About

Why this exists

In March 2026, the Idaho Legislature approved a 4 percent across-the-board reduction for most state agencies, then approved an additional $21.8 million general-fund cut concentrated on Medicaid home and community-based services. Together, these produced a roughly 10 percent effective reduction to residential habilitation and related disability services, with a total impact of about $74 million.

The April 2026 Potentia Public Policy Institute white paper called for coordinated, quarterly tracking of operational impact across providers. This site is the implementation of that recommendation.

Dual purpose

Today: Make the operational consequences of Idaho's rate decisions visible, measurable, and attributable — for providers, the public, the press, and the Legislature.

2027: Build operational discipline ahead of the H.B. 863 mandatory annual cost-survey audits, and create an independent record of system impact the state's audit-driven rate process will not capture.

Governance

The network is peer-led. Participating providers shape the survey instrument, methodology, and publication schedule. No vendor owns the data. Aggregated, suppressed results are published openly each quarter.

Contact

For questions, partnership, or media inquiries, send the coalition a message. Messages route directly to coalition reviewers.