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In Montana, conservative groups see a chance to kill Medicaid expansion • Daily Montanan

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In Montana, conservative groups see a chance to kill Medicaid expansion • Daily Montanan


Conservative groups are working to undermine support for Montana’s Medicaid expansion in hopes the state will abandon the program. The rollback would be the first in the decade since the Affordable Care Act began allowing states to cover more people with low incomes.

Montana’s expansion, which insures roughly 78,800 people, is set to expire next year unless the legislature and governor opt to renew it. Opponents see a rare opportunity to eliminate Medicaid expansion in one of the 40 states that have approved it.

The Foundation for Government Accountability and Paragon Health Institute, think tanks funded by conservative groups, told Montana lawmakers in September that the program’s enrollment and costs are bloated and that the overloaded system harms access to care for the most vulnerable.

Manatt, a consulting firm that has studied Montana’s Medicaid program for years, then presented legislators with the opposite take, stating that more people have access to critical treatment because of Medicaid expansion. Those who support the program say the conservative groups’ arguments are flawed.

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State Rep. Bob Keenan, a Republican who chairs the Health and Human Services Interim Budget Committee, which heard the dueling arguments, said the decision to kill or continue Medicaid expansion “comes down to who believes what.”

The expansion program extends Medicaid coverage to adults with incomes up to 138% of the federal poverty level, or nearly $21,000 a year for a single person. Before, the program was largely reserved for children, people with disabilities, and pregnant women. The federal government covers 90% of the expansion cost while states pick up the rest.

National Medicaid researchers have said Montana is the only state considering shelving its expansion in 2025. Others could follow.

New Hampshire legislators in 2023 extended the state’s expansion for seven years and this year blocked legislation to make it permanent. Utah has provisions to scale back or end its Medicaid expansion program if federal contributions drop.

FGA and Paragon have long argued against Medicaid expansion. Tax records show their funders include some large organizations pushing conservative agendas. That includes the 85 Fund, which is backed by Leonard Leo, a conservative activist best known for his efforts to fill the courts with conservative judges.

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The president of Paragon Health Institute is Brian Blase, who served as a special assistant to former President Donald Trump and is a visiting fellow at FGA, which quotes him as praising the organization for its “conservative policy wins” across states. He was also announced in 2019 as a visiting fellow at the Heritage Foundation, which was behind the Project 2025 presidential blueprint, which proposes restricting Medicaid eligibility and benefits.

Paragon spokesperson Anthony Wojtkowiak said its work isn’t directed by any political party or donor. He said Paragon is a nonpartisan nonprofit and responds to policymakers interested in learning more about its analyses.

“In the instance of Montana, Paragon does not have a role in the debate around Medicaid expansion, other than the testimony,” he said.

FGA declined an interview request. As early as last year, the organization began calling on Montana lawmakers to reject reauthorizing the program. It also released a video this year of Montana Republican Rep. Jane Gillette saying the state should allow its expansion to expire.

Gillette requested the FGA and Paragon presentations to state lawmakers, according to Keenan. He said Democratic lawmakers responded by requesting the Manatt presentation.

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Manatt’s research was contracted by the Montana Healthcare Foundation, whose mission is to improve the health of Montanans. Its latest report also received support from the state’s hospital association.

The Montana Healthcare Foundation is a funder of KFF Health News, an independent national newsroom that is part of the health information nonprofit KFF.

Bryce Ward, a Montana health economist who studies Medicaid expansion, said some of the antiexpansion arguments don’t add up.

For example, Hayden Dublois, FGA’s data and analytics director, told Montana lawmakers that in 2022 72% of able-bodied adults on Montana’s Medicaid program weren’t working. If that data refers to adults without disabilities, that would come to 97,000 jobless Medicaid enrollees, Ward said. He said that’s just shy of the state’s total population who reported no income at the time, most of whom didn’t qualify for Medicaid.

“It’s simply not plausible,” Ward said.

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A Manatt report, citing federal survey data, showed 66% of Montana adults on Medicaid have jobs and an additional 11% attend school.

