[{"_1":2,"_112":-5,"_113":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,100],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6231209,"mediaKeyId","3434834-8eea04c0d3b905a73621818df68f3757","parentId",3434834,"title","Doctors and legislators discuss building maternal‑care workforce; fellowship expansion seen as one tool","audioSeconds",1765,"startMs",9665000,"endMs",11430000,"viewUrl","/Search/View?dp=1&key=3434834-8eea04c0d3b905a73621818df68f3757&start=9665&end=11430","thumbnailUrl","https://assets.pipeline.soar.com/3434834-8eea04c0d3b905a73621818df68f3757/thumbnail_9665000.jpg","articleUrl","/articles/6231209/Idaho/Doctors-and-legislators-discuss-building-maternalcare-workforce-fellowship-expansion-seen-as-one-tool","mediaUrl","https://secure.pipeline.soar.com/6231209-19ef000ad9e3161327c5f611b1e684cd/orig.mp4?Expires=1775410983&Signature=QyRoidRzKdmWrUXosi9XVLL2ZWOZ~DVRd5CqemI6cnYqX2-L7vVIc~63AzRu-8ah7dgoWVttSQfnZom4btQVJPQKXTB5NA3LIurTb3YbAk4HEb-4Lf243iJTxZ1LrF5SEv2HcTJnzkgclTCK9ZsSooKaIpq6cJtQ~omnXgd7DqXZocF1sudZgsB8bD26SPbCmC07hPFkMN202iJZ9xqflBFGwA2s7s4j5VBBXNiztt-x4xS9S7FManRKblRBlgA0zNwUG66kYNeM6K7MM6RHWMcn4oZqqhsbAuYJnZ3bMrxd6pZzzGO2AT4K8cOxSzHCgF3kVzwr1UtVMly5z9YrXQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Senate of Idaho","date","2025-05-19T00:00:00Z","article","Dr. Jennifer Cook, associate director of the family medicine residency and director of an obstetrics fellowship, told the Joint Finance‑Appropriations Committee that Idaho faces a shortage of clinicians able to provide surgical obstetrics in many rural counties and that expanding fellowship training and targeted funding could help.

Cook said her program took six years to establish and now has graduated 11 fellows; roughly half of graduated fellows have stayed to practice in Idaho. She described local workforce gaps and told lawmakers that 28 of the state’s 38 counties lack an obstetrician or family‑medicine clinician who provides surgical obstetrics. “The only other places we have to look at is somewhere like Idaho Falls or Pocatello … these areas have enough volume to create the competency you need,” Cook said, adding that the state should consider teaching reimbursement, loan repayment, and clearer legal guidance to support recruitment and retention.

Cook and committee members discussed costs and program needs. She estimated a fellowship’s direct cost at roughly $200,000 per fellow per year (salary, malpractice and operating costs) and recommended state support for fellow salaries, teaching reimbursement for clinicians who supervise training, and improved Medicaid reimbursement that would make rural maternal‑care practice financially viable. She also urged clearer statutory or administrative clarification so clinicians and hospital administrators understand permissible emergency and prenatal care actions without fear of regulatory or legal consequences.

Lawmakers and staff said they would explore ways to target resources for residency/fellowship expansion and to clarify practice standards. Members also pressed for information on which hospitals have closed maternity units and what supports would be needed to reopen services.","mediaType","Video","parentTitle","Senate Finance Meeting May 19, 2025","oneSentenceSummary","Physicians and residency leaders told the committee that expanding family‑medicine OB fellowships and supporting community hospitals are critical to reversing maternal‑care deserts in Idaho; speakers asked the legislature to fund fellowships, clarify legal practice boundaries, and support hospital capacity and Medicaid reimbursement changes.","taxTitle","Finance, SENATE, Committees, Legislative, Idaho","taxId",69393,"location","Idaho","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6231214,"Legislative staff demo Idaho Base Analysis Tool to give lawmakers searchable view of agency base budgets",339,6801000,7140000,"/Search/View?dp=1&key=3434834-8eea04c0d3b905a73621818df68f3757&start=6801&end=7140","https://assets.pipeline.soar.com/3434834-8eea04c0d3b905a73621818df68f3757/thumbnail_6801000.jpg","/articles/6231214/Idaho/Legislative-staff-demo-Idaho-Base-Analysis-Tool-to-give-lawmakers-searchable-view-of-agency-base-budgets","https://secure.pipeline.soar.com/6231214-d891c448f1fd888adfc74a7a06305092/orig.mp4?Expires=1775410983&Signature=oL-hCXKILU1tlH6G2chIZWamDGhq~pv4WpYteTgSyQfrCdEtTkPJdj7Abhk-CW28duRY~y5P-AQqbHux8J1wMLxujMEy05DOFkAG4U-rkbBl01dvk8XHy48xA0qQx6C2BjNbeEsFLgIQ9QBXkJGoHhtFta8gmbLb4KCSIrK6iKBR0sxvGuIwUx0EqBqh2Ut2ahqxlnNtZlOa~UvNAmN8gj1jiP1AXpZuqktMbyyy9XHYR5o4j59h7wn04nszVX1CKp0JPt3T2-~x63yeprntzayMuAdegE0xOJpCMCTm~dX3fgS9iMCzVZPzLWcshNWqnW5SgjskrYFfFh24eGb6lw__&Key-Pair-Id=KUT5TJCACFTXG","Paul Headley of the Legislative Services Office and Casey Hartwig demonstrated the Idaho Base Analysis Tool (referred to in the briefing as IVAT), an interactive dashboard that assembles historical appropriations, base builder details, and narrative from fiscal reports to make base budgets searchable and transparent.

