Montana
Montana could be a model as more GOP states weigh Medicaid work requirements • Stateline
Two decades ago, Jeff Beisecker and his family returned to Great Falls, Montana, from a religious mission to the Philippines. Beisecker had no health insurance and no steady source of income, and neither did his wife. Fearful of being without coverage, Beisecker enrolled himself, his wife and their four children in Medicaid for nearly a decade while he worked his way to a steady, full-time job.
Having the extra help made a difference for his family, recalled Beisecker, 53. “And people might have looked down on us. I don’t really care, because it was there to help us along the journey.”
For Beisecker, Medicaid coverage was a launching pad to stable work; now he helps others make that leap. As an employment and training coordinator for Opportunities Inc., a Great Falls-based nonprofit, Beisecker connects Montana Medicaid recipients to job training, career counseling, transportation and child care. Opportunities Inc. is one of several nonprofits that run a state-created voluntary program called the Health and Economic Livelihood Partnership Link, known as HELP-Link.
“When folks come in, we can meet with them and say, ‘Hey, maybe you can take this training that we can help pay for, and you can come out and start making 28 or 29 dollars an hour,” Beisecker said.
An increasing number of Republican-led states want to require Medicaid recipients to work, arguing that doing so will help them rise out of poverty. Democrats and health advocates note that most people on Medicaid already work either full time or part time. They argue that states shouldn’t deny health care coverage to people who don’t have jobs, especially since many face serious barriers to employment.
With HELP-Link, Montana might have found middle ground.
Holdout states consider expanding Medicaid — with work requirements
When Montanans enroll in Medicaid, nonprofit organizations such as Opportunities Inc., which receives state funding, can offer career guidance and job training from professionals like Beisecker. A key part of that process is identifying barriers to work — such as a lack of training, child care or transportation — and finding ways to overcome them.
“There are ways to support work without taking away people’s health coverage,” said Joan Alker, executive director of Georgetown University’s Center for Children and Families, which researches health care issues.
“Montana is the most concrete example of a work-support connection,” she said. “That’s one place to look to make sure people are connected to work supports and job training.”
Montana Republican state Rep. Edward Buttrey, who crafted the HELP-Link program with Democratic state Rep. Mary Caffero in 2015, said it adheres to GOP principles.
“Republican administrations typically want to ensure that if somebody’s getting a benefit from the taxpayers, that they’re earning it and in return providing a benefit back to the state and themselves,” Buttrey told Stateline. “I think that’s what this is about.”
Caffero said that in reaching a compromise, legislators “put the people of Montana above party politics.”
“We created our own majority,” she said, “and extremists were kind of out on a plank.”
Increasing interest
Medicaid is a program that provides health insurance for low-income people and is jointly run by states and the U.S. government. Any state that wants to add a work requirement to Medicaid must ask the federal government for permission.
Grassroots groups help Medicaid recipients regain lost coverage
The Biden administration has repeatedly turned down states’ requests to impose work requirements. It also has rescinded the approvals granted by its predecessor, which signed off on 13 of them. (Only one state, Arkansas, implemented its rule before courts blocked states from imposing them.) But with the election fast approaching, the prospect of a second Trump administration has prompted more GOP states to reconsider the idea.
That includes states such as Arkansas, Idaho and Louisiana that opted to expand Medicaid to more people under the Affordable Care Act, commonly known as Obamacare. It also includes states that are still debating whether to expand Medicaid under Obamacare, among them Kansas and Mississippi.
Georgia and South Carolina, neither of which has expanded Medicaid under the ACA, both have sought federal permission to include work requirements in partial expansions of Medicaid that are more limited than what is envisioned under Obamacare. Only Georgia, which is fighting the Biden administration in court, currently has a strict work rule for any of its Medicaid enrollees.
How it works
Montana, which expanded Medicaid during the Obama administration, in 2019 sought federal permission to apply work requirements to the roughly 100,000 adults who were newly eligible for the program. Under the proposal, beneficiaries would have had to work at least 80 hours each month, be looking for a job, or be doing volunteer work. There would have been exemptions for pregnancy, disabilities and mental illness.
In 2021, however, the Biden administration rejected Montana’s request. Buttrey told Stateline that if former President Donald Trump wins in November, it is likely that Montana will try again. But whatever the outcome of the election, the voluntary workforce training in HELP-Link has emerged as a possible compromise.
Beisecker said that Opportunities Inc. has been working with the Help-Link program for about a year and a half. The nonprofit has been able to help people do things such as get a commercial driver’s license, start a welding certificate program, take classes on medical coding, and join construction training programs.
When folks come in, we can meet with them and say, ‘Hey, maybe you can take this training that we can help pay for, and you can come out and start making 28 or 29 dollars an hour.
– Jeff Beisecker, employment and training coordinator for Opportunities Inc., a Montana nonprofit
The nonprofit also has a community resource center that can help Medicaid recipients get access to vouchers for food, laundry facilities and other needs.
“We get referrals from other nonprofits we work with,” Beisecker said. “We have flyers that we send out so people know about the program. We go to job fairs.”
