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Medicaid expansion bills spur hours of testimony in first hearings

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Medicaid expansion bills spur hours of testimony in first hearings


Two Montana lawmakers, one Republican and one Democratic, advocated Wednesday for their strategies to continue Medicaid expansion, while another Republican pitched his plan to end the state’s program. The bill hearings triggered hours of testimony from supporters of the low-income health coverage plan, scheduled to sunset this year unless extended by legislators.

People who wanted to speak before lawmakers about the three bills packed committee rooms, spurring nearly five hours of hearings that stretched until 7:30 p.m. The fate of Medicaid expansion is anticipated to be one of the most hotly debated policies in the 90-day legislative session.

“Medicaid expansion has been transformative,” said Gene Small, president of the Northern Cheyenne Tribe, one of dozens of proponents who appealed to lawmakers to continue the program. “Moving forward with this legislation is the moral choice for the most vulnerable among us.”

Medicaid, a decades-old public health program created by Congress, was expanded to adults with incomes up to 138% of the federal poverty level under the Affordable Care Act, an option that 41 states decided to adopt. A bipartisan group of Montana lawmakers voted to extend coverage to that population in 2015 under the Health and Economic Livelihood Partnership (HELP) Act. State legislators agreed to renew the law in 2019. 

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The cost of the expanded program, used by more than 76,000 Montana adults as of October, is almost entirely covered by the federal government. The upfront cost to the state’s coffers was roughly $100 million in the last fiscal year. 

As the program has grown in size and expense, so too has opposition among a coalition of Republican lawmakers, driving a wedge in the GOP caucus. Original estimates forecasted that roughly 45,000 people would be enrolled by 2019.

Two Republican-sponsored bills heard Wednesday would create dramatically different paths for the future of the program. The GOP holds wide majorities in both the House and Senate, but it’s unclear how party members will respond to Medicaid expansion proposals that reach the floor. Republican Gov. Greg Gianforte has indicated support for the program continuing in some form. 

House Bill 245, sponsored by Rep. Ed Buttrey, R-Great Falls, would strike the termination date from the HELP Act and adjust the work requirements that lawmakers passed in 2019. Those requirements were later blocked by the Biden administration and never took effect.

Buttrey, who successfully sponsored Medicaid expansion in prior sessions by building a coalition of Democrats and moderate Republicans, told lawmakers on the House Human Services Committee Wednesday that continuing the program was essential for uplifting people struggling to make ends meet and for Montana’s broader business landscape.

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“If as legislators we choose to bury our heads in the sand and ignore the physical and mental needs of our low-income population in Montana, to ignore the addiction issues that we have and ignore the value of a healthy and unaddicted workforce, we will pay for it down the road,” Buttrey said. “And we’ll pay a heck of a lot more than we’re paying now.”

Buttrey, who appeared on the verge of tears while reflecting on the policy’s history, also stressed the overall impact Medicaid expansion has had on Montana’s economic landscape and state budget.

“We’ve created a system that, unlike in other states, actually moves people out of poverty and onto their own success. Our system puts health care back in the doctor’s offices and out of the emergency rooms. Our system has enhanced the pool of workers available to our businesses,” Buttrey said. “All of this while providing positive savings to our General Fund and to the taxpayers of Montana.”

Buttrey’s bill received support from more than 60 people, testifying in person and online. Many drove across the state to speak in favor of Buttrey’s proposal, stressing its importance to rural and tribal communities. None spoke in opposition.

A very different Republican proposal, introduced by Sen. Carl Glimm, R-Kila, was heard at the same time in a committee room down the hallway of the state Capitol. 

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Sen. Carl Glimm, R-Kila, speaks to lawmakers on the Senate Public Health, Welfare and Safety Committee at the Capitol in Helena on Jan. 22, 2025. Glimm’s bill, Senate Bill 62, would phase out enrollment in the Medicaid expansion program beginning later this year. Credit: Zeke Lloyd / MTFP

Glimm’s bill, Senate Bill 62, would phase out the Medicaid expansion program beginning later this year. The measure directs the state health department to stop accepting new enrollees beginning Sept. 1. 