Headley told the Joint Finance‑Appropriations Committee that roughly 90 percent of statewide appropriations sit in the base and that the tool is intended to help lawmakers and staff “answer questions about not only how the base was built with the numbers, but why the base was built.” The tool links each year’s base, maintenance adjustments and ongoing enhancements to spending categories, personnel FTE, and the original appropriation narratives that described intended outcomes.

Casey Hartwig walked committee members through the tool using the Idaho Lottery, Department of Corrections and other agencies as examples, showing timelines, 25‑year appropriation charts and expandable “base builder” line items. The presenters showed how a large 2013 drop in Lottery base appropriation could be traced, with drilldowns, to a change in vendor fee treatment. They demonstrated filters for fund source (general, dedicated, federal), expenditure category (personnel, operating, trustee/benefit, capital), and program level details; the team said the goal is a September rollout of initial agency pages and a continuing build‑out of historical data.

Committee members were encouraged to request personalized walkthroughs and to raise questions with analysts; staff said agency links to existing public resources such as Transparent Idaho would be retained and that the tool will support deeper diligence in appropriation decisions.","Legislative staff demonstrated a new online tool (Idaho Base Analysis Tool) that pulls 25 years of appropriations and agency narratives into an interactive interface to help lawmakers trace how base budgets were built and why, with plans to roll out agency data this fall.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6231219,"Legislative study recommends statewide fleet utilization standards and uniform reporting",754,1716000,2470000,"/Search/View?dp=1&key=3434834-8eea04c0d3b905a73621818df68f3757&start=1716&end=2470","https://assets.pipeline.soar.com/3434834-8eea04c0d3b905a73621818df68f3757/thumbnail_1716000.jpg","/articles/6231219/Idaho/Legislative-study-recommends-statewide-fleet-utilization-standards-and-uniform-reporting","https://secure.pipeline.soar.com/6231219-63ce26b8147a981f2cc88a3cc66ad785/orig.mp4?Expires=1775410983&Signature=VOrNbvtBKSlAglkdBkExrg9avdrTEvFfK1exkAratDT38zQlgHGQ6Zir4h-tO8ZW5FOsh~rxF3~foJNPfoFlJi7gyIaQB8zQzzJddIxqvQ7noxV53XN7JUNOQFuHnVC5RO4T3dIwqqoB33zFrA6kaf0GHgpGTD7qYbJpgHvb-vIrtgnPIiQ~4JPIoUpLVCF7OPDAWUTQ0b6Q9BCPnyWAPq-RokXJz1UPxr~-CJUDKoG2iEnDVVLyfKNKwU7ySxyNA28vuD5j8ILPe6JyeERk1OXcMK0KYs8f5DnqONuwidXGT5UxM3T5HvQuV1FCwBRk3~xbLHiIb8~Vs48m6BhJpw__&Key-Pair-Id=KUT5TJCACFTXG","Alex Payne, a research analyst with the Legislative Service Office, presented findings from a fleet management study the office ran from March 21–April 11, surveying 60 agencies about vehicle inventory, use and disposal.

Payne said the survey identified approximately 5,500 passenger vehicles among responding agencies (8,776 total units including trailers and specialty equipment in risk management records) and highlighted variations in utilization and replacement policies. “Two of the best practices that I’ll really try to hammer on … are minimal vehicle utilization standards, and mileage and age disposal standards,” Payne told the committee.

The study’s primary recommendations included: consistent fleet reports from agencies to the legislature with standardized fields (asset, age, odometer, assignment), adoption of statewide minimal utilization standards (time‑ or mileage‑based) with waivers and documented justifications for low‑use vehicles, and revised guidance in the budget development manual clarifying average purchase pricing and upgrade packages. Payne presented examples from Idaho agencies: ITD uses time‑based targets (e.g., sedans 90 days/year; trucks 144 days), and Boise State uses a 1,000‑mile annual target for some vehicles.

