Connect with us

Montana

Montana lawmakers hear conflicting arguments on renewing expanded Medicaid program • Daily Montanan

Published

on

Montana lawmakers hear conflicting arguments on renewing expanded Medicaid program • Daily Montanan


Lawmakers on the health and human services budget committee on Wednesday heard opposing presentations about Medicaid expansion in Montana and its purported benefits and drawbacks as the legislature sets up what will likely be one of its biggest decisions next year – whether it should continue the expanded Medicaid program or let it expire next June.

Under Medicaid expansion, which was created under the Affordable Care Act, able-bodied adults earning up to 138% of the Federal Poverty Level – around $20,782 annually this year for a single person – can get health insurance coverage paid for primarily by the federal government, but partially the state. As of June in Montana, there were around 81,000 people covered under expanded Medicaid out of a total of 228,000 covered by the overall program. Medicaid covers about one-fifth of Montana’s population.

That’s down from a peak of around 302,000 Montanans who were covered in June last year as the state started its unwinding process to boot people off the program who had automatically been re-enrolled during the COVID-19 federal emergency but were no longer eligible after the emergency ended.

Montana first expanded Medicaid here in 2015 and renewed the expansion in 2019. But the expanded portion of the program will expire in June if lawmakers choose not to renew it again during the 2025 legislative session that starts in January and will run for as long as 90 days.

Advertisement

Only 10 states have not expanded Medicaid coverage in the decade they have had the option.

The topic of expansion is sure to bring dozens of lobbyists, health care workers and officials, and people covered by expanded Medicaid to the Capitol to offer their viewpoints on what is currently a $2.4 billion program in Montana overall, with about $100 million annually initially coming out of the state’s General Fund for the expanded coverage. Nearly 80% of the Montana Medicaid budget is paid for with federal funds, and states receive a 90% match for funds for the expanded population.

Medicaid enrollment in 2022 as a percentage of each Montana county’s population. (Source: Montana Healthcare Foundation)

Wednesday’s presentations offered starkly different viewpoints on the expanded portion. The first came from the data and analytics director of the Foundation for Government Accountability, a right-leaning think tank whose goals include stopping Medicaid expansion, and from the president of Paragon Health Institute, who was a special assistant for economic policy to former President Donald Trump.

The second came from two officials with policy firm Manatt Health, who outlined for lawmakers a report it compiled for the Montana Healthcare Foundation, a private foundation that works on health policy, that showed the benefits of Medicaid expansion in Montana for the past nine years.

Advertisement

Presenters say Medicaid keeping people from working, costing hospitals

The presentations from the former group by Hayden Dublois, the data and analytics director for the Foundation for Government Accountability, and Brian Blase, the president of Paragon, focused primarily on their contention that Medicaid expansion has ballooned the coverage pool beyond what was initially expected, benefited the health care industry over patients, put resources toward able-bodied adults instead of children and people with disabilities, and allowed people who are covered not to work.

Dublois said a public records request he submitted to the Montana Department of Public Health and Human Services for information on how many Medicaid recipients in Montana were working between 2019 and 2022. He claimed the data he received showed 54% of recipients in 2019 showed no earned income and that the number had jumped to 72% in 2022. The Manatt presentation would later on claim 66% of recipients were working and another 11% in school.

A slide from the Paragon presentation alleging expansion populations are costing more than forecast. (Source: Paragon Health Institute)
A slide from the Paragon presentation alleging expansion populations are costing more than forecast. (Source: Paragon Health Institute)

He said Montana’s slight dip from 23rd healthiest state in the nation in 2015 to 24th healthiest, according to United Health Foundation data, meant that claims that Medicaid helped bolster public health were not true.

And he lamented that Montana hospital profits had decreased after Medicaid expansion due in part to reimbursement rates under expansion and to costs rising during a six-year period despite the state and federal government spending double what it had originally planned to for expansion because more people were eligible than expected.

“Montana’s relative ranking in health outcomes has dropped and the preponderance of the research has shown that in rural areas in particular, outcomes are either nonexistent in terms of improvement or actually result in worsened outcomes than was expected,” Dublois said. “Hospitals are still under financial strain because cost increases outweighed the revenue gains post-expansion. Spending is up and enrollment is up.”

Advertisement

Blase gave a similar presentation, lamenting what he said was an overly costly expansion program that cost other Medicaid recipients quality care and saying there was “no health benefit” associated with Medicaid expansion. He, like Dublois, suggested that the expansion population would be better off getting private insurance or insurance from the ACA marketplace.

“If Montana were to not have Medicaid expansion, the people above 100% of the poverty line, they would move to the exchanges; they would qualify for a very large premium tax credit,” he said. “…So you would have a loss in Medicaid but you would have a significant increase in both private coverage as well as in employer coverage because some of those individuals who are on Medicaid would otherwise be on an employer plan.”