FGA didn’t respond to a request for its data, which Dublois said in the committee hearing came through a state records request.

Jon Ebelt, a spokesperson for the Montana Department of Public Health and Human Services, also declined to comment. As of late October, a KFF Health News records request for the data the state provided FGA was pending.

In his presentation before Montana lawmakers, Blase said the most vulnerable people on Medicaid are worse off due to expansion as resources pool toward new enrollees.

“Some people got more medical care; some people got less medical care,” Blase said.

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Reports released by the state show its standard monthly reimbursement per Medicaid enrollee remained relatively flat for seniors and adults who are blind or have disabilities.

Drew Gonshorowski, a researcher with Paragon, cited data from a federal Medicaid commission that shows that, overall, states spend more on adults who qualified through the expansion programs than they do on others on Medicaid. That data also shows states spend more on seniors and people with disabilities than on the broader adult population insured by Medicaid, which is also true in Montana.

Nationally, states with expansions spend more money on people enrolled in Medicaid across eligibility groups compared with nonexpansion states, according to a KFF report.

Zoe Barnard, a senior adviser for Manatt who worked for Montana’s health department for nearly 10 years, said not only has the state’s uninsured rate dropped by 30% since it expanded Medicaid, but also some specialty services have grown as more people access care.

FGA has long lobbied nonexpansion states, including Texas, Kansas, and Mississippi, to leave Medicaid expansion alone. In February, an FGA representative testified in support of an Idaho bill that included an expansion repeal trigger if the state couldn’t meet a set of rules, including instituting work requirements and capping enrollment. The bill failed.

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Paragon produced an analysis titled “Resisting the Wave of Medicaid Expansion,” and Blase testified to Texas lawmakers this year on the value of continuing to keep expansion out of the Lone Star State.

On the federal level, Paragon recently proposed a Medicaid overhaul plan to phase out the federal 90% matching rate for expansion enrollees, among other changes to cut spending. The left-leaning Center on Budget and Policy Priorities has countered that such ideas would leave more people without care.

In Montana, Republicans are defending a supermajority they didn’t have when a bipartisan group passed the expansion in 2015 and renewed it in 2019. Also unlike before, there’s now a Republican in the governor’s office. Gov. Greg Gianforte is up for reelection and has said the safety net is important but shouldn’t get too big.

Keenan, the Republican lawmaker, predicted the expansion debate won’t be clear-cut when legislators convene in January.

“Medicaid expansion is not a yes or no. It’s going to be a negotiated decision,” he said.

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KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism.



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Glenn Close Is The Latest Celeb Moving To Star-Filled Bozeman, Montana. Could It Be The New LA?

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Glenn Close Is The Latest Celeb Moving To Star-Filled Bozeman, Montana. Could It Be The New LA?


Glenn Close Is The Latest Celeb Moving To Star-Filled Bozeman, Montana. Could It Be The New LA?

At 77, screen legend Glenn Close is in demand from Hollywood more than ever. Last year, she starred in Netflix’s “Deliverance,” Now she’s on the streaming giant’s “Back In Action,” with Jamie Foxx and Cameron Diaz. However, Close finds solace far from LA, in Bozeman, Montana.

Although Close moved to Montana full-time in 2019, she’s owned real estate there since the 1980s, long before the area became a bolt-hole for fellow Hollywood celebs looking for an escape from the glare of tinseltown. As she explained in an interview with the Wall Street Journal, Close has a deep-rooted connection to the place.

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“Today my home is in Bozeman,” she revealed. “All of my siblings live here. My modest 1892 house has a porch where I can see the mountains and say hi to neighbors.”

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Close is also building a new property. “I’m building a larger house about a half-hour outside of town,” she shared. “It’s going to be my Zen farmhouse and our family sanctuary. In back will be a stone cottage, reminding me of the best years of my childhood.”