“People that don’t qualify anymore will start to work themselves off and eventually we would not have anybody on Medicaid expansion,” Glimm told the Senate Public Health, Welfare and Safety Committee.

Glimm, in arguing to end expansion, cited concerns that the federal government could change its contributions to Medicaid, leaving Montana on the hook for more than the 10% of the program it currently pays for. Glimm also argued that Medicaid expansion unjustly subsidizes health coverage for unemployed people who don’t have disabilities.

“This is a financial choice that the state of Montana needs to make,” Glimm said in his prepared remarks. “We need to look at the risks and the benefits and we need to say that able-bodied working adults should be working.”

No proponents spoke in favor of the legislation. Fourteen opponents spoke against the bill, most of whom were representatives of health care coalitions, nonprofit organizations and tribal health groups. 

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“Medicaid expansion has strengthened the foundation of our health care system, invested in a healthier and more productive workforce and created stronger, more vibrant communities,” said Tylyn Newcomb, community engagement director at the Montana Nonprofit Association.

The governor’s budget office issued a fiscal note for Glimm’s proposal projecting a loss of more than $1.5 billion in federal funds and a cost of more than $800 million to the state General Fund over the next two years if officials from the Centers for Medicare and Medicaid Services declined to continue the current match rate. Glimm told lawmakers he was contesting that calculation, arguing the federal government would continue shouldering 90% of coverage costs for the remaining beneficiaries until the program ends.

The third bill heard Wednesday, House Bill 230, sponsored by Rep. Mary Caferro, D-Helena, would also strike the HELP Act’s termination date and aim to eliminate access hurdles for enrollees. The bill would provide 12 months of continuous eligibility for beneficiaries. It would also strike the HELP Act’s work requirement provision, which Caferro argued are unnecessary. 

Caferro’s legislation also proposes reopening 10 Offices of Public Assistance in rural parts of the state, many of which closed after state budget cuts in 2017. Her bill would also seek to improve communication between enrollees and the state health department by allowing text messages and email communication and creating an advisory board for beneficiaries.

Caferro described the bill to members of the House Human Services Committee as a measure to make the existing program more efficient, particularly after tens of thousands of people lost Medicaid coverage during the state’s mass eligibility review in 2023 and 2024. 

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“It takes opportunities to solve problems, creates efficiencies in government … creates accountability in government through public reporting requirements, and transparency in government through a public advisory committee,” Caferro said. “It makes government work for the people.”

About 30 proponents of the bill, many of whom also spoke in favor of Buttrey’s legislation, said it would shore up services for rural residents struggling to navigate a dense web of state bureaucracy, sometimes facing paperwork delays that push back health care services for months. 

All three bills must be supported by a majority of lawmakers on each committee in order to advance to the House and Senate floors. Lawmakers did not vote on the legislation Wednesday night.

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Montana Lottery Mega Millions, Big Sky Bonus results for May 8, 2026

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The Montana Lottery offers multiple draw games for those aiming to win big.

Here’s a look at May 8, 2026, results for each game:

Winning Mega Millions numbers from May 8 drawing

37-47-49-51-58, Mega Ball: 16

Check Mega Millions payouts and previous drawings here.

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Winning Big Sky Bonus numbers from May 8 drawing

09-14-18-20, Bonus: 16

Check Big Sky Bonus payouts and previous drawings here.

Winning Millionaire for Life numbers from May 8 drawing

14-16-21-43-51, Bonus: 03

Check Millionaire for Life payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

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When are the Montana Lottery drawings held?

  • Powerball: 8:59 p.m. MT on Monday, Wednesday, and Saturday.
  • Mega Millions: 9 p.m. MT on Tuesday and Friday.
  • Lucky For Life: 8:38 p.m. MT daily.
  • Lotto America: 9 p.m. MT on Monday, Wednesday and Saturday.
  • Big Sky Bonus: 7:30 p.m. MT daily.
  • Powerball Double Play: 8:59 p.m. MT on Monday, Wednesday, and Saturday.
  • Montana Cash: 8 p.m. MT on Wednesday and Saturday.
  • Millionaire for Life: 9:15 p.m. MT daily.

