The highway was designated in 1926 and its routing has changed drastically through the years. The modern US 191 bears almost no resemblance to the original route, which was primarily in the state of Idaho. Most of the current route of US 191 was formed in 1981. Since the extensions in the 1980s and 1990s, U.S. Route 191 is much longer than its parent route to which it no longer connects, and it is one of the longest U.S. three-digit routes.