---
type: "Bill"
title: "MERIT-BASED HEALTH CARE – Adds to existing law to establish the Merit-Based Health Care Act."
description: "MERIT-BASED HEALTH CARE – Adds to existing law to establish the Merit-Based Health Care Act."
jurisdiction: "us/states/id"
legislature: "Idaho Legislature"
session: "2026"
identifier: "H 928"
citation: "Idaho H 928 (2026)"
classification: ["bill"]
subjects: ["ACTS", "ATTORNEY GENERAL", "CIVIL RIGHTS", "EMPLOYERS AND EMPLOYEES", "FEDERAL LAWS AND RELATIONS", "HEALTH", "HEALTH AND WELFARE DEPARTMENT", "HEALTH CARE FACILITIES", "HEALTH CARE PROFESSIONS AND PROVIDERS", "MEDICAL", "PUBLIC ASSISTANCE"]
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 27
vote_count: 3
first_action: "2026-03-18"
last_action: "2026-04-02"
source: "openstates"
source_identifier: "ocd-bill/b2452e79-fb19-469b-a133-1f0e5ef228d1"
source_url: "https://legislature.idaho.gov/sessioninfo/2026/legislation/H0928/"
source_hash: "e63ce13de0a0a1d5f9ba8908435c8d2822659bf664c3797beb8fe1b6268ea3be"
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 928 (2026) — MERIT-BASED HEALTH CARE – Adds to existing law to establish the Merit-Based Health Care Act.

## 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/2026/legislation/H0928A3.pdf)
2. **Bill Text** (committee substitute) — [source](https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2026/legislation/H0928.pdf)
3. **Engrossment 1** (committee substitute) — [source](https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2026/legislation/H0928E1.pdf)

## Votes

- Read Third Time in Full – — **56–14** (pass) · lower
- Rules Suspended: Ayes 61 Nays 0 Abs/Excd 9, read in full as required – — **55–8** (pass) · lower
- Read third time as amended in the Senate – — **29–6** (pass) · upper

## Sponsors

- WAYS AND MEANS COMMITTEE — primary (organization)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2026-03-18** Introduced, read first time, referred to JRA for Printing `introduction`
- **2026-03-18** Reported Printed; Filed for Second Reading
- **2026-03-19** Read second time; Filed for Third Reading `reading-2`
- **2026-03-20** Read Third Time in Full – PASSED - 56-14-0AYES – Alfieri, Barbieri, Beiswenger, Bingham, Boyle, Bruce, Burgoyne, Cannon, Cayler, Cornilles, Crane(12), Crane(13), Dygert, Ehardt, Ehlers, Erickson, Fuhriman, Furniss, Garner, Hall(Stone), Harris, Hawkins, Healey, Hill, Holtzclaw, Hostetler, Leavitt, Marmon, Mendive, Mickelsen, Miller, Mitchell, Monks, Palmer, Petzke, Pickett, Pohanka, Price, Rasor, Raybould, Raymond, Redman, Sauter, Scott, Shepherd, Shirts, Skaug, Tanner(13), Tanner(14), Thompson, Vander Woude, Veile, Weber, Wheeler, Wisniewski, Mr. SpeakerNAYS – Berch, Cheatum, Church, Egbert, Galaviz, Gannon, Green, Handy, Haws, Manwaring, Mathias, McCann, Nelsen, RubelAbsent – NoneFloor Sponsor - HostetlerTitle apvd - to Senate `passage, reading-3`
- **2026-03-23** Received from the House passed; filed for first reading
- **2026-03-23** Introduced, read first time; referred to: Health & Welfare `introduction`
- **2026-03-25** Reported out of committee; to 14th Order for amendment
- **2026-03-26** Placed in the Committee of the Whole
- **2026-03-26** Amendments ordered printed
- **2026-03-26** Reported out as amended; filed for first reading
- **2026-03-26** Amendments reported printed
- **2026-03-26** Read first time as amended in the Senate; Filed for Second Reading
- **2026-03-27** Read second time as amended in the Senate, filed for Third Reading `reading-2`
- **2026-03-30** Read third time as amended in the Senate – PASSED - 29-6-0AYES – Adams, Anthon, Bernt, Bjerke(Bjerke), Blaylock, Burtenshaw, Carlson, Cook, Den Hartog, Foreman, Galloway, Grow, Guthrie, Harris, Hart, Keyser, Kohl, Lakey, Lenney, Lent, Nichols, Okuniewicz, Ricks, Shippy, Toews, VanOrden, Woodward, Zito, ZuiderveldNAYS – Rabe, Ruchti, Semmelroth, Taylor, Ward-Engelking, WintrowAbsent and excused – NoneFloor Sponsors - Kohl & ToewsTitle apvd - to House
- **2026-03-30** Returned from the Senate Amended; Held at Desk
- **2026-03-30** House Concurred in Senate Amendments
- **2026-03-30** Returned from the Senate Amended; Held at Desk
- **2026-03-30** Bills as Amended Referred to JRA for Engrossing
- **2026-03-31** Reported Engrossed; Filed for First Reading of Engrossed Bills
- **2026-03-31** Read first time as amended in Senate; Filed for Second Reading
- **2026-03-31** Rules Suspended: Ayes 61 Nays 0 Abs/Excd 9, read in full as required – PASSED - 55-8-7AYES – Alfieri, Barbieri, Beiswenger, Bingham, Boyle, Bruce, Burgoyne, Cannon(Cannon), Cayler, Cheatum, Crane(12), Crane(13), Dygert, Ehardt, Ehlers, Erickson, Fuhriman, Furniss, Garner, Hall(Stone), Handy, Harris, Hawkins, Healey, Hill(Hill), Hostetler, Leavitt, Manwaring, Marmon, McCann, Mendive, Mickelsen, Miller, Mitchell, Monks, Petzke, Pickett, Pohanka, Price, Rasor, Raybould, Raymond, Redman, Sauter, Scott, Shepherd, Shirts(Batt), Tanner(13), Tanner(14), Thompson, Vander Woude, Veile, Weber, Wisniewski, Mr. SpeakerNAYS – Berch, Church, Egbert, Galaviz, Gannon, Green, Mathias, NelsenAbsent – Cornilles, Haws, Holtzclaw, Palmer, Rubel, Skaug, WheelerFloor Sponsor - HostetlerTitle apvd - to enrol
- **2026-04-01** Reported Enrolled; Signed by Speaker; Transmitted to Senate `passage`
- **2026-04-01** Received from the House enrolled/signed by Speaker
- **2026-04-01** Signed by President; returned to House `passage`
- **2026-04-01** Returned Signed by the President; Ordered Transmitted to Governor `executive-receipt`
- **2026-04-01** Delivered to Governor at 4:12 p.m. on April 1, 2026 `executive-receipt`
- **2026-04-02** Reported Signed by Governor on April 2, 2026 Session Law Chapter 289 Effective: 07/01/2026 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b2452e79-fb19-469b-a133-1f0e5ef228d1`. Confidence: reported (aggregated from official Idaho legislature records).