According to realtor.com, Close purchased her three-bedroom, three-bathroom abode via a trust in 2016 for an undisclosed sum. In a 2021 interview with Mountain Outlaw, she explained that she bought the dwelling to be closer to her sisters, Jessie, who lives next door and Tina, who lives nearby. Her brother Alex also has a home in the area. At one point, Glenn and sister Jessie even owned a coffee shop together in town.

“When I was little, I got solace in nature and that has never changed,” Close said. “I always tried to create that same potential for my family, especially now to come back here and be with my siblings and have a piece of land outside of town that will always be here for my daughter and her children. That’s my legacy.”

Close’s daughter, Annie Starke, debuted her cooking show, Magnolia Network’s “The Mountain Kitchen,” filmed on her mother’s Bozeman ranch.

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Bozeman has greatly changed since Close and her siblings moved there. According to the Daily Mail, house prices have doubled in six years and some locals are even calling it Boz Angeles, due to the number of celebrities who have recently purchased second homes there.



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Obituary for Rebecca " Becky" Chagnon at Holland & Bonine Funeral Home

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Obituary for Rebecca " Becky"  Chagnon at Holland & Bonine Funeral Home


Rebecca Becky Chagnon, 67, passed away January 23, 2025 in Billings, Montana after an accidental fall on January 18th. Cremation has taken place, and a celebration of Beckys life will be held Friday, January 31, 2025 at 1100 a.m. at St. Jude Thaddeus Catholic Church. Memorial contributions in Beckys honor



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A Montana town is waging war on its unhoused citizens. One shelter is fighting back

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A Montana town is waging war on its unhoused citizens. One shelter is fighting back


In Kalispell, in the mountains of northern Montana, unhoused people are not allowed to sleep in their cars. They can’t erect tents in public places or carry “excessive” personal possessions. They can’t sleep on bus benches, because the authorities have removed them. And they are unwelcome in the city’s parks, which no longer have public bathrooms or access to water and electricity.

Which raises the question, where exactly are unhoused people expected to sleep?

When Kalispell’s mayor, Mark Johnson, was asked this recently in a federal court hearing, his first suggestion was that they go to a homeless shelter.

The problem, though, was that Johnson and his city colleagues had just voted to close a privately run cold-weather shelter that offers beds to as many as 50 people a night – close to one-sixth of the city’s estimated unhoused population. Indeed, the hearing centered on the legality of that very decision.

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“If sleep is biologically necessary,” US district judge Dana Christensen pressed him, “and homeless people can’t lawfully sleep on public property without permission or on private property without permission”, what options did that leave them?

Johnson’s response: “They will find a place within shrubbery, bushes, somewhere on public property that’s discreet where they can sleep, where they’re not seen.”

Such remarks have turned Kalispell, a city of 30,000 best known as a gateway to the grand mountain vistas of Glacier national park, into a lightning rod in the national debate on homelessness, particularly the question of how much leeway local authorities should have to police the problem as a short-term fix for a much deeper-rooted issue.

Johnson and his colleagues in city and county government have taken a strikingly punitive approach to unhoused residents in a city where house prices have more than doubled in the past five years, rents have rocketed, the cost of living has gone up sharply, and mental health services have been slashed, leading to a crisis on the streets.

A sleeping bag and scattered belongings behind an old bridge abutment in Kalispell, on 20 January 2025.

They have issued one ruling after another expressly designed to restrict unhoused residents’ access to city services, many of them far-reaching. To stop people sleeping on bus stop benches, they did not just remove the benches. They got rid of every bus stop and switched to a hi-tech public transport system requiring riders to call a bus via an app linked to their credit card. Since unhoused people rarely have fully functional cellphones or credit cards, they were suddenly unable to use the bus system, too.

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Politicians say they have taken these measures in response to complaints from their constituents, a number of whom have told them they don’t want to see unhoused people in their neighborhoods, sleeping in their front yards, drinking, taking drugs or defecating in public.

But the result has been that unhoused people, many of them physically or mentally disabled and battling addictions, struggle to find places to go – especially during the bitter Montana winter when they are vulnerable to frostbite and hypothermia, and a night in the open can be a death sentence.

