The Idaho Patient Act (IPACT) went into full effect on July 1, 2021. The Idaho Patient Act is only applicable to physician practices that need to pursue extraordinary collection actions (ECA)*. However, during the 2022 legislative session, Idaho Medical Association joined with other health care organizations to successfully author and pass HB 778 which will help practices comply with the Idaho Patient Act. Although the legislation represents a compromise with Melaleuca and isn’t everything the IMA and other health care groups desire, the legislation will ease some of the major burdens on practices as they comply with the Idaho Patient Act. The changes outlined in HB 778 went into effect on March 25, 2022.

Please click the links below for a detailed overview of the changes in HB 778: 

Please click the links below for information about the original IPACT law: 

For further questions about IPACT, please reach out to IMA's Director of Government Affairs Mike Cunnington at