Montana
Montana's Medicaid disenrollment is even a bigger catastrophe than previously reported – Daily Montanan
You wouldn’t believe how many different ways I tried to begin this column trying to find the perfect analogy or phrase to sum up just how badly the Gianforte administration has handled Medicaid in Montana.
Describing it as a dumpster fire, for example, would imply that a raging fire is contained in a small space. More importantly, it says nothing about the real Montanans who lives are upended by what is a political decision that has more to do with Republicans trying to out-Republican each other than it does with being earnestly concerned about fraud, the reason given for making Medicaid enrollment so severe in Montana.
Our ideologue governor has taken a system that was often cited as a model of how the Medicaid expansion could work and dismantled it, hurting Montanans who struggle, hospitals and healthcare professionals, and reneging on a financial set-up so sweet that it should make anyone with a little business acumen scratch their head.
Let’s begin with the basics: After the COVID-19 pandemic, everyone, including the federal government, knew that Medicaid rolls would need to be trimmed, and expected that many who were previously eligible would drop because they had either restarted employment or found a new job.
But Montana’s number of people dropped from the public insurance enrollment has literally been extraordinary. As it stands right now, 10% of the state’s entire population has been dropped – a sheer number that should raise eyebrows.
The Gianforte administration in its zeal to attack a successful government program that has meant better health for residents as well as more stability for our stretched rural-centered healthcare, has also thumbed their noses at a deal that costs the state just a fraction of what it could be spending. For every dime the state contributes toward Medicaid, Montana receives 90 cents from the federal government. Virtually no other state gets a deal quite this sweet, and if the Gianforte administration had half of the business acumen it touts, it would be doing everything it could to take advantage of this deal.
Who wouldn’t take a deal that guaranteed giving us nine times the money we invest?
Setting aside the most important point that seems to get lost in every Medicaid policy discussion: The effect of Medicaid expansion in Montana has meant that residents are living healthier lives because they have insurance, and Medicaid has also meant a financial lifeline to hospitals who were strapped with a growing number of uninsured and underinsured patients.
These rural healthcare facilities in Montana are often the economic backbones of smaller communities, often being the largest private employer in rural communities. What the Gianforte administration has done, with the legislature’s approval, is threaten the viability of rural healthcare in the state by booting residents off the Medicaid rolls, leaving those already strapped healthcare organizations to absorb the loss. The lawmakers decided that Montana should “redetermine” eligibility more quickly, meaning there’s more churn to Medicaid, meaning more instability for residents and the healthcare they rely upon. Look no farther than what has happened to our rural nursing homes to see the results of not funding healthcare adequately.
But don’t take my word for it, look at the statistics. Montana has been booting residents from the Medicaid roll at a clip that is around three times more than average nationally. What makes that fact even more troubling is the inconsistent, if not conflicting, reports lawmakers have gotten from the Department of Public Health and Human Services, whose answers have more closely resembled a choose-your-own-adventure book than transparency.
You may recall that as Montana started its Medicaid purge, the Biden administration placed the state on notice that it was booting residents so quickly while at the same time seeming to ignore that the state had created a situation that was nearly impossible for those same residents to talk to a live person to get help.
Keep in mind that Gianforte himself made close to a billion dollars by creating a technology company that served to create customer service call centers. So much, apparently, for running the state like a business. This should have been something that Gianforte could have solved himself.
As lawmakers from both parties expressed concern that Montana was booting too many residents too quickly off Medicaid, DPHHS director Charlie Brereton quipped that the state could actually speed up the process – a sort of veiled threat that lawmakers should step lightly.
Yet last week, when lawmakers continued to press for answers about why so many people were losing insurance, as well as other related matters, Brereton told legislators that his staff were so taxed, and spread so thin that they simply don’t have time to answer their questions – the same people who are charged with making policy decisions about this essential care.
So, I’ll ask: Which is it, Mr. Brereton? Is it that your staff could boot Montana residents even more quickly from health insurance that they need, or is it that you can’t even provide answers because your staff is so overworked?
