Montana
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.
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.
“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.
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.
“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.
“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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MISSOULA — Four out of five members of Montana’s Public Service Commission were in a federal courtroom in Missoula Thursday morning, as the PSC’s former president challenges the disciplinary action taken against him earlier this year. Now, newly released documents are shedding more light on to what led up to this point.
(Watch the video for a closer look at the case.)
New documents shed light Montana PSC dispute
Commissioner Brad Molnar has sued President Jeff Welborn, Vice President Jennifer Fielder and Commissioner Annie Bukacek – the three PSC members who voted in May to require him to work remotely, after an investigation into complaints about his workplace conduct. Molnar has claimed he is being unfairly punished for constitutionally protected speech, and he asked Senior U.S District Judge Donald Molloy to allow him to return to the PSC offices.
Matthew Monforton, Molnar’s attorney, told the judge that barring Molnar from the building was limiting his ability to do his job.
“He has not been officially kicked out of office, but his voice has clearly been diminished,” said Monforton.
But Natasha Jones, an attorney representing the other three commissioners, said the findings were about behavior, not just speech, and that the PSC’s action was a reasonable response.
“These are serious concerns about a pattern of conduct that has made employees quit,” she said.
Jonathon Ambarian
On Tuesday, Molloy ordered the release of redacted versions of two full investigative reports into Molnar’s conduct – more than 100 pages of documents. Monforton had moved for the full reports to be made public, and Molloy ruled attorneys for the other PSC members hadn’t shown a compelling reason to keep the documents under seal as long as the names of people involved in the investigation were obscured.
While the names remained redacted in the investigation reports, the attorneys for Welborn, Fielder and Bukacek also filed additional documents – including a public declaration from Bukacek and from former PSC executive director Alana Lake, providing information about their allegations against Molnar.
The two reports, from an outside investigator, cover Molnar’s alleged actions over two periods: the first from February to August 2025, and the second from August to October 2025. The investigation began after the first formal complaint, filed by Bukacek in May 2025 – though the reports say employees had been bringing up concerns about Molnar’s behavior informally for several months prior.
Bukacek’s complaint claimed Molnar had repeatedly made what she called “sexualized and demeaning comments.” The examples she cited included saying the PSC should replace “Taco Tuesdays” with “Topless Tuesdays,” reminiscing about watching girls in bikinis as a teenager, and commenting about the beauty of women in areas of China who didn’t get “old and wrinkly.”
In her declaration, Bukacek also claimed Molnar had “maliciously disseminated false information” about her and “engaged in behavior that was dismissive, derisive and otherwise abusive.”
“My primary concern now is not for my safety nor my feelings, but for the rest of the staff who may not have the temperament to speak up or may feel too intimidated to speak up given concerns over job security,” Bukacek said in her declaration.
MTN News
The investigators determined Molnar had violated the PSC’s code of conduct by making comments of a sexual nature, and that it appeared his behavior had continued for some time after he was warned about it. They also found he had behaved unprofessionally and in a belittling manner toward Bukacek, though they said Bukacek herself had at times used “language that could be considered inappropriate” in emails to staff or other commissioners. Bukacek told MTN she “readily self corrected” any behaviors that were brought to her attention.
The investigation also found a violation in connection with a complaint from a PSC staff member, who said he “felt bullied” by Molnar when the commissioner sent an email complaining about his team not being “people with competence.”
However, much of the first report and the entire second report was focused on conduct after the initial complaints, when Molnar was accused of retaliating against people who participated in the investigation. Lake said in her declaration that she saw “an immediate and significant change in his behavior toward staff involved in the process.” She claimed he said he would use an attorney and private investigator to go after people who filed complaints, and she accused him of publicly criticizing her in interviews and removing her job responsibilities because of her handling of the investigation.
Lake said Molnar’s actions led to “declining morale within the agency,” undermined staff members’ ability to do their jobs and damaged her reputation. She said that led her to resign as executive director.
“I believe no employee should be forced to choose between reporting misconduct and protecting their career, reputation, or personal well-being,” she said in her declaration.
Lake has since become Helena city manager.
Jonathon Ambarian
The report said there was evidence to show Molnar had retaliated, including by “making disparaging statements about investigation participants” including Lake, by sending an email warning he could file complaints of his own against people involved, and by taking other actions investigators said could dissuade employees from reporting behavior in the future.
Monforton said during Thursday’s hearing that the initial comments Bukacek complained about were jokes Molnar had admitted were inappropriate, that he regretted saying them, and that he hasn’t made any similar comments in about a year. But he argued the vast majority of the findings against Molnar were about retaliation – and that those were primarily based on speech that the other commissioners don’t have the right to interfere with.
