Idaho Code
Idaho Code

Idaho Code § 31-3503 (2026)

Reimbursement. 

✓ current as of May 2026
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Reimbursement. 

(1) An approved application for financial assistance for services received through March 31, 2022, shall obligate an applicant to reimburse the obligated county and the state for such reasonable portion of the financial assistance paid on behalf of the applicant as the county commissioners may determine that the applicant is able to pay from resources over a reasonable period of time. Cash amounts received shall be prorated between the county and the state in proportion to the amount each has paid. Moneys distributed to the state shall be deposited into the state general fund.

(2)  A final determination shall not relieve the applicant’s duty to make additional reimbursement from resources if the county commissioners subsequently find within a reasonable period of time that there has been a substantial change in circumstances such that the applicant is able to pay additional amounts up to the total claim paid on behalf of the applicant.
(3)  A final determination shall not prohibit the county commissioners from reviewing a petition from an applicant to reduce an order of reimbursement based on a substantial change in circumstances.
(4)  The automatic lien created pursuant to the chapter may be filed and recorded in any county of this state wherein the applicant has resources and may be liquidated or unliquidated in amount. Nothing herein shall prohibit an applicant from executing a consensual lien in addition to the automatic lien created by filing an application pursuant to this chapter. In the event that resources can be located in another state, the clerk may file the lien with the district court and provide notice to the recipient. The recipient shall have twenty (20) days to object, following which the district court shall enter judgment against the recipient. The judgment entered may thereafter be filed as provided for the filing of a foreign judgment in that jurisdiction.
(5)  The county shall have the same right of recovery as provided to the state of Idaho pursuant to sections 56-218 and 56-218A, Idaho Code.
(6)  The county commissioners may require the employment of such of the medically indigent as are capable and able to work and whose attending physician certifies they are capable of working.
(7)  That portion of the moneys received by a county as reimbursement that are not assigned to the state shall be credited to the respective county current expense fund.
(8)  The automatic lien attached to an application for services received through March 31, 2022, pursuant to this chapter as it existed on March 1, 2022, shall continue to be valid for the purposes of collecting reimbursement pursuant to this section.
(9)  Upon receipt of a settlement application, the county commissioners may negotiate and settle a case for financial assistance paid, which includes full lien release, on behalf of the state.
Notes of Decisions
Cited in 16 cases (2 in the last 5 years), 1982–2023 · leading case: Powers v. Canyon Cnty., 703 P.2d 1342 (Idaho 1985).
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Powers v. Canyon Cnty., 703 P.2d 1342 (Idaho 1985). · cites it 12× “Indeed, the state legislature, through Idaho Code § 31-3503 (3), has apparently delegated to the Idaho Association of Counties the power to determine the specific eligibility criteria under the catastrophic health care provisions of the Act.”
E. Idaho Reg'l Med. Ctr. v. Minidoka Cnty. Bd. of Cnty. Commissioners, 106 P.3d 1123 (Idaho 2005). · cites it 6× “See I.C. § 31-3503(1). As discussed above, Bermudes is a non-resident.”
St. Luke's Reg'l Med. Ctr., Ltd. v. Bd. of Commissioners, 203 P.3d 683 (Idaho 2009). · cites it 2× “I.C. § 31-3503. The policy behind Chapter 35 is to encourage personal responsibility for medical care and to charge counties with the duty to care for individuals that cannot meet this responsibility.”
Intermountain Health Care, Inc. v. Bd. of Cnty. Commissioners, 702 P.2d 795 (Idaho 1985). · cites it 6× “The court then reviewed the statutory language of I.C. § 31-3503, which obligates the county to pay for medical care of indigents, and of I.”
Idaho Falls Consol. Hospitals, Inc. v. Bingham Cnty. Bd., 642 P.2d 553 (Idaho 1982). · cites it 4× “§ 31-3501, which had its origin in Sections 1 and 2 of the 1864 Act to provide for the care of indigent sick, now became I.C. § 31-3503, with this change: Prior to 1974 the section provided: “To care for and maintain the indigent sick or otherwise dependent poor, aged and infirm…”
IHC Hospitals, Inc. v. Bd. of Commissioners, 697 P.2d 1150 (Idaho 1985). · cites it 4× “I.C. § 31-3503. In a non-emergency setting, the county must investigate both the claimed indigency and the need for the care requested.”
Bonner Gen. Hosp. v. Bonner Cnty., 981 P.2d 242 (Idaho 1999). · cites it 4× “Idaho Code § 31-3503 (1), on the other hand, is mandatory.”
Bonner Cnty. v. Kootenai Hosp. Dist., 183 P.3d 765 (Idaho 2008). · cites it 2× “Indeed, I.C. §§ 31-3503 through 3505G provide a detailed process by which one submits a written application for assistance to the board of county commissioners, who make *681 the determination as to whether the individual is medically indigent under the statute.”
Ada Cnty. v. Browning, 489 P.3d 443 (Idaho 2021). · cites it 2× “3d 683, 687 (2009) (citing I.C. § 31-3503). “[T]he legislature’s general intent in enacting the medical indigency assistance statutes is twofold: [1] to provide indigents with medical care and [2] to allow hospitals to obtain compensation for services rendered to indigents.”
Shobe v. Ada Cnty. Bd. of Com'rs, 944 P.2d 715 (Idaho 1997). · cites it 6× “termination is demonstrated by the statutory powers and duties of boards of county commissioners: “The boards of county commissioners in their respective counties shall, under such limitations and restrictions as are prescribed by law: (1) Care for and maintain the medically or…”
In Re Daniel W., 183 P.3d 765 (Idaho 2008). · cites it 2× “Indeed, I.C. §§ 31-3503 through 3505G provide a detailed process by which one submits a written application for assistance to the board of county commissioners, who make *769 the determination as to whether the individual is medically indigent under the statute.”
In re Boise Cnty., 465 B.R. 156 (Bankr. D. Idaho 2011). · cites it 2× “Idaho Code § 31-3503 (1). Costs exceeding $11,000 are paid by the Catastrophic Health Care Cost Program, see Idaho Code § 31— 3503A(1), which is funded by the state of Idaho through the Catastrophic Health Care Cost Account, see Idaho Code § 57-813 .”
Show all 16 citing cases →
— Idaho Code § 31-3503(1) — 4 cases
E. Idaho Reg'l Med. Ctr. v. Minidoka Cnty. Bd. of Cnty. Commissioners, 106 P.3d 1123 (Idaho 2005). “See I.C. § 31-3503(1). As discussed above, Bermudes is a non-resident.”
Bonner Gen. Hosp. v. Bonner Cnty., 981 P.2d 242 (Idaho 1999). “Idaho Code § 31-3503 (1), on the other hand, is mandatory.”
St. Alphonsus Reg'l Med. Ctr., Ltd. v. Twin Falls Cnty., 732 P.2d 278 (Idaho 1987).
Owens v. Ada Cnty. Bd. of Commissioners (Idaho 2023).
— Idaho Code § 31-3503(3) — 1 case
E. Idaho Reg'l Med. Ctr. v. Minidoka Cnty. Bd. of Cnty. Commissioners, 106 P.3d 1123 (Idaho 2005). “See I.C. § 31-3503(1). As discussed above, Bermudes is a non-resident.”
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