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  • Idaho Targets Medicaid Providers with New Anti-DEI Crackdown
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Idaho Targets Medicaid Providers with New Anti-DEI Crackdown

On Wednesday, a lawmaker from Idaho proposed a bill aimed at prohibiting health care providers that receive Medicaid funding from adopting any policies related to "DEI" — which stands for diversity, equity, and inclusion — in their hiring, training, or operational practices.
admin March 5, 2026
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Rep. Clint Hostetler, a Republican from Twin Falls, explained to the House Health and Welfare Committee that this legislation is designed to ensure that employment and contracts focus on “professional qualifications, clinical competency, and quality of patient care,” furthering previous limitations on DEI initiatives and ideas such as critical race theory in higher education..

Anti-DEI bill for Medicaid health care providers introduced in Idaho Legislature 

by Laura Guido, Idaho Capital Sun
March 4, 2026

A bill introduced Wednesday in the Idaho Legislature would prohibit health care providers that accept Medicaid funding to have any “DEI” policies in employment, training or practice requirements. 

Rep. Clint Hostetler, R-Twin Falls, speaks with a colleague on the House floor on Jan. 12, 2026, at the State Capitol Building in Boise. (Photo by Pat Sutphin for the Idaho Capital Sun)

Rep. Clint Hostetler, R-Twin Falls, who introduced the bill in the House Health and Welfare Committee, said the bill clarifies that “employment and contracting decisions should be based on professional qualifications, clinical competency and quality of patient care.” 

The bill’s introduction allows it to return to the committee for a full public hearing. 

He said it reaffirmed the goals of previously approved legislation that cracked down on “DEI,” which stands for “diversity, equity and inclusion” policies in higher education. 

The bill’s definition of DEI includes critical race theory, anti-racism, and “any form of race or sex stereotyping or scapegoating.” 

‘’A merit-based health care system strengthens trusts, improves outcomes and ensures that resources are directed towards excellency and efficiency,” Hostetler said.

 What would the Idaho anti-DEI bill do?

The bill would prohibit practices such as “race-based” or “sex-based” preferences; targets, benchmarks, quotas, or equity goals; mandatory bias, implicit bias, systemic bias, or “similar training that assigns responsibility, disadvantage, o professional outcomes based on protected characteristics rather than individual merit or performance” or required diversity statements or pledges. 

Compliance would need to be a condition for all Medicaid provider agreements, and the Idaho Department of Health and Welfare would need to ensure network-wide compliance for any state Medicaid managed care contractors. 

Rep. Lori McCann, R-Lewiston, (center) speaks from the House floor on March 10, 2025, at the Idaho Capitol Building in Boise. (Pat Sutphin for the Idaho Capital Sun)

Reps. Megan Egbert, D-Boise, and Lori McCann, R-Lewiston, both questioned what would happen to existing contracts with Medicaid providers if the bill went into effect. 

McCann also asked if Hostetler had examples of issues the bill would address. 

“I’d like to know, are we fixing a problem, or are we creating a problem?” McCann asked. 

Under the bill, the attorney general could investigate alleged violations upon receipt of a formal complaint and pursue monetary penalties. 

Hostetler said he would bring examples to a full public hearing. 

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Idaho Capital Sun is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Idaho Capital Sun maintains editorial independence. Contact Editor Christina Lords for questions: info@idahocapitalsun.com.

The proposed bill bans preferences based on race or sex, quotas, compulsory bias training, and diversity statements as prerequisites for Medicaid contracts, granting the attorney general the authority to investigate any complaints and levy fines.

During the discussion, lawmakers expressed concerns regarding the potential effects on current contracts and questioned whether the bill truly addresses significant issues, leading Hostetler to commit to providing examples during a comprehensive public hearing