Montana
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.
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.
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.
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.
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.”
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
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.
“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.
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.
“Montanans need to understand that expansion is not a government program keeping people form working,” Barnard said.
The Montana Lottery offers multiple draw games for those aiming to win big.
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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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09-14-18-20, Bonus: 16
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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
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.
Mobile home residents in Bozeman, Montana, say they’re being forced to choose between paying rent and paying medical costs.Courtesy of Jered McCafferty
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.
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.
“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.
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.”
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.
“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.”
MISSOULA, Mt. — 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.
“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.”
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.
“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.
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.”
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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