Payne also outlined follow‑up areas for study, including feasibility of a centralized fleet management function, statewide maintenance contracts, and a state fleet management system. Tech options discussed ranged from mileage calendars and GPS devices to full fleet software that tracks maintenance, utilization and generates reports for decision‑makers.

Committee members asked for the list of non‑responding agencies and for cost estimates to centralize fleet management. Payne said he could provide the agency participation list and that a detailed cost study for centralization would be a logical next step.","The legislative service’s fleet study, presented to the committee, found roughly 5,500 passenger vehicles across responding agencies and recommended statewide utilization standards, uniform agency reports to the legislature, and clearer purchase/disposal guidance to reduce underused vehicles and improve lifecycle management.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6231224,"State budget monitor shows $97.6 million projected shortfall but retains multi‑hundred‑million reserve",628,480000,1108000,"/Search/View?dp=1&key=3434834-8eea04c0d3b905a73621818df68f3757&start=480&end=1108","https://assets.pipeline.soar.com/3434834-8eea04c0d3b905a73621818df68f3757/thumbnail_480000.jpg","/articles/6231224/Idaho/State-budget-monitor-shows-976-million-projected-shortfall-but-retains-multihundredmillion-reserve","https://secure.pipeline.soar.com/6231224-55984f957e9f748de6289cfd0049763e/orig.mp4?Expires=1775410983&Signature=UDAQh2QCe0p0tOTF3muF7W4~2-88GK4amcHKCCKsH8JbLRDanSanGg9JmheU6DT2rAMGKkN498g79xZXX6bQXR4q0gDPhzWzDwiSyZ9RXnJ6aewMgqkY8axSMjlcnPOArt8RKxXitXktck2-44miyPYvM5xKfpsXlua3fHBOPcTlHbugDZQ8FdaPVVJjySRPRa-rrTAXAI5qwI1WPcLTZFvWaCyE75Lxd3FZtSNAh~UX8pOFPklMAREHZfWUwjxN18DN3vVN2AgVwdqS49MDuSYxruS4ZC46N4PwKXA0EK0FMEFi-evUW-Q7A-xwmxZgN06PuhL1GKY58vSlKV2ObA__&Key-Pair-Id=KUT5TJCACFTXG","A staff budget presenter told the Joint Finance‑Appropriations Committee that the state faces a projected $97.6 million shortfall for the current fiscal year, but that available reserves and carryforward reduce immediate fiscal stress.

The presenter said year‑to‑date collections total about $4.7 billion and that the last two months of the fiscal year typically bring another $1.1 billion, leaving the state about $100 million shy of the adopted forecast. “Right now, we’re about a hundred million dollars behind, and so we will need to start running some surplus for the months in May and June in order to make up that shortfall,” the presenter said. The briefing noted a $420.3 million bottom line carryforward reported in the April update; removing the shortfall would leave roughly $322.7 million on the bottom line.

The staff member walked committee members through enacted 2026 budget figures and the effect of recent tax legislation. The presenter said the legislature’s adopted revenue number was roughly $6.4 billion and that several bills (including House Bills 40, 93, 304 and 231) and related measures reduced baseline revenues, producing long‑term revenue impacts. The presenter also cited a forecast adjustment that reduced the revenue estimate relative to DFM’s model and said growth projections for the year range from roughly 4.1 percent (if DFM’s forecast is realized) to 4.7 percent (the budget office’s forecast).

Committee members pressed for details about specific line items and the composition of funds. The presenter emphasized that the base budget remains the starting point for the FY2027 process and that further adjustments and the June book close will determine the actual beginning balance for FY2027. “You’ll remember the $275 million general fund cash transfer last year to the strategic initiatives program,” the presenter told members as an example of how one‑time and continuously appropriated transfers affect the numbers.

Context: The briefing combined a revenue update, an overview of how recent tax legislation affects baseline growth, and a reminder that the three‑way close in June will produce the official starting balance for next year. Committee members asked for follow‑ups on forecast drivers and how cash positions would be reported to legislators ahead of the June close.","A legislative budget presenter told the Joint Finance‑Appropriations Committee that year‑to‑date revenue collections trail the forecast, producing a $97.6 million projected shortfall for the fiscal year, but the general fund still carries several hundred million dollars of cushion heading into the next fiscal year.","actionData","errors"]

Article not found

Doctors and legislators discuss building maternal‑care workforce; fellowship expansion seen as one tool

Legislative staff demo Idaho Base Analysis Tool to give lawmakers searchable view of agency base budgets

Legislative study recommends statewide fleet utilization standards and uniform reporting

State budget monitor shows $97.6 million projected shortfall but retains multi‑hundred‑million reserve