Medicaid Expansion

Friday was the deadline for public input on the Montana health department’s draft proposal to add work and community service requirements to the state’s health coverage program for low income adults.

At the end of the month, Montana’s Department of Public Health and Human Services (DPHHS) plans to send the federal government the new outline of the state’s Medicaid expansion program, which covers around 90,000 people.

Plans to tie work requirements to next year’s Medicaid expansion are worrying some of the state’s Medicaid recipients, and they used Thursday’s public meeting in Helena to let state officials know.

Bureau of Business and Economic Research, University of Montana


Nearly ten percent of private sector wages in Montana are paid by hospitals. That’s according to a new study released Tuesday.

New analysis from the state health department shows the new Medicaid work requirements set to take effect on Jan. 1 will apply to more Montanans than expected — up to three times more.

Montana’s Medicaid expansion now covers more than 92,000 people. Its future was in question earlier this year when state lawmakers debated whether to continue it, and if so, how.

Conservative lawmakers campaigned to scrap expansion altogether. More moderate Republicans pushed for adding work requirements for enrollees — something not allowed under the Obama administration but OK'd by President Trump.

Three states in the Mountain West have ballot initiatives this November focused on expanding access to Medicaid. Over time, these traditionally Republican states appear to have warmed to a program originally linked to the Affordable Care Act.

Jackie Yamanaka/YPR

Governor Steve Bullock is making stops in communities across the state to campaign on behalf of a tobacco tax ballot initiative. Monday he was in Billings to promote Initiative 185 that seeks to raising money for for Montana’s Medicaid-expansion program and remove the sunset that ends the program in June.

Idaho and Utah voters will decide whether to expand Medicaid at the ballot this November. Those voters might want to look at a report out this week that assessed how the expansion of the federal health care program played out. 

Idaho officially joined Utah today as the third state to try to expand Medicaid by ballot initiative.

Sonia Belviso, Flkr: https://goo.gl/JU534H

Editor's note: A group named in the complaint responded to YPR's request for comment Monday night. This story was updated to reflect the emailed response.  

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