The most desperate among them describe a life with few options outside the Flathead Warming Center, the shelter at the middle of the legal dispute and the only one in the city that imposes no restrictions (other than behavioral rules) on whom it takes in during the winter months. People keep moving from place to place, forever wary of the police and teenage gangs intent on picking fights.

“Everything is fear-driven,” said Tonya Horn, the warming center’s director, who argues that city leaders can’t simply wish the problem out of existence. “The community sees homelessness, but they’re not seeing illness. And we serve people who are ill – I can’t say that enough.”

Tonya Horn, executive director of the Flathead Warming Center.

Kalispell is hardly unique in seeking to keep unhoused people and the public disturbances that come with life on the street as far out of sight as possible. But its leaders have pushed the legal limits so far, and engaged in rhetoric so sharp, that even service providers have come to fear for their safety.

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The US supreme court, in its Grants Pass decision last June, gave broad discretion to local authorities to police their public spaces and impose criminal penalties on people who sleep in the open. That discretion has been embraced by city and county governments across the political spectrum.

What makes Kalispell unusual is that the attempt to close the warming center – on the grounds that it has exacerbated the homelessness problem instead of addressing it – infringes on private property rights that even the conservative majority on the supreme court has so far left untouched.

To close a center it does not own, the city has sought to revoke the conditional use permit it granted five years ago when the center was in the planning stages. Such permits, however, typically determine how a structure is built and have no enduring power once the project is completed and approved. It is also far from clear what exactly the warming center has done wrong.

Sean Patrick O’Neill, Flathead Warming Center resource manager, counsels Melanie Arend.

As a lawyer for the center, Christen Hebert, argued in court: “The Warming Center didn’t break the law, and it didn’t violate the conditions of its permit. But it became politically unpopular, a scapegoat for the problems associated with homelessness in Kalispell.”

Kalispell has stood out, too, because of the intensity of local officials’ rhetoric in blaming both the unhoused population and the service providers helping them.

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In early 2023, Flathead county’s three commissioners wrote a notorious letter that accused those service providers of creating more homelessness. It mentioned, but did not name, a “low-barrier shelter” that had opened recently – a clear reference to the warming center.

The commissioners argued that homelessness was a problem rooted in liberal coastal cities, and its spread the result of travellers from San Francisco or Seattle seeking to export their “homeless lifestyle”. One Flathead county commissioner, Brad Abell, suggested in an interview that the root cause of homelessness was the breakdown of the American family. “And that began with Black families,” he said. “It started with the Black population of the United States.”

Brad Abell, Flathead county commissioner, in his office in Kalispell.

The warming center and its allies say such arguments are both offensive and deliberate misinformation. Worse, they believe the startlingly strong rhetoric, coming from elected officials, has given license to acts of violence against unhoused individuals.

Six months after the commissioners’ letter was published, teenagers with neo-Nazi associations were filmed beating a 60-year-old unhoused man to death in a parking lot behind a gas station. At least seven other unhoused men in Kalispell claim to have been jumped, beaten or, in one case, run over around the same time.

The hostility has continued. Many unhoused citizens report being taunted and targeted with paintball guns, firecrackers and cinder blocks thrown at their tents. Some described in interviews how they had taken to carrying knives, machetes, axes and the occasional pistol to protect themselves. They also try to stick together rather than risk being picked off one by one.

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Left: Kristina Hulings, a guest at the Flathead Warming Center. Hulings lost her housing seven years ago. Right: Clarence Henrickson, at the warming center. Henrickson has been unhoused for the past 16 months and moved to Kalispell in 2007. With a full-time job, he can’t afford a place to live, and makes too much to qualify for assistance.

“The commissioners set the path and gave a platform for hate in this community,” Horn, the warming center director, charged.

“There’s a eugenics movement just below the surface,” added Jenny Ball, a prominent local social worker who was herself almost run down by a truck that, she believes, targeted her. “They want people to die.”