Monforton said it’s unreasonable to punish Molnar for what he said in the July news conference where he announced he was under investigation, in interviews with the media or in commission meetings. He said Molnar’s conduct doesn’t rise to the level of actual retaliation.
“This is an elected official, engaging in speech in his forum,” Monforton said.
He said Molnar may have made harsh comments toward staff, but that he had the right to raise objections about the way the agency does business.
Jonathon Ambarian
Monforton also argued the retaliation claims no longer justify keeping Molnar out of the office, since Welborn, Fielder and Bukacek voted to remove him as president in October and he no longer has the authority he’s accused of misusing. He said there haven’t been further complaints about his behavior since that time.
“We’re not asking for the moon and stars, we’re asking for the status quo as it existed for the last seven months,” he said.
Jones said there is enough evidence to show Molnar would have been punished regardless of whether any protected speech was excluded.
“This is not about a couple of jokes,” she said.
Jones said Molnar made maliciously false statements about people like Lake, and that type of statement isn’t covered by free speech protections.
She also said Molnar’s exclusion from the PSC offices is temporary, and that the PSC will reconsider whether to let him return if he apologizes for his actions, accepts the agency’s code of conduct and undergoes training.
Molloy indicated he saw indications that there was “acrimony” on both sides of the situation, and said he was skeptical it would be resolved easily.
“It would be nice if instead of juvenile behavior, there was professional behavior,” he said.
However, the judge said there was an avenue for Molnar to pursue if he wanted to reach a resolution.
Molloy took no immediate action Thursday. He told the parties he would rule as quickly as he could.
Carrie Gilbertson has been executive director of Cancer Support Community Montana for just under two months, stepping into the role in April with more than 15 years of nonprofit experience and a lifetime of Montana roots.
The organization provides psychosocial and mental health support to anyone affected by cancer — not just those with a diagnosis, but also family members and others walking alongside them.
WATCH: Meet the new leader of Cancer Support Community Montana 🎗️
Cancer Support Community Montana names new executive director
“This mission of providing psycho-social supports and mental health supports for anyone impacted by cancer, not just that person who has the diagnosis, but also family members, anyone who is walking alongside someone as they experience that often scary diagnosis, that’s just something that’s important to me,” Gilbertson said.
Gilbertson’s role extends beyond the Bozeman office. Cancer Support Community Montana’s Missoula location is already up and running, and a Helena location is expected to be operating soon. Each presents its own set of challenges.
“Each hospital is different. They might have different resources. Their social workers might be connecting to things in a different way. So understanding what those hospitals need, what different participants need in each community, is going to be different just because the communities are different, resources are different,” Gilbertson said.
The Bozeman office has been operating for more than 20 years, providing a foundation that supports the organization’s broader statewide efforts.
“I think this is a crew that looks at what does this community need what do our participants need what are some of the changing landscapes in cancer care what things are the gaps that we see that we can maybe just jump right in and you know let’s see if we can provide that for people so that’s something I really love about this crew that I work with and just this mission that there is some flexibility in being able to adjust and adapt as we learn more,” Gilbertson said.
Those adaptations show up in unexpected ways. The organization converts its parking lot into a pickleball court every Friday morning.
“I didn’t know there was a pickleball court. I pulled in actually with my daughter pulled in and she was is that pickleball court and I was like oh, it kind of looks like it is so yeah that’s fun, every Friday morning we clear out the parking lot and put up the net and I haven’t played yet I’ve been watching just to kind of see how that game works but they take it pretty seriously,” Gilbertson said.
This story was reported on-air by a journalist and has been converted to this platform with the assistance of AI. Our editorial team verifies all reporting on all platforms for fairness and accuracy.
The Montana Lottery offers multiple draw games for those aiming to win big.
Here’s a look at June 17, 2026, results for each game:
Winning Powerball numbers from June 17 drawing
03-26-49-53-61, Powerball: 12, Power Play: 2
Check Powerball payouts and previous drawings here.
Winning Lotto America numbers from June 17 drawing
11-16-18-33-51, Star Ball: 09, ASB: 05
Check Lotto America payouts and previous drawings here.
Winning Big Sky Bonus numbers from June 17 drawing
01-16-17-27, Bonus: 01
Check Big Sky Bonus payouts and previous drawings here.
Winning Montana Cash numbers from June 17 drawing
13-22-35-36-39
Check Montana Cash payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
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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