LEGISLATURE OF THE STATE OF IDAHO Sixty-eighth Legislature Second Regular Session - 2026 Moved by Blaylock Seconded by VanOrden IN THE HOUSESENATE OFSENATE REPRESENTATIVESAMENDMENT HOUSETO BILLH.B. NO.

788,NO. As Amended in the Senate BY HEALTH AND WELFARE COMMITTEE AN ACT RELATING TO PRECEPTOR PRIOR AUTHORIZATION EXEMPTION;

AMENDING788 CHAPTERAMENDMENT 2,TO TITLE 56, IDAHO CODE, BY THE ADDITIONBILL OFOn Apage NEW2 SECTIONof 56-276,the IDAHOprinted CODE,bill, TOfollowing ESTABLISHline PROVISIONS21, REGARDINGinsert: PRECEPTORS AND PRIOR AUTHO- RIZATION EXEMPTIONS;

PROVIDING"SECTION A2. SUNSET DATE;

ANDThe DECLARINGprovisions ANof EMER-Section GENCY1 ANDof PROVIDINGthis ANact EFFECTIVEshall DATE.be null, void and of no force and effect on and after July 1, 2030.";

Beand Itrenumber Enactedsubsequent bysections theaccordingly. Legislature of the State of Idaho:

SECTIONCORRECTION 1.TO TITLE On page 1, in line 5, following "EXEMPTIONS;" insert:

That"PROVIDING ChapterA 2,SUN- TitleSET 56,DATE;". Idaho Code, be, and the same is hereby amended by the addition thereto of a NEW SECTION , to be known and des- ignated as Section 56-276, Idaho Code, and to read as follows:

56-276.

PRECEPTORS -- PRIOR AUTHORIZATION EXEMPTION.

(1) An eligible practitioner who provides three hundred sixty (360) hours or more of pre- ceptorship in a calendar year, with at least sixty percent (60%) of those hours occurring in a qualified rural or underserved area, shall qualify for a twelve (12) month exemption from prior authorization requirements for medi- cally necessary services billed to Idaho medicaid plans.

(2)(a) An eligible practitioner shall be responsible for tracking the eligible practitioner's preceptorship hours and may report such hours to the department of health and welfare upon reaching the minimum amount of hours needed to qualify for the exemption described in subsection (1) of this section.

(b) The department of health and welfare shall verify the hours sub- mitted by an eligible practitioner, and upon verification shall exempt the eligible practitioner from prior authorization requirements as de- scribed in subsection (1) of this section at the start of the next calen- dar year.

(3) The department of health and welfare may rescind an exemption from prior authorization requirements if:

(a) On the basis of a review of a random sample of a statistically sig- nificant number of claims submitted by an eligible practitioner during an exempted period, the department determines that the eligible prac- titioner has fallen below the acceptable risk-weighted claim sampling score.

Such a review may not be conducted more than once per year;

and (b) The department notifies the eligible practitioner at least twenty- five (25) days before the proposed rescinding from exemption is to take effect.

(4) No more than one hundred (100) eligible practitioners from each eligible specialty shall receive an exemption from prior authorization re- quirements pursuant to this section per year.

(5) The department shall promulgate rules, subject to legislative ap- proval, to carry out the provisions of this section, including the develop- ment of a risk-weighted sampling methodology and scoring system that incor- porates both the number and dollar amount of claims.

(6) For the purpose of this section, the following definitions apply:

(a) "Eligible practitioner" means a physician, physician's assis- tant, or advanced practice registered nurse practicing an eligible specialty.

(b) "Eligible specialty" means family medicine, psychiatry, or obstet- rics and gynecology.

(c) "Graduate student" means a medical, physician assistant, or ad- vanced practice registered nurse student, resident, or fellow seeking a degree at the graduate level at any accredited Idaho institution of higher education, including Idaho-funded medical education programs, or completing training in an Idaho-based residency or fellowship pro- gram.

(d) "Preceptorship" means a mentoring experience in which a preceptor provides a program of personalized instruction, training, and supervi- sion that is offered to eligible graduate students to enable the stu- dents to obtain professional degrees.

(e) "Qualified rural or underserved area" means a primary care health professional shortage area or a medically underserved area, as those terms are defined in section 39-5903, Idaho Code.

SECTION 2.

The provisions of Section 1 of this act shall be null, void and of no force and effect on and after July 1, 2030.

SECTION 3.

An emergency existing therefor, which emergency is hereby declared to exist, this act shall be in full force and effect on and after July 1, 2026.