In response to a question from Sen. Carl Glimm, R-Kila, about what population he estimated would fall into that category, Hayden said while he hadn’t looked deeply at data, he believed roughly 20,000 to 30,000 might be eligible for what he called “enhanced private exchange coverage.”

Other group says expanded Medicaid benefitting Montana

Advertisement

The presentation from Manatt Health senior managing director Patti Boozang and senior adviser Zoe Barnard essentially took the opposite stance and highlighted what the two said were vast benefits to Medicaid expansion in Montana and other states during the past decade.

A slide from the Manatt Health presentation showing Medicaid costs and the share paid by each entity. (Source: Manatt Health/Montana Healthcare Foundation)
A slide from the Manatt Health presentation showing Medicaid costs and the share paid by each entity. (Source: Manatt Health/Montana Healthcare Foundation)

“We’ve had expansion in place for quite a long time now, and there has been a lot of research, a lot of academic studies looking at the impact of Medicaid expansion on coverage, on access, on outcomes,” Boozang told the committee. “And I think the punchline here is that the overwhelming evidence is what Medicaid expansion has had positive effects on all of those measures of success or what we care about in our healthcare system and in our coverage programs.”

She pointed out that spending per Medicaid enrollee in all expansion states is higher for all Medicaid-eligible groups than in non-expansion states, that states have increasingly expanded Medicaid during the past seven years, including seven states by ballot initiative, and that most studies show expansion has positive overall effects for providers, users and states while lowering uncompensated care costs for hospitals.

Barnard told the budget committee that the expanded Medicaid program in Montana has reduced the uninsured rate by 30%, from 16.4% in 2015 to 11.4% in 2022, by filling the gap for people who would not typically qualify for Medicaid or employer-sponsored insurance.

Rep. Mary Caferro, D-Helena, noted that someone working on Montana’s minimum wage would make around $1,000 more annually than the 138% of the Federal Poverty Level and would not qualify even under expansion.

“I know you didn’t ask that, but I thought it might be useful,” she told the committee chair.

Advertisement

Barnard said Medicaid costs in 2023 were $2.4 billion, of which about 79% was funded by the federal government, 13% by the state General Fund, and 8% by special revenue funds. She said Medicaid expansion costs about $100 million a year, but about 25% is paid by hospitals.

But the state has since 2015 spent an average of 13% of the General Fund on Medicaid each year, Barnard said, meaning overall spending has only fluctuated by about $40,000 between 2015 and 2022.

She said expansion has reduced the cost of uncompensated care for Montana hospitals by about $150 million during the course of seven years. And she said Medicaid expansion has increased access to preventative care and behavioral health services.

Discussing the work requirement portion that has been part of the Medicaid expansion discussion in Montana for years, including a Senate bill that was shot down during the 2023 session, Barnard said a University of Montana economist’s analysis showed Medicaid did not decrease the labor force participation and that around 80% of adults receiving Medicaid are working or in school.

U.S. Bureau of Labor and Statistics data show Montana’s labor force participation rate was about 63.5% in 2015 and is currently around 62.9%. A poll released in early May found nearly three-in-four Montanans supported keeping expanded Medicaid.

Advertisement

“Montanans need to understand that expansion is not a government program keeping people form working,” Barnard said.



Source link

Montana

Missoula Sentinel pipeline aiding Montana State's run to FCS national championship game

Published

on

Missoula Sentinel pipeline aiding Montana State's run to FCS national championship game


MISSOULA — Montana State’s path to Frisco, Texas, for the FCS national championship has been built by Treasure State natives.

For Rylan Ortt, Adam Jones and Zac Crews, that road started with the decision to become Bobcats — and spurn the hometown Montana Grizzlies — after playing high school football at Missoula Sentinel.

Tom Wylie / MTN Sports

Montana State captain Rylan Ortt stands during the coin toss of the Bobcats’ game against Idaho in the quarterfinal round of the FCS playoffs at Bobcat Stadium in Bozeman on Friday, Dec. 13, 2024.

“Rylan was the first guy to grow up a Griz fan and make that jump over to Bozeman for a lot of different reasons,” Sentinel football coach Dane Oliver told MTN Sports. “And so that kind of laid the foundation. And I know Zac and Adam both looked up to Rylan.

Advertisement

“You know how recruiting works, if they’re having a positive experience wherever they’re at, it helps when they hear from a kid that they trust and know.”

Ortt joined Montana State in 2019 after a stellar Sentinel career playing quarterback and throwing the javelin. As the Spartans’ QB, Ortt threw for 2,098 yards and rushed for 750 yards as a senior in 2018.