Missed a draw? Peek at the past week’s winning numbers.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Great Falls Tribune editor. You can send feedback using this form.



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“It’s Life Alert or rent”: Montana trailer park tenants are on rent strike

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“It’s Life Alert or rent”: Montana trailer park tenants are on rent strike


Mobile home residents in Bozeman, Montana, say they’re being forced to choose between paying rent and paying medical costs.Courtesy of Jered McCafferty

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35-year-old Benjamin Moore has lived in Mountain Meadows Mobile Home Park, outside Bozeman, Montana, since he was 17. This month, for the first time, he’s withholding his rent.

On May 1, Moore received a rent bill for $947, up 11 percent from the month before, and the second hike in nine months—the product of the park’s sale to an undisclosed buyer. 

Moore hung a sign on his trailer that says “RENT STRIKE.” He and his neighbors in Mountain Meadows and nearby King Arthur Park, organized with the citywide group Bozeman Tenants United, are collectively withholding over $50,000 a month from their landlord. 

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Historically, trailer parks have been a relatively affordable housing option—a third of trailer park residents in America live below the poverty line. But on average, their cost of living has risen 45 percent over the past decade. By unionizing, the Bozeman trailer park tenants believe they might be able to fight the most recent rent hike—especially given the state of their housing. 

For years, tenants say, the maintenance hasn’t been attended to: tree limbs hang perilously over trailers, and water shutoffs are a regular occurrence. “I cannot recall a time in the past 20 years where we had three straight months of water and power working all day, every day,” Moore said. 

Shauna Thompson, another resident, calls the water “atrocious…like a Milky Way, like you’re drinking skim milk. It’s very nasty and turned off all the time, without any notice.” And tenants allege that they’ve experienced retribution for maintenance requests, punitive eviction attempts, and unsafe conditions. 

A group of protestors in support of a rent strike rip up rent notices.
Members of Bozeman Tenants United, including Benjamin Moore and Shauna Thompson, rip up their rent increase notices. Jered McCafferty

“It’s really hard on people here,” Moore said. Some residents are “already paying their entire Social Security check for rent. It’s a very poor neighborhood. We’ve got old folks. We’ve got young families. We’ve got working-class people who can’t afford anything else.”

For the past four decades, a group called Oakland Properties has owned both trailer parks. When they learned about the sale, tenants were scared that their parks would be bulldozed, or that their rent would be increased even further, forcing them to move. 

The tenants attempted to buy the parks themselves, but were decisively outbid. The winning bidder demanded an NDA. The transaction should be finalized next month, park owner Gary Oakland said, but residents still don’t know who’s going to own the land they live on.

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This month’s rent hike, Oakland acknowledged, was “part and parcel” of the sale. But for tenants, it’s a catastrophe. On top of the $947 lot rent—more than double the national average—many residents also pay off home loans on their trailers, as well as insurance and utilities costs.

Oakland calls claims of broken utilities “nonsense”: “If it was such a bad place to live, why would the homes be selling for such high dollars?” he said. The rent strike, Oakland points out, is “just a group of people not paying their rent.”

Some people are rationing their medication to make ends meet, Moore said. “There’s one person who canceled Life Alert. It’s either Life Alert or rent, and if you don’t pay rent, they evict you and throw you in the streets.” 

An older woman in a wheelchair with oxygen tubes holds a rent notice and a rent strike sign.
Many of the tenants of King Arthur and Mountain Meadows parks rely on a fixed income to pay their rent.Jered McCafferty

Tenant organizers across the nation have found a foothold in recent years organizing against individual landlords, and Bozeman’s tenant union, situated in one of the fastest-growing communities in the state, is no exception. Tenant unions from Los Angeles to Kansas City to New York have organized to win rent freezes, maintenance, and security in their homes.

