Legislation: batch A — AK AL AR AZ CO CT DE GA HI IA ID

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---
type: "Bill"
title: "MEDICAID – Adds to existing law to provide for legislative approval of Medicaid state plan amendments and waivers."
description: "MEDICAID – Adds to existing law to provide for legislative approval of Medicaid state plan amendments and waivers."
jurisdiction: "us/states/id"
legislature: "Idaho Legislature"
session: "2024"
identifier: "H 398"
citation: "Idaho H 398 (2024)"
classification: ["bill"]
subjects: ["FEDERAL LAWS AND RELATIONS", "GOVERNMENT", "INSURANCE", "LEGISLATURE", "PUBLIC ASSISTANCE"]
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 32
vote_count: 3
first_action: "2024-01-16"
last_action: "2024-04-03"
source: "openstates"
source_identifier: "ocd-bill/6d1ea015-70e0-453d-976e-894fb25b821d"
source_url: "https://legislature.idaho.gov/sessioninfo/2024/legislation/H0398/"
source_hash: "e3c8c2ddc40aaa4bcd7ecc560ec91aa5e317a4a73e2c9a883221a800a8238491"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-id"]
---
# Idaho H 398 (2024) — MEDICAID – Adds to existing law to provide for legislative approval of Medicaid state plan amendments and waivers.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Amendment** (committee substitute) — [source](https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2024/legislation/H0398A1.pdf)
2. **Bill Text** (committee substitute) — [source](https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2024/legislation/H0398.pdf)
3. **Engrossment 1** (committee substitute) — [source](https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2024/legislation/H0398E1.pdf)
## Votes
- Rules Suspended: Ayes 68 Nays 0 Abs/Excd 2, read in full as required – — **46–23** (pass) · lower
- Read Third Time in Full – — **58–10** (pass) · lower
- Read third time as amended in the Senate – — **27–6** (pass) · upper
## Sponsors
- HEALTH AND WELFARE COMMITTEE — primary (organization)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-16** Introduced, read first time, referred to JRA for Printing `introduction`
- **2024-01-17** Reported Printed and Referred to Health & Welfare
- **2024-02-19** Reported out of Committee with Do Pass Recommendation, Filed for Second Reading `committee-passage-favorable`
- **2024-02-20** Read second time; Filed for Third Reading `reading-2`
- **2024-02-21** U.C. to hold place on third reading calendar one legislative day
- **2024-02-22** Read Third Time in Full – PASSED - 58-10-2AYES – Alfieri, Allgood, Andrus, Barbieri, Blanksma, Boyle, Bundy, Cannon, Cheatum, Clow, Cornilles, Crane(13), Dixon(1), Dixon(24), Durrant, Ehardt, Ehlers, Erickson, Furniss, Gallagher, Garner, Handy, Hawkins, Healey, Hill, Holtzclaw, Horman, Kingsley, Lambert, Lanting, Manwaring, McCann, Mendive, Mickelsen, Miller, Mitchell, Monks, Nelsen, Palmer, Petzke, Pickett, Price, Raybould, Raymond, Redman, Sauter, Scott, Shepherd, Skaug, Tanner, Vander Woude, Weber, Wheeler, Wisniewski, Wroten, Yamamoto, Young, Mr. SpeakerNAYS – Achilles, Berch, Burns, Chew(Egbert), Galaviz, Gannon, Green, Necochea, Roberts, RubelAbsent – Crane(12), MathiasFloor Sponsor - BlanksmaTitle apvd - to Senate `passage, reading-3`
- **2024-02-23** Received from the House passed; filed for first reading
- **2024-02-23** Introduced, read first time; referred to: Health & Welfare `introduction`
- **2024-03-18** Reported out of committee; to 14th Order for amendment
- **2024-03-21** Placed in the Committee of the Whole
- **2024-03-21** Amendments ordered printed
- **2024-03-21** Reported out as amended; filed for first reading
- **2024-03-21** Amendments reported printed
- **2024-03-21** Read first time as amended in the Senate; Filed for Second Reading
- **2024-03-22** Read second time as amended in the Senate, filed for Third Reading `reading-2`
- **2024-03-25** Retained on calendar
- **2024-03-26** Retained on calendar
- **2024-03-26** Read third time as amended in the Senate – PASSED - 27-6-2AYES – Adams, Anthon, Bernt, Bjerke, Burtenshaw, Carlson, Cook, Den Hartog, Foreman, Grow, Guthrie, Harris, Hart, Hartgen, Herndon, Just, Lakey, Lee, Lenney, Lent, Nichols, Okuniewicz, Ricks, Schroeder, Toews, Trakel, ZuiderveldNAYS – Rabe, Semmelroth, Shea(Ruchti), Taylor, Ward-Engelking, WintrowAbsent and excused – VanOrden, WinderFloor Sponsor - LeeTitle apvd - to House
- **2024-03-27** Returned from the Senate Amended; Held at Desk
- **2024-03-27** House Concurred in Senate Amendments
- **2024-03-27** Returned from the Senate Amended; Held at Desk
- **2024-03-27** Bills as Amended Referred to JRA for Engrossing
- **2024-03-27** Reported Engrossed; Filed for First Reading of Engrossed Bills
- **2024-03-27** Read first time as amended in Senate; Filed for Second Reading
- **2024-03-28** Read second time as amended in Senate; Filed for Third Reading `reading-2`
- **2024-03-28** Rules Suspended: Ayes 68 Nays 0 Abs/Excd 2, read in full as required – PASSED - 46-23-1AYES – Allgood, Andrus, Barbieri, Blanksma, Boyle, Bundy, Cannon, Cheatum, Clow, Cornilles, Crane(13), Dixon(24), Durrant, Ehardt, Ehlers, Erickson, Furniss, Gallagher, Garner, Handy, Healey, Hill(Brown), Holtzclaw(Johnson), Horman, Lanting, Manwaring, McCann, Mendive, Miller, Mitchell, Monks, Nelsen, Palmer, Petzke, Pickett, Raybould, Raymond, Sauter, Shepherd, Vander Woude, Weber(Weber), Wheeler, Wroten, Yamamoto, Young, Mr. SpeakerNAYS – Achilles, Alfieri, Berch, Burns, Chew(Harada), Crane(12), Dixon(1), Galaviz, Gannon, Green, Hawkins, Kingsley, Lambert, Mathias, Necochea, Price, Redman, Roberts, Rubel, Scott, Skaug, Tanner, WisniewskiAbsent – MickelsenFloor Sponsor - BlanksmaTitle apvd - to enrol
- **2024-03-28** Reported Enrolled; Signed by Speaker; Transmitted to Senate `passage`
- **2024-03-29** Received from the House enrolled/signed by Speaker
- **2024-03-29** Signed by President; returned to House `passage`
- **2024-03-29** Returned Signed by the President; Ordered Transmitted to Governor `executive-receipt`
- **2024-04-02** Delivered to Governor at 12:17 p.m. on March 29, 2024 `executive-receipt`
- **2024-04-03** Reported Signed by Governor on April 4, 2024 Session Law Chapter 288 Effective: 04/04/2024 `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6d1ea015-70e0-453d-976e-894fb25b821d`. Confidence: reported (aggregated from official Idaho legislature records).