In the javelin, he won the 2019 Class AA state championship with a throw of 208 feet, 8 inches.

Once in Bozeman, Ortt transitioned to safety. He redshirted in 2019, and the 2020 season was canceled due to the COVID-19 pandemic. In the four years since, he has emerged as one of the leaders on a defense full of Montana guys.

This season, he leads the Bobcats with 75 total tackles. He’s also caught one interception and forced and recovered a fumble.

Advertisement

“He sacrificed a lot for our (Sentinel) program just having to play quarterback,” said Oliver, who played for the Grizzlies and was a member of their last national title team in 2001. “And hopefully that’s helped him being a safety, and maybe the knowledge you gain from the quarterback perspective has allowed him to have success at that level.”

While Ortt has been a stalwart in MSU’s secondary, Jones has had a breakout season on offense. He burst onto the scene in the Bobcats’ season-opening come-from-behind win at FBS New Mexico when he rushed for 167 yards, including a 93-yard touchdown that sparked the fourth-quarter comeback.

Jones this season has become the most prolific freshman runner in program history, rushing for 1,134 yards and 14 touchdowns. Against Idaho in the quarterfinals of the FCS playoffs, Jones accounted for 95 yards and four touchdowns with starting running back Scottre Humphrey sidelined.

“He’s got all the traits of what it takes to be great,” Oliver said of Jones. “You know, (Jones is successful) maybe a little earlier than I expected. I think the thing that Adam had going for him (in high school) was he was a three-sport athlete. You know, he was a heck of a baseball player, did hockey and football.

“He was always physical. … He’s got the hockey nature, so he’s not afraid of contact. But he’s put on some weight. He can finish runs, always falls forward, he’s got great vision. He’s got all the qualities of a back.”

Advertisement
Montana State vs. South Dakota

Slim Kimmel / MTN Sports

Montana State’s Adam Jones (23) and Zack Black (50) celebrate after the Bobcats defeated South Dakota in a semifinal game of the FCS playoffs at Bobcat Stadium in Bozeman on Saturday, Dec. 21, 2024.

Jones, Crews and fellow Cats Dylan Rollins and J.J. Dolan each played a part in helping Sentinel win Class AA state football championships in 2020 and 2021. Prior to the 2020 title, the Spartans’ last championship came in 1972.

Crews, a sophomore, has turned into a contributor on the defensive line with 24 total tackles and 2.5 sacks.

Dolan is a redshirt freshman, and Rollins, the 2020 Gatorade Montana player of the year and a 2021 Sentinel grad, is a freshman after beginning his college career at BYU and serving an LDS mission.

Now they’re all part of an MSU program aiming to end its own drought and win its first national championship since 1984.

Advertisement

“It’s fun to see them go on to be successful, not just the ones that play college football,” Oliver said. “It’s made me realize why I do this. It takes a lot of time and energy to coach high school football.

“So, just to see them grow into young men and have success and be fulfilled in it, whatever career they choose, and those guys are doing it on a public stage, and so obviously super rewarding for myself and all our staff to see the success they’re having.”

Montana State (15-0) will play North Dakota State (13-2) for the FCS national championship on Jan. 6.





Source link

Advertisement
Continue Reading

Montana

How North Dakota State and Montana State reached the FCS national championship game

Published

on

How North Dakota State and Montana State reached the FCS national championship game


After a thrilling 2024 season, FCS football will crown a champion when North Dakota State and Montana State battle on a Monday night. As the Bison and Bobcats near the pinnacle of the sport, let’s take a look back at their journeys.

🏈 MORE FCS FOOTBALL 🏈 

North Dakota State

ndsu

Regular season

North Dakota State finished the regular season 10-2, losing its first game to Colorado out of the FBS and its final game to South Dakota out of the MVFC. The season-ending loss prevented the Bison from winning the MVFC outright, but it didn’t matter as NDSU still got the No. 2 overall seed in the playoffs.

FCS playoffs

North Dakota State fought off an early scare from Abilene Christian in the second round to win by 20 points. In the quarterfinals, the Bison beat Mercer 31-7 in a game they controlled from start to finish.

Semifinal round

In the semifinals, North Dakota State defeated South Dakota State for the second time this year to advance to the championship game. Click or tap here for more on the thrilling finish.