Ball called the commissioners’ letter a “dog whistle” that immediately set her and her clients on edge. “I would feel watched,” she said. “I’d be followed everywhere by people on foot or in trucks. Especially in the parks, I’d have a lot of eyes on me. People would come up angrily and ask: ‘What are you doing?’”

The county commissioners have consistently rejected any link between their letter and the ensuing violence. “I don’t believe we advocated violence against anybody,” commissioner Abell said. Johnson, the mayor, and Chad Graham, another city council member who has pushed to close the warming center, did not respond to interview requests.

Jenny Ball, a social worker and mitigator specialist with the state’s office of public defender, who has been accosted and threatened while performing her job. Last year, a pickup truck driven by two men tried to run her down while she was crossing this intersection.

At first glance, the hostility seems out of place in a city that prides itself on its neighborliness – “We take care of each other in the Flathead”, a local saying has it – and would much rather be in the business of ferrying tourists to Glacier national park or the ski slopes above Whitefish, a half-hour drive to the north.

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In the last five years, though, the city has been rocked by overlapping crises that have greatly increased both the number of people living on the street and the severity of their problems. This, in turn, has hardened local attitudes toward what Horn, quoting the Gospels, calls “the least of these”.

In 2020, the Covid pandemic prompted an influx of relatively wealthy residents from California, Texas and other states who were working remotely and could stretch their money much further in north-west Montana. The population jumped more than 25% over the next four years, landlords evicted thousands of people so they could sell their properties or convert them into short-term rentals, and many of their tenants found they either could not afford a new place or even find one.

A new housing development overlooks the future sight of the Ashley Creek Park, in Kalispell.

At the same time, mental care facilities started closing because of devastating budget cuts mandated by the Montana state legislature, pushing dozens of people with schizophrenia and other serious mental health conditions on to the street. Finally, property speculation led to the closure of two of Kalispell’s lower-income residential hotels, leaving several dozen of the city’s neediest with nowhere to go.

Ryan Hunter, a city council member with a background in urban planning, pushed hard to spur construction of affordable housing after he was elected in 2019 and warned his council colleagues that simply policing the new wave of unhoused citizens would not solve the problem. “The kneejerk response is always the criminalisation response,” he said. “But it doesn’t work. It just pushes the problem someplace else.”

Hunter, though, was roundly ignored, especially after a man living in a camper in a gym parking lot shot and killed an employee who told him he could no longer come in to take showers and exercise. Social media soon filled with accounts of unhoused people shooting up in parks, leaving garbage and human waste in their wake, and sleeping in tents on public trails.

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Ryan Hunter, a city council member, at Depot Park in Kalispell.

At the same time, law enforcement was overwhelmed, since there was no appropriate place to take mentally ill people experiencing a crisis. People would end up bouncing among the police station, the emergency room and overnight shelters including the warming center, then be back out on the street.

Soon, the same city council members who had approved plans for the warming center in 2019 were distancing themselves from it. Another shelter in town, Samaritan House, saw a spike in crimes and other disturbances in its immediate vicinity but was not publicly accused of being responsible for it the way Horn and her colleagues were.


Kalispell’s homeless numbers were markedly down in counts conducted in 2023, shortly after the commissioners’ letter was published, and again in 2024 – a phenomenon that service providers said had less to do with the real numbers than the fact that many of the city’s unhoused people were afraid to come out of hiding to be counted because of the rancid political environment.

Discarded belongings behind an unused warming hut in Woodland Park in Kalispell.

In his interview, Abell had a different explanation. As he sat beneath a large mule deer head erected as a hunting trophy on his office wall, he congratulated himself for putting out-of-town “homeless lifestyle” advocates on notice and effectively scaring them away. “Other states spend billions on homelessness … but homelessness has increased as they spend,” he argued. “We reduced it by 30% and didn’t spend any taxpayer money to do it.”

Homeless advocates are cautiously optimistic that a new $300m state funding stream for mental health services might one day translate into new services in and around Kalispell. But Abell and another county commissioner, Randy Brodehl, showed little sign that they were pushing for it, saying only that it was not their responsibility.