An equally plausible answer is that the administration could start bumping off residents from Medicaid more quickly and won’t answer the lawmakers’ questions because the state is carrying out a political decision that has little to do with ensuring Montanans’ health, making a sound financial decision or worrying about the economic health or rural Montana.
Let me put it bluntly, though – in terms that would normally be hyperbole, but, in this case, are literal.
When people don’t have insurance, they suffer more and die sooner.
When rural healthcare facilities see a rise in uncompensated, uninsured patients, they close.
When lawmakers can’t get answers from their partners in government, public trust is eroded and government moves from function to dysfunction.
Maybe the Gianforte administration can help me: How is any of this an example of good government?
BOZEMAN — Aaron Flint and Al Olszewski, Republican candidates for Montana’s Western District U.S. House race, squared off Tuesday in their party’s only scheduled debate before the party primary.
The two debated for about 90 minutes at Bozeman’s Calvary Chapel before an audience of about 120 people. Bozeman anchors Gallatin County, which is second in Republican votes only to Flathead County within the 18-county district.
Natural resource jobs, affordable housing and U.S. military attacks on Iran dominated the discussion. Each question drew 12 minutes of response. Both men called for an end to stock trading by members of Congress, and for federal budgets to be passed on time through regular procedures.
The Montana GOP sponsored the debate. Candidate Christi Jacobsen, Montana’s secretary of state, was unable to attend, according to state Republican Party Chair Art Wittich. State Senate President Matt Regier moderated.
Among the highlights: Flint mentioned no fewer than eight times that he is endorsed by President Donald Trump. Olszewski mentioned Trump by name only a couple of times.
Never too far from Flint’s talking points were “far-left socialists,” whom he credited for “gerrymandering” the Western House District (which has delivered comfortable wins for Republicans since first appearing on the ballot in 2022). The 2026 election cycle was the target of Democrats on the state’s districting commission, Flint said. (Both Democrats on the commission that drew the district in 2021 voted against its current configuration.)
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Now comes Al Olszewski, aka “Dr. Al,” to perform his role in the rotation of special guests at Republican dinners, where references to Donald Trump are like table salt — never on the menu, but always included. Unless, that is, there’s another candidate in the race boasting of Trump’s endorsement, as there is in Olszewski’s…
Why Aaron Flint says Congress should be more like talk radio
Aaron Flint — grandson of Glasgow newspaper publishers, 25-year veteran of local TV and radio journalism and first-time political candidate — touts “deep relationships” with his talk show listeners. Will that audience translate into enough votes to overcome a crowded Republican primary?
The near faux pas of the night came during Olszewski’s discussion of good-paying jobs in trades and natural resources: “Trades jobs, natural resource jobs, you know, high-dollar, white-collar jobs, our remote workers who have moved into Montana, and we’ve adapted an economy around them. You know, these are the people, and those are the jobs that will bring our kids home, those high-paying white-collar jobs, or a good natural resource job in western Montana, in one of those mines, or, you know, you know, a sawyer or a hooker” — big pause — “as in timber, not the other way around.”
The line that didn’t land: Flint tried and failed to get audience applause for the 2024 defeat of Democratic U.S. Sen. Jon Tester by Republican Sen. Tim Sheehy — an unseating Flint campaigned for.
“How many of you out there are so glad that we finally got rid of the flip-flop, flat-top liberal senator, Jon Tester? How many of you are so glad we finally did that?”
After a silence, Flint explained to people watching the debate on Facebook that the audience was just being polite.
“They’re waving because we can’t have disruptions. See, they’re good rule followers here in the Republican Party,” Flint said.
Asked how to alleviate Montana’s housing affordability crisis:
Olszewski: “The only way you can afford an expensive house is you’ve got to have a job that pays good money. Tourist jobs provide rent and roommates. Trades jobs, natural resource jobs, high‑dollar white‑collar jobs … those are the jobs that will bring our kids home.” Dr. Al, as Olszewski is widely known, said Wall Street investment buyers are distorting housing prices and the federal government has weakened the dollar.
Flint: “Thirty percent of the cost of a home is all due to red tape and regulations … It costs $100,000 to build a home before you even put a hole in the ground.”
