In 2009, Idaho passed legislation (title 31, chapter 35) that provides medical home services to "medically indigent" populations and appropriate reimbursement to the medical home provider. In February 2014, Idaho passed an Executive Order (No. 2014-02) creating the Idaho Healthcare Coalition (IHC). The IHC is charged with building upon the work of the previously established Idaho Medical Home Collaborative (Executive Order No. 2010-10) to facilitate and support the transformation of primary care practices to the PCMH model, develop regional collaboratives to support practices in transformation, and integrate PCMHs with the medical neighborhood that includes hospitals, behavioral health and other community support services. The IHC also works to advance primary care payment methods that align with the PCMH model and encourage public and private payers to reimburse for improved health outcomes. This work is supported through Idaho's CMS Statewide Healthcare Innovation Plan (SHIP) award.