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Bill would create a funding model for long-term care, includes inflationary adjustment

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Bill would create a funding model for long-term care, includes inflationary adjustment


A invoice that will set a framework for future funding of senior and long-term care bought its first listening to Friday because the sponsor, Sen. Becky Beard, opened by declaring the elephant within the room — Montana’s aged are invisible, she stated.

Amidst mass closures of nursing houses and restricted capability as a result of staffing shortages, aged Montanans have struggled to entry a lot wanted well being care and have been pressured to maneuver as services shut.

When directors pleaded with Gov. Greg Gianforte’s administration for emergency funding, well being division officers deflected the request, saying that long-term care shouldn’t be financially sustainable and that it didn’t make sense to proceed offering monetary guardrails for the business.

This dealt a punishing blow to nursing dwelling directors throughout the state.

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“I voted for individuals to return and characterize me, pondering that that they had considerably Montana values. What I’ve come to comprehend is that the values that we thought have been inherently the identical…aren’t there right this moment,” stated Daryl Towes, board member for Valley View Nursing House in Glasgow.

Persons are additionally studying…

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Towes spoke in help of Senate Invoice 296, which goals to deal with a few of the systemic issues in long-term care funds and stabilize the business in Montana.

Rose Hughes with Montana Healthcare Affiliation, which represents nursing houses, assisted residing and residential service companies, supplied a lot of the context for the invoice.

The invoice features a schedule for normal prices evaluation that will assist set the requirements for figuring out Medicaid reimbursement charges, Hughes stated.

Each 4 years, the evaluation would have a look at the price of offering companies, inflation, altering demand and high quality and security measures.

Through the use of nationally acknowledged instruments for inflationary changes, a monetary disaster could also be averted sooner or later, and will surely preserve legislators from going through the present circumstances once more, which name for pressing and sizable investments in senior and long-term care.

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The price evaluation wouldn’t essentially set off a rebase in charges. If an adjustment isn’t wanted, then it is going to be clearly outlined within the evaluation and the requirements set by the invoice.

“Yearly the wrestle at each session is how will we articulate our wrestle,” stated Michael Coe, who spoke in help of the invoice. “This takes the emotion out of it.”

The invoice would additionally create a fence round nursing dwelling appropriations so the cash couldn’t be used for different functions.

“In FY 2022 the nursing dwelling finances was underspent by $22 million. These {dollars} have been unfold round to different companies the place the division thought they have been wanted. We thought they have been wanted when the nursing houses have been closing,” Hughes stated.

The funds can be used to extend the Medicaid reimbursement charge when caseloads are down. It is also used for workforce incentives or high quality incentives that will assist stabilize services throughout the state.

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If handed, assisted residing can be included in Group First Alternative (CFC), a state and federally funded program that gives in-home care assistants or clinicians for many who qualify for dwelling primarily based companies.

Proper now, the Huge Sky Waiver funds assisted residing companies for individuals on Medicaid, however the ready record is lengthy with wherever from 100 to 300 individuals ready for funds to change into out there.

“If a senior is at some extent the place they want a service, they usually don’t get it rapidly, it is a good probability that the situation deteriorates after which they want a better stage of care. On this case in the event that they’re taking a look at assisted residing, a better stage of care can be that they go to a nursing dwelling,” stated Hughes.

Shifting assisted residing into CFC, the state would have the chance to economize on Medicaid customers by holding them of their dwelling when it is smart to take action. The state would additionally obtain a federal match that’s 6% larger than what they get with the Huge Sky Waiver.

“By our calculations, we may serve the ready record with the financial savings,” Hughes stated.

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Many spoke in help of the invoice together with representatives from Valley View Nursing House in Glasgow, Immanuel Lutheran Communities in Kalispell, St. John’s United in Billings, the Montana chapter of the Alzheimer’s Affiliation and extra.

Nobody spoke in opposition to the invoice.

“The speed discussions which might be occurring in Home Appropriations and admittedly the suggestions coming from the Governor’s workplace are band aids on a gushing wound,” stated Zach Brown, Gallatin County commissioner. “The pondering behind the coverage on this invoice is really a management alternative for the legislature to unravel an issue that’s plaguing our communities, our most susceptible constituents.”

Senate Invoice 296 creates a standardized mannequin for setting Medicaid charges.

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“I voted for individuals to return and characterize me, pondering that that they had considerably Montana values. What I’ve come to comprehend is that the values that we thought have been inherently the identical…aren’t there right this moment,”

-Daryl Towes, board member for Valley View Nursing House in Glasgow.

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Montana

Montana group welcomes South Dakotans seeking abortion, reproductive care

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Montana group welcomes South Dakotans seeking abortion, reproductive care


A Montana-based abortion rights group is reaching out to neighboring states announcing abortion and contraception are legal and available there.

South Dakota has a near total abortion ban, which extends to pregnancies caused by rape or incest. Health care professionals say the state’s current abortion exception is unclear.

“Minnesota and Colorado are being so inundated with volume from other states that they might have wait times,” said Nicole Smith, executive director of Montanans for Choice.

Smith said the number of South Dakota women travelling to Montana is quite small. That’s why the group is raising awareness that the state is an option to procure the procedure, which includes a billboard campaign that welcomes those seeking the procedure.

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 “In Montana, we can see people same day that they get here, pretty much,” Smith said. “We just want folks to know that we do have a lot of availability and if they don’t want to wait and they can get into Montana—we can probably see them pretty quickly.”