Mobile home parks—increasingly private-equity-owned and uniquely at-risk in the face of climate disasters—are organizing, too: a group of trailer park residents in Columbia, Missouri, unionized in February. In Montana, as Rebecca Burns recently wrote for In These Times, mobile homes were already once a site of tenant organizing: buoyed by the state’s miners unions, the first Bozeman-area mobile home tenants’ union won an agreement with their landlord in 1978.  

Oakland says park residents “have been terrorized by the union,” and plans to evict the strikers. The strikers say they’ve retained a lawyer and will fight to stay in their homes.

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“I wish none of this was happening,” Moore said. “Your utilities should work. Your place should be safe. You should be able to get in and out of it. These are the absolute basics, and they just haven’t kept them up. And if you call them on it, they threaten you.”



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Montana’s fastest man who started as a walk on

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Montana’s fastest man who started as a walk on


Karsen Beitz arrived at Montana with no scholarship offers, one remaining walk-on spot and no guarantee that his track career would last.

Now, the former Sentinel High School standout is one of the fastest athletes in Montana history.

Beitz, a Missoula native and junior sprinter for the Grizzlies, has turned an unlikely college opportunity into a record-setting career. He owns Montana’s 100-meter and 200-meter program records and enters next week’s Big Sky Conference Outdoor Championships as one of the top sprinters in the league.

Coming out of high school, Beitz was a football and track athlete without a Division I offer.

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“I was upset about it,” Beitz said. “But at the same time, I was fine with just going to college and living a normal college life.”

That changed after conversations between Sentinel coach Dylan Reynolds and Montana coach Doug Fraley.

“You may not think he’s a D-I prospect based on his times,” Reynolds told Fraley, “but I’m just telling you, if he gets in the right program, he’s going to be a D-I runner.”

Fraley had one walk-on spot left on his roster. He brought Beitz into his office, talked with him and decided to take a chance.

“I liked him. We had a good conversation, so I decided to give him the last walk-on spot,” Fraley said. “I’m sure glad I did.”

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Beitz became a Division I athlete in his hometown, but his first goal was modest. He wanted to prove he belonged and earn a scholarship.

He did that quickly.

As a freshman, Beitz placed at the Big Sky Outdoor Championships and helped Montana’s 4×100-meter relay reach the podium with a school-record performance.

“There was no doubt he earned that scholarship,” Fraley said.

Beitz continued to climb in 2025. He placed second in the 200 meters at the Big Sky indoor meet, but a hamstring injury kept him out of the outdoor championships.

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“It sucked to deal with,” Beitz said. “But I’m young and still had two years left, so I shifted my mindset to how I could come out these next two years.”

He has not looked back.

Beitz won the 200 meters at the 2026 Big Sky indoor championships, the first individual conference title of his track career. His time of 21.09 seconds edged Idaho State’s Alex Conner by one-hundredth of a second.

“I think the best part about it was seeing how happy Doug was,” Beitz said. “He was jumping up and down, gave me a big hug. After last year, I knew what I was capable of, so to go out there and do it was amazing.”

Then came the outdoor season.

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In April, Beitz broke Montana’s 58-year-old 200-meter record, running 20.55 seconds at the Pacific Coast Intercollegiate in Long Beach, California. The previous record had stood since 1968.

Two weeks later, he added the school’s wind-legal 100-meter record, running 10.25 seconds at the Bengal Invitational in Pocatello, Idaho. Which broke a 44-year-old program record and gave Beitz both sprint marks.

“He’s a really competitive guy, and he wants to be the best in the Big Sky,” Fraley said.

The records have not left Beitz satisfied. They have made him hungrier.

“You have all these goals and numbers in your mind,” Beitz said. “Then once you hit those numbers, you’re not satisfied. There’s just more numbers to chase.”

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The next chase begins at the Big Sky Conference Outdoor Championships, scheduled for May 13-16 in Portland, Oregon.

After college, Beitz hopes to follow his mother’s footsteps and become a pharmacist. Maybe even the world’s fastest pharmacist.

“If I’m running around the hospital talking to doctors,” Beitz said, “I’ll do it pretty fast.”

From a walk-on few people noticed to a conference champion and school-record holder, Beitz has become Montana’s fastest man — and he is not done running.



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