Advertisement

Bison schedule

Opponent Win/Loss Score Record Ranking (AFCA)
at Colorado L 31-26 0-1 No. 2
vs. Tennessee State W 52-3 1-1 No. 2
at ETSU W 38-5 2-1 No. 2
vs. Towson W 41-24 3-1 No. 2
at No. 15 Illinois State W 42-10 4-1 No. 2
vs. No. 6 North Dakota W 41-17 5-1 No. 2
at Southern Illinois W 24-3 6-1 No. 2
vs. No. 1 South Dakota State W 13-9 7-1 No. 2
at Murray State W 59-6 8-1 No. 1
vs. Northern Iowa W 42-19 9-1 No. 1
vs. No. 14 Missouri State W 59-21 10-1 No. 1
at No. 4 South Dakota L 29-28 10-2 No. 1
vs. (15) Abilene Christian W 51-31 11-2 No. 4
vs. (7) Mercer W 31-7 12-2 No. 4
vs. (3) South Dakota State W 28-21 13-2 No. 4

Key players this season

  • QB Cam Miller
  • RB CharMar Brown
  • RB TK Marshall
  • WR Bryce Lance
  • WR Braylon Henderson
  • TE Joe Stoffel
  • OL Mason Miller
  • OL Grey Zabel
  • DL Eli Mostaert
  • DL Kody Huisman
  • DL Loshiaka Roques
  • LB Logan Kopp
  • DB Darius Givance
  • K Griffin Crosa

North Dakota State has a reloaded roster under first-year head coach Tim Polasek. The Bison have the Jerry Rice Award winner CharMar Brown in the backfield along top-three Walter Payton Award finalist Cam Miller. The trenches are stout yet again with NFL prospect Grey Zabel on offense and All-American Eli Mostaert on defense.

Montana State

montana state

Regular season

Montana State finished the regular season 12-0 with the longest regular-season win streak in the FCS. Only two Bobcat games — an FBS win over New Mexico State and a Big Sky win over UC Davis — were within one possession.

FCS playoffs

Montana State’s dominance continued in the playoffs. The Bobcats didn’t play a close game in the first two rounds, averaging 50.5 points scored and a 32.5 margin of victory.

Semifinal round

In the semifinals, Montana State held off South Dakota to advance to the championship game. Tommy Mellott led the way offensively with 134 passing yards and a touchdown plus 125 rushing yards and two touchdowns. Click or tap here for more from the game.

Bobcat schedule

Opponent Win/Loss Score Record Ranking (AFCA)
at New Mexico W 35-31 1-0 No. 4
at Utah Tech W 31-7 2-0 No. 3
vs. Maine W 41-24 3-0 No. 3
vs. Mercyhurst W 52-13 4-0 No. 3
at Idaho State W 37-17 5-0 No. 3
vs. Northern Colorado W 55-17 6-0 No. 3
vs. No. 8 Idaho W 38-7 7-0 No. 3
Portland State W 44-14 8-0 No. 3
at Eastern Washington W 42-28 9-0 No. 2
vs. Sacramento State W 49-7 10-0 No. 2
at No. 4 UC Davis W 30-28 11-0 No. 2
vs. No. 10 Montana W 34-11 12-0 No. 2
vs. UT Martin W 49-17 13-0 No. 1
vs. Idaho W 52-19 14-0 No. 1
vs. South Dakota W 31-17 15-0 No. 1

Key players this season

  • QB Tommy Mellott
  • RB Scottre Humphrey
  • RB Adam Jones
  • WR Taco Dowler
  • WR Ty McCullouch
  • TE Rohan Jones
  • OL Marcus Wehr
  • OL Conner Moore
  • OL Titan Fleischmann
  • OL Cole Sain
  • DL Brody Grebe
  • DL Paul Brott
  • LB McCade O’Reilly
  • LB Danny Uluilakepa
  • DB Andrew Powdrell
  • DB Rylan Ortt
  • P Brendan Hall

Montana State is an experienced group with a mix of young talent. Adam Jones was the runner-up for the Jerry Rice Award while senior Tommy Mellott is a top-three Walter Payton Award finalist. Brody Grebe leads the defense; he finished ninth in Buck Buchanan Award voting.

1 reason why each FCS semifinal team can win the title

In 2024, the final four FCS teams all have legitimate shots at winning it all. Here’s why.

Advertisement

READ MORE

What a championship would mean for each FCS semifinal team

Four teams remain in the 2024 FCS championship chase: Montana State, South Dakota, South Dakota State and North Dakota State. Winning a title means something different for each one.

READ MORE

Advertisement

The 8 best potential FCS championship game matchups

Before the 2024 quarterfinals kick off, it’s time to rank the most intriguing possibilities for a national championship matchup — and why.

READ MORE

Advertisement





Source link

Continue Reading

Montana

Students deliver Christmas meals to veterans in Great Falls

Published

on

Students deliver Christmas meals to veterans in Great Falls


Posted

and last updated

Students deliver Christmas meals to veterans in Great Falls

Advertisement

In the video above, Paul Sanchez reports on students from Central Catholic High School in Great Falls, who provided all of the fixings for Christmas meals for 50 military veterans.



Copyright 2024 Scripps Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.





Source link

Advertisement
Continue Reading

Trending