an emergency measure, taking effect immediately upon passage and approval