Provider group warns that operational rules moved to handbook can create unintended consequences

Jan 22, 2026

The Idaho Healthcare Association told the committee that shifting operational details into provider handbooks — rather than rules — can lead to an unwieldy handbook and unintended operational consequences because the handbook is not reviewed annually by the legislature.

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Robert Vandamurwee, executive director of the Idaho Healthcare Association, testified that while his organization supports moving some rules into statute, operational details that end up in the Medicaid handbook can create unintended consequences over time.

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