According to data from the Montana Department of Labor and Industry, more than 2,200 people have participated in the HELP-Link program since its inception. Many have gone on to get jobs as registered nurses, dental hygienists, real estate agents and computer programmers, among many other professions.
HELP-Link has built relationships with large local employers such as manufacturers and health care providers, said Heather O’Loughlin, executive director of the Montana Budget & Policy Center, a nonprofit group that examines budget and tax issues. O’Loughlin said a dip in participation since 2021 is evidence that the program has moved many participants into stable jobs.
Caffero, the Democratic lawmaker, agreed.
“The program was doing exactly what we intended. People get jobs and jobs with benefits, jobs where they make a living wage, because they have education and training through HELP-Link,” she said. “That’s the goal. We don’t want the [Medicaid] rolls to go up.”
Buttrey noted that prior to the pandemic, Montanans stayed on Medicaid for an average of less than two years. “We’ve given people some job skills,” he said. “We’ve gotten them preventative care and help with addiction.”
Despite federal warnings, red and blue states aggressively cull Medicaid rolls
Robin Rudowitz, who oversees Medicaid research at KFF, a nonpartisan health research organization, praised Montana’s program for encouraging people to find a job — and get off government assistance — without denying them health care while they do it.
She contrasted HELP-Link with the strict work requirements Arkansas briefly had in place for Medicaid recipients during the Trump administration, before a federal court struck them down. Those rules knocked roughly 18,000 people off the rolls. “Arkansas was really the only state that actually implemented to the point of where individuals were disenrolled for failing to comply,” she said.
Rudowitz and other health experts also have been critical of Georgia’s Pathways to Coverage program, launched last summer, which extended Medicaid coverage to some low-income Georgians on the condition that they work or participate in another qualifying activity 80 hours each month. Under that program, which is not considered full expansion under Obamacare, 4,000 people have gained coverage, out of the roughly 350,000 who would qualify based on their income.
Georgia Republican Gov. Brian Kemp has defended the program and blamed the Biden administration for its slow start. The program is set to expire next fall, but several months ago, Georgia sued the federal government in a bid to extend it.
“It’s fiscally foolish, and anti-family,” Georgetown’s Alker said of the Georgia program. She noted that the state is leaving federal dollars on the table by eschewing a full-fledged expansion under Obamacare.
“It’s not been a pathway to coverage for anybody,” she said.
The Montana Lottery offers multiple draw games for those aiming to win big.
Here’s a look at June 20, 2026, results for each game:
Winning Powerball numbers from June 20 drawing
16-20-44-48-50, Powerball: 15, Power Play: 2
Check Powerball payouts and previous drawings here.
Winning Lotto America numbers from June 20 drawing
08-14-31-41-52, Star Ball: 04, ASB: 03
Check Lotto America payouts and previous drawings here.
Winning Big Sky Bonus numbers from June 20 drawing
09-22-25-26, Bonus: 11
Check Big Sky Bonus payouts and previous drawings here.
Winning Montana Cash numbers from June 20 drawing
05-22-28-30-34
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.
Montana
Planning For Life After Coal Cost a Montana County Commissioner His Seat – Inside Climate News
Robert Pancratz couldn’t believe it.
The Musselshell County commissioner had been defeated in the Republican primary for his seat by a two-to-one margin earlier this month. Mark Olson, who lives in Musselshell and serves as the undersheriff in Golden Valley County, won by 26 percentage points.
“That just blew me away,” Pancratz said. “All of my campaign, I had not a hint that there was that much opposition.”
At stake, from Pancratz’s perspective, is the fiscal future of his community, which includes Roundup, Montana, home to Montana’s only longwall coal mine. The mine, owned and operated by Signal Peak Energy, sits on the eastern side of the continental divide in a staunchly conservative part of the state, where its presence provides jobs and its profits generate taxable revenue for local governments. (The vast majority of its coal, the dirtiest fossil fuel, goes to markets in Asia.)
But that revenue could potentially be diminished by tens of millions, according to calculations by Pancratz, if a bill introduced by U.S. Sen. Steve Daines, R-Mont., passes Congress. The Crow Revenue Act would convey federally held coal to Signal Peak through a land transfer to a private intermediary, depriving Musselshell County of its share of the taxes Signal Peak Energy pays to mine coal on federal land.
If the Crow Revenue Act does not pass Congress, Signal Peak says it could be forced to shut down if it loses a lawsuit in the U.S. District Court for the District of Montana challenging the “energy emergency” the Trump administration used to grant the mine access to federal coal. That outcome would wipe out all the mine’s tax revenue and hundreds of jobs, the company claims. This month’s election hinged on Pancratz’s position on the bill and, by extension, the mine.
Musselshell County’s three commissioners, Mike Goffena, Mike Turley and Pancratz support keeping the mine open. But they also fear Musselshell County would need to raise taxes and cut services to balance its books if the Crow Revenue Act passes as written. After studying the county’s finances, Pancratz, who works as a risk analyst consultant, concluded that the county could lose as much as $11.6 million if the Crow Revenue Act passes and the price of coal is high. The commissioners have lobbied for changes to the bill that would guarantee the county some revenue from the land transfer.
