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---
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 **5614** (pass) · lower
- Rules Suspended: Ayes 61 Nays 0 Abs/Excd 9, read in full as required **558** (pass) · lower
- Read third time as amended in the Senate **296** (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).