Flint said reviving Montana’s timber industry would lower home values and added, “I support President Trump’s ban on these big Wall Street firms buying single-family homes. I think that’s something that we’ve got to get across the finish line.”
“We can deliver when it comes to making the Montana dream affordable again by delivering affordable housing. But another piece is promoting trades and trades education to build up our workforce.”
Asked how Congress should respond to the Iran conflict:
Olszewski: “I supported our president with what happened in Venezuela. There’s a $25 million bounty on basically someone that was killing our people through drugs, right? I’m not so happy with what’s going on in the Iran war. I’m not a warrior. I’m a physician from the military that fixed military people … What my perspective is, is that countries can win wars, but people do not. They don’t come back.” Olszewski said Congress will have to decide whether to authorize further use of military force and set terms in about 10 days.
Flint: “Let me just say this. We are sick and tired of these forever wars, and we do not want to see a long-term boots-on-the-ground Iraq-style nation-building exercise, and I think President Trump shares that mission as well. Let me also say this about Iran. First off, [former Venezuelan President Nicolás] Maduro is behind bars. [Iran’s Supreme Leader Ayatollah Ali] Khamenei is dead, but the far-left socialists are on the march in Montana.”
Asked about reforming Congress:
Olszewski: “What our congressmen and congresswomen have to understand is that if you’re in the House, the House belongs to the people, and they need to, first and foremost, represent you, not themselves, not special interests. It’s not about sound-bites. It’s about actually getting work done and governing.” Olszewski said the House needs to pass a budget based on 12 agency appropriations bills before the end of each federal fiscal year, a process known as “regular order.”
Flint: “We need to return to regular order and get single-subject bills and get these appropriations bills done one by one. If they can’t get a budget done, they shouldn’t get paid. And we need a ban on congressional stock trading. Because I think part of the reason why the American people are so frustrated with Congress right now is because … they believe that Congress is so useless, because we’ve got some of these politicians back there that are getting rich off the backs of taxpayers.”
Neither candidate offered a plan for cutting taxes, once a staple of Republican platforms. Both supported reductions in federal spending without identifying particular cuts.
Voting in Montana’s 2026 primary election begins May 4 and ends June 2.
POLSON, Mont. — Two motorcyclists crashed on Highway 35 near Polson after failing to negotiate a left-hand curve, leaving one man dead and another hospitalized, according to the Montana Highway Patrol.
Two motorcycles were traveling southbound on Highway 35 when both drifted into a guardrail. Both drivers were separated from their motorcycles and ended up on the other side of the guardrail.
A 58-year-old Polson man was confirmed dead at the scene. The second driver, a 45-year-old man, also from Polson, was taken to the hospital with injuries.
Alcohol is a suspected factor in the crash, according to the Montana Highway Patrol.
The crash is under investigation.
KALISPELL — A Flathead County man is turning a personal rock bottom into a lifeline for his community by starting a free, late-night ride service to keep drunk drivers off the roads.
Adam Bruzza started Big Sky Sobriety Shuttle LLC, a free ride share service for people who have been drinking, after realizing he was struggling with addiction.
Maddie Keifer reports – watch the video here:
MT man starts free, late-night ride service to keep drunk drivers off the roads
“I just wanted to give people who do still drink the option for a safe, sober ride home,” Bruzza said.
Bruzza said a devastating mistake behind the wheel became a turning point where he decided enough was enough.
“I was charged with a DUI October 22 of 2024,” Bruzza said.
After a few months focused on his sobriety, Bruzza channeled his energy into his community by starting the shuttle service.
He operates the shuttle in his personal pickup truck. Riders can reach him by phone, text or social media at any time of day or night at no cost.
“I just wanted to give others the opportunity to not get a life changing charge,” Bruzza said.
Bruzza works with bars to connect riders with his service. Although the Big Sky Sobriety Shuttle is a new endeavor, he has already seen a big impact.
“The community response without a doubt has been unconditional love and support that makes my heart all warm and fuzzy,” Bruzza said.
Bruzza also shared a message for others who may be struggling with addiction.
“Your life is worth it, there are people that care out there and it is okay to ask for help,” Bruzza said.
To learn more, click here to visit the Facebook page.
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