Pancratz says he was just doing his job.
“As a risk manager, I have to develop a contingency plan for the possibility that the long-term stream of coal revenue could be disrupted or ended,” he said. “We needed to have a plan to effectively transition to other revenue sources. When I used the word transition, they took that as I was an environmentalist that was against coal.”
“Why anybody would have a problem with that is baffling to me. But that’s what happened.”
According to Pancratz, Signal Peak Energy branded the men as environmentalists who want to see the company shut down forever and this willful mischaracterization played a large role in his defeat.
“The picture they painted of me was totally false,” he said.
In a recording of a commissioner meeting posted to a local Facebook group by a Signal Peak Energy employee less than a month before the election, Pancratz, Goffena and Turley can be heard strategizing how to express their concerns about the Crow Revenue Act to Daines, whom they describe as unresponsive to their concerns.
Pancratz suggests asking for a $100 million endowment to transition from coal to “scare” Daines and Signal Peak Energy. Turley states that with funding at that level, they wouldn’t care if the mine was open or not.
“Exactly,” Pancratz responded.
Comments on the video show viewers expressing outrage that the commissioners would “play chicken” with the future of the mine, which provides hundreds of jobs in the surrounding area.
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Pancratz said the conversation was recorded without the commissioners’ knowledge. Montana is a two-party consent state, meaning all parties must be aware of and consent to a recording, but he allowed that it was possible one of the commissioners forgot to close a virtual public meeting after it concluded.
Pancratz said the conversation occurred when the commissioners found out there would be no money in the Crow Revenue Act for the county. The bill’s supporters, including Signal Peak Energy, had told them that the county would not lose any revenue under the bill, he said.
“We were upset because we felt we’d been lied to,” Pancratz said.
Signal Peak Energy did not respond to a written message and phone call seeking comment. For a time after Signal Peak took over the mine in the late 2000s, it was plagued by malfeasance, including embezzlement, a faked kidnapping and safety and environmental violations, according to reporting by The New York Times.
Olson said he entered the race due to a “lack of transparency” from the commissioners over how the county was spending its money.
But the mine played a role in his decision to run, too. As he was weighing his options, Olson said his cousin, Alan Olson, a former state legislator and former executive director of the Montana Petroleum Association, visited him and urged him to run to support the mine. After that conversation, he was convinced the mine’s survival depended on the Crow Revenue Act passing, and that trying to amend it would jeopardize the legislation.
“The more money we can get for the county, the better, but I don’t think it’s worth risking the mine closing,” Olson said. Losing federal revenue was better than losing all the jobs and the tax base if the mine closes, he concluded.
Olson added that Parker Phipps, Signal Peak Energy’s CEO, has briefed him on the mine’s fiscal relationship with Musselshell County.
Olson’s background in law enforcement could add a new perspective to the county commissioner meetings, given Goffena and Turley’s background in ranching, he said, but the minutiae of the county’s budget will be new to him.
“I am by no means an expert in any of this stuff,” he said.
Some worry that, with the mine facing a lawsuit, an unpredictable global coal market and the uncertain future of the Crow Revenue Act, the commissioners cannot afford to lose momentum in their efforts to attract new industries to the area.
Olson’s win in the primary will “set [economic diversification planning] back long term,” Nicole Borner, a former Musselshell County commissioner, who thinks Olson was hand-picked by the Signal Peak Energy to run and is not informed about what the job entails.
“We will always just have a few crumbs to duct tape a few issues,” she said. “We’ll never be able to fix the prior forty years of being in a coal bust and our infrastructure just literally falling apart.”
Olson will likely run unopposed in the general election.
In his remaining time in office, Pancratz said he will continue to push for economic diversification in Musselshell County. He holds no animosity towards Olson, who calls Pancratz “a wonderful guy.” Instead, he laments not addressing concerns over his position on the mine sooner in the campaign. But he believes Signal Peak Energy’s political and social influence—the company operates a charity in the region—is what swayed the election.
“You can’t say anything that even remotely implies that you’re trying to prepare the county for the possibility that coal revenue may not be steady or high … There’s this attitude that the county is in debt to that coal mine. And the message I tried to get out is, it’s more the reverse,” Pancratz said.
“I personally don’t believe the mine really cares about the county.”
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The Montana Lottery offers multiple draw games for those aiming to win big.
Here’s a look at June 19, 2026, results for each game:
Winning Mega Millions numbers from June 19 drawing
13-16-21-26-50, Mega Ball: 12
Check Mega Millions payouts and previous drawings here.
Winning Big Sky Bonus numbers from June 19 drawing
05-12-14-30, Bonus: 03
Check Big Sky Bonus payouts and previous drawings here.
Winning Millionaire for Life numbers from June 19 drawing
02-20-28-51-54, Bonus: 02
Check Millionaire for Life 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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