For years, Idaho state lawmakers have worried the federal government might cut Medicaid funds. That’s partly why the Legislature didn’t expand Medicaid to more low-income earners. In 2018, voters approved that policy through a ballot initiative.

Some of the changes to the program under the One Beautiful Bill Act include imposing stricter eligibility requirements — the most significant being 80-hour monthly work requirements for many adults on Medicaid.

"The One Big Beautiful Bill obviously covers a lot of different legislation, and within it, there was a section that recategorized who is eligible based on immigrant status for a handful of programs, and that was specifically Medicare, Medicaid, CHIP (Children's Health Insurance Program), SNAP, and marketplace subsidies," Thomas said.