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Clarence Henrickson at the Flathead Warming Center.

“We would rather put our resources into areas that are more effective for us, from basic law enforcement to snow plowing to road maintenance,” Brodehl said. “[Our] responsibility doesn’t include being altruistic. It doesn’t include doing things that feel good. We are here to do what’s right with the funding that the taxpayers give us. It’s not necessarily to solve people’s mental health and behavioral health issues.”

The warming center has managed to push back against this prevailing tide, in large part because its plight attracted the attention of a national group of public interest lawyers, the Institute for Justice. Weeks after the Kalispell city council voted to close the center down, IJ filed a complaint in federal court alleging that the move was illegal. Weeks after that, Christensen granted a preliminary injunction allowing the warming center to stay open while the case proceeds.

In his ruling, the judge described the city’s reasons for rescinding the center’s zoning permit as “subjective, nebulous, and … meaningless” – language seen by lawyers and the local media as devastating to the city’s legal position.

Left: Cipriano Vasquez, who grew up in the neighbouring town of Columbia Falls. Vasquez has been unhoused for the past year after dealing with financial issues stemming from family healthcare problems. Right: Melanie Arend, a guest at the Kalispell warming center. Arend had been taking care of her elderly mother, whom she stayed with, but after their relationship became strained last year she has lived on the streets.

Whether the characterisation will shift public attitudes, though, is harder to say. “The community is told we are doing it wrong,” Horn lamented. “The community is told we are the problem.”

On a recent Monday night, with snow flurries in the air, two dozen men and women stood in line outside the warming center, behind a fenced enclosure so the neighbours couldn’t see them, in anticipation of the 6pm opening time. Staff was on hand to have them sign an occupancy agreement and place any pocket knives in a plastic bucket. (Firearms are forbidden.)

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Inside, a meal awaited them – bean-and-ham soup, a choice of beef stew or sandwiches, potato chips and cake – as well as access to showers, toilets, laundry machines, a refrigerator and computers. The guests, as the center refers to them, were then assigned bunk beds, each with a plastic mattress and basic linens and blankets.

Randy Brodehl, a Flathead county commissioner, at his office in Kalispell.

The center offers a range of services, including haircuts and medical care, and works diligently with each resident on ways to rebuild their lives – anything from obtaining an identity card to applying for lower-income housing. Many of the regular residents volunteer to help with the newcomers, sign up for chores or even work shifts.

They describe the center as a welcome reprieve from the hostile environment outside. “We deserve to be treated with respect until we disrespect you,” said Will Brown, a resident in a cowboy hat who has worked in the past as a wildland firefighter.

Still, it is hardly a comfortable place. The bunk room, which once served as a car repair shop, has no windows and gets hot as it fills. People snore, or have night terrors. “We’re the last resort,” Horn said, “but by no means are we a resort.”

William Brown (right) with his dog, Princess, and a volunteer at the warming center. Brown parks his camper at a nearby storage lot and relies on the warming center for a place to stay overnight.

The center does not hesitate to throw out guests who break the rules – proof, in Horn’s mind, that it upholds basic standards of orderly behavior. But those standards have also been turned against the center whenever unhoused people who were not admitted, or did not try to be, cause trouble elsewhere in the city. One of the main charges against Horn and her staff is that they have failed to be “protective of … the neighborhood” – a charge they say unfairly suggests they should somehow be responsible for policing large parts of the city.

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Even when the warming center is full, many hundreds more unhoused men and women are left looking for shelter in and around Kalispell. Some, their advocates say, sleep in abandoned buildings, or in holes they dig near railroad tracks, or under a heating vent near the Kalispell police station when they can sleep unobserved. Some break city rules by sleeping in their cars, knowing the police will move them on after a few hours at most.

All sides agree this situation is intolerable. Blaming the warming center, though, strikes Horn and others as perverse and counterproductive. “When you bring people inside to warmth and safety,” she argued, “you make the community safer. They get their basic needs met. You have to start there.”



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