Since September last year, 280 South Dakotans travelled to Minnesota for an abortion and 170 travelled to Colorado for the procedure. That’s according to the Guttmacher Institute, a sexual and reproductive health group.

The closest abortion facilities to South Dakota in Montana are located in Billings. Smith says clinics also offer abortion medication through telemedicine.

Smith said Montana’s constitution has strong health care privacy rights.

“We have almost unfettered access to abortion in Montana,” Smith added. “There’s no mandatory waiting periods. There’s no mandatory counselling. We have telehealth for medication abortion. We’re very grateful that our constitution has protected those rights—that doctors and providers are able to give best practice medicine to us without politicians interfering in that way.”

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South Dakota voters are set to vote on whether to enshrine abortion access in the state constitution this November. Constitutional Amendment G grants South Dakota women access to abortion in the first two trimesters of pregnancy. It allows the state to restrict the procedure in the third trimester, with exceptions for health and life of the mother.

Planned Parenthood North Central States believe the measure will not “adequately reinstate” abortion access in the state. Abortion opponents call the measure extreme.





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Sheehy, PERC and the future of public lands conservation in Montana

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Sheehy, PERC and the future of public lands conservation in Montana



A great recent article by Chris D’Angelo reports on the connection between Tim Sheehy, the Republican challenging Jon Tester for his senate seat, and PERC, the Bozeman-based Property and Environment Research Center that promotes what it calls “free market environmentalism.”  

While Montanans might wonder about Sheehy’s background and policy positions given the shifting sands in his explanations, the fact that he was on the board of PERC is not in question — despite his failure to disclose that fact as required by Senate rules which his campaign says is an “omission” that’s being “amended.”   

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For those who have long been in the conservation, environmental, and public lands policy arena, PERC is a very well-known entity. As noted on its IRS 990 non-profit reporting form, the center is “dedicated to advancing conservation through markets, incentives, property rights and partnerships” which “applies economic thinking to environmental problems.” 

But to put it somewhat more simply, PERC believes that private land ownership results in better conservation of those lands under the theory — and it is a disputable theory — that if you own the land and resources, you take better care of it due to its investment value.  This has long been their across the board approach to land, water, endangered species and resource extraction.

If one wanted to dispute that theory, it certainly wouldn’t be difficult to do, particularly in Montana where checking the list of Superfund sites left behind by private industries and owners bears indisputable evidence of the myth that private ownership means better conservation of those resources.

In fact, the theory falls on its face since, when “using economic thinking” the all-too-often result is to exploit the resources to maximize profit as quickly as possible.  And again, this example is applicable across a wide spectrum of resources.  In Montana, that can mean anything from degrading rangeland by putting more livestock on it than it can sustain to, as in Plum Creek’s sad history, leaving behind stumpfields filled with noxious weeds on their vast private — once public — land holdings. 

None of this is particularly a mystery, yet PERC has sucked down enormous amounts of funding from anti-conservation sources for more than four decades as it tries mightily to put lipstick on the pig of the all-too-obvious results of runaway private lands resource extraction.

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Running one of the most high-stakes senate campaigns in the nation, however, produces a lot of tap-dancing around the truth in an effort to convince voters that you’re for whatever position will garner the most votes come Election Day. 

In that regard, both Sheehy and PERC are scuttling sideways in their positions.  Given the overwhelming support for “keeping public lands in public hands” in Montana, PERC now claims it “firmly believes that public lands should stay in public hands. We do not advocate for nor support privatization or divestiture.”  

Funny that, given its previous and very long-held position that private ownership of lands and waters is the key to conservation.  Likewise, Sheehy’s position, “that “public lands must stay in public hands” is completely the opposite from the one he held only a year ago, and parrots PERC not only in its verbiage, but in its realization of which way public sentiment and the electoral winds are blowing.

Since what’s at stake is nothing less than the future of public lands in the Big Sky State, it behooves us to demand specific policy positions in writing from all candidates for public office — including the race for Montana’s Senate seat.  



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Couple walking across the U.S. reach Montana

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Couple walking across the U.S. reach Montana


WHITE SULPHUR SPRINGS — A couple from Missouri have a goal to walk through every state in the lower 48.

Paige and Torin – known by their social media handle “Walking America Couple” – are in leg three of a five-leg, cross-country journey.

They’ve already traversed through 21 states, and on Thursday, their journey brought them to just outside White Sulphur Springs.

“Even out here in the more rural open space, we still make a lot of friends on the side of the road. People often stop and ask what we’re doing, or stop to see if we need water or food,” says Paige.

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Each leg takes the couple roughly six months to one year, though they take short breaks in-between. They’re also completing the entire journey with their dog Jak.

“I think he loves the adventure more than we do,” Paige adds.



Through rain, shine, snow, and severe weather warnings, the couple have not been deterred, their purpose and mission propelling them.

“We would like to set the example that you can find contentment under almost any circumstance,” says Torin. “I started out the journey an incredibly cynical person, and it was through these repeated interactions of kindness with people that I had otherwise written off in the past, that my perspective began to change dramatically,” he adds.

Now, their journey is helping to spread the same happiness they’ve discovered to those they encounter on their journeys.

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“We hope to be the example that we’re, as humans, all more malleable than we think,” says Paige.

For more information, click here to visit their website.





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