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Montana Senate votes down bill to narrow eligibility for Medicaid expansion

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Montana Senate votes down bill to narrow eligibility for Medicaid expansion


HELENA — As the Montana Legislature continued its second day of marathon debates ahead of Friday’s transmittal deadline, the state Senate voted one more time on Medicaid expansion.

(Watch the video to see more from Thursday’s debate on Medicaid expansion.)

Montana Seante debates Medicaid Expansion

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House Bill 245 – the main bill to renew Medicaid expansion in the state – passed the Legislature last week. However, Senate President Sen. Matt Regier, R-Kalispell, said it was worth having one more discussion about how the program should be structured.

“Whether it’s this bill, this program, a lot of things that we do here at government, we need to stop and take a look at what’s the end goal,” he said Thursday.

Senators narrowly rejected Regier’s Senate Bill 334, on a 24-26 vote.

Regier argued his bill was “stackable” with the existing program, not in competition with it – but it would make significant changes. SB 334 would have required the state to ask for and receive a waiver from the federal government and implement “community engagement” requirements in order to offer Medicaid expansion. The current state law calls for community engagement – requiring those on Medicaid expansion to spend 80 hours a month on work, education, workforce training, volunteering or other approved activities – but federal authorities haven’t yet allowed the state to implement those requirements.

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SB 334 also would have lowered the maximum income level to be eligible for Medicaid expansion, from 138% of the federal poverty level to 100%. Regier said that would mean about 14,000 people currently on the program would no longer be eligible, but he argued those people now have other options for health coverage, including getting insurance through the Affordable Care Act marketplace.

“Are we going to judge a program on how many people we can put on it, or judge a welfare safety net program as its success of not needing it anymore – how many people can be off of it and be self-sufficient to where we don’t even need that program anymore?” Regier asked. “To me, that is more of a definition of success.”

However, opponents of SB 334 said lawmakers had already weighed in on the Medicaid expansion program – by passing HB 245, which essentially continued it as it is currently. They said the bill would undermine a system that’s already working.

“This bill coming now is a fix that we really don’t need,” said Sen. Russ Tempel, R-Chester.

“What we are essentially doing is we are taking people who are working hard – they’re hard-working Montanans in our small businesses, in all of our communities who are trying to make things work – and we’re making it harder for them,” said Sen. Emma Kerr-Carpenter, D-Billings.

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The Senate passed HB 245 30-20 on a final vote last Thursday. Earlier this session, senators also voted down Senate Bill 62, which would have begun phasing out the Medicaid expansion program.





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Evacuation orders issued as 5,000-acre wildfire burns near Roundup, Montana

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Evacuation orders issued as 5,000-acre wildfire burns near Roundup, Montana



The Rehder Creek Fire is burning 16 miles southeast of Roundup has grown to about 5,000 acres, prompting evacuation orders for residents in the Bruner Mountain Area/Subdivision.

The fire started Feb. 26, the cause is unknown and containment was at 0%.

Evacuation orders are in effect for all residents in the Bruner Mountain Area/Subdivision. The Musselshell County Sheriff’s Office is coordinating the evacuation orders, and 911 reverse calls have been sent out to advise people in the area.

A shelter is opening at the Roundup Community Center. Residents were told to contact Musselshell County DES for further information.

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Firefighter and public safety remain the top priority. The public is asked to avoid the Fattig Creek and Rehder Road area so emergency personnel can safely and effectively perform their work.

Fire resources assigned to the incident include 40 total personnel, 11 engines, one Type 2 helicopter, three tenders and two dozers.



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February 26 recap: Missoula and Western Montana news you may have missed today

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February 26 recap: Missoula and Western Montana news you may have missed today





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Escobar, Jayapal, Members of Congress Call on Camp East Montana to be Shut Down – Congresswoman Pramila Jayapal

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Escobar, Jayapal, Members of Congress Call on Camp East Montana to be Shut Down – Congresswoman Pramila Jayapal


(Washington, D.C.) – Today, Congresswoman Veronica Escobar (TX-16) – joined by Representative Pramila Jayapal, the Ranking Member of the Immigration Integrity, Security, and Enforcement Subcommittee, and 22 other Members of Congress – sent a letter to Department of Homeland Security (DHS) Secretary Kristi Noem and Immigration and Customs Enforcement (ICE) Acting Director Todd Lyons calling for the immediate closure of Camp East Montana in El Paso. They cite urgent humanitarian concerns following multiple deaths in custody, documented unsafe conditions, and serious deficiencies in medical care.

This marks the fourth letter Congresswoman Escobar has sent to DHS and ICE leadership. The previous three letters have gone unanswered.

The letter can be found in its entirety below and here.

“Secretary Noem and Acting Director Lyons:

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We are urgently calling on the Department of Homeland Security (DHS or the Department) and U.S. Immigration and Customs Enforcement (ICE) to shut down Camp East Montana in El Paso, Texas.

Camp East Montana has been operational for six months, and at least three people have died at the site since December 2025: Francisco Gaspar-Andres, Geraldo Lunas Campos, and Victor Manuel Diaz. The El Paso County Medical Examiner has officially ruled Lunas Campos’ death a homicide, citing “asphyxia due to neck and torso compression.”

Camp East Montana was constructed in a matter of weeks and opened before construction was complete and it does not have enough federal staff on-site to provide adequate oversight. Over the last several months, Congresswoman Veronica Escobar, in whose district this facility is located, has sent multiple letters to DHS and ICE regarding concerns about the conditions at Camp East Montana, and has received no responses.

According to detainees, there have been constant and consistent problems at the facility since it opened, beginning with the facility’s poor construction and poor ambient temperature control. Upon opening, the drinking water at Camp East Montana tasted foul and made some detainees sick. Detainees continue to be served inadequate meals, including food that is rotten or frozen; last fall, the facility was also consistently failing to make dietary accommodations for detainees. Detainees have shared that they have sporadic access to outside spaces and recreational areas, and that their dormitory pods are cleaned only once every eight days, despite pods housing up to 72 people at a time. Laundry services are not consistent, and people are washing their clothes in the facility showers. Additionally, the facility experiences flooding and sewage backups when it rains, leading to stagnant water. 

One of the biggest concerns with the Camp East Montana facility is the inadequate medical care being provided to detainees. Our offices have heard that only the most ill detainees are referred to the medical unit and that there are inconsistencies as to how soon after arriving detainees are able to undergo initial medical screenings. Detainees with chronic health issues who rely on regimented medications for their health have had difficulty accessing necessary medications, including blood pressure medication and insulin.

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At least one of the deaths that occurred in ICE custody, the death of Francisco Gaspar-Andres, appears to partially be the result of poor medical care by staff at the facility. According to ICE’s own account, Gaspar-Andres sought medical attention from facility staff for increasingly serious symptoms, but was only transferred to an area hospital once his condition had severely deteriorated.

In addition to our concerns about poor medical care, we are also aware that detainees have experienced irregular access to their legal counsel, including instances of detainees having only two minutes allotted per phone call every 8 days, which is contrary to ICE’s Detention Standards on access to counsel, and that the belatedly created law library lacks adequate resources for the amount of people currently held at the facility. In January 2026, ICE announced the on-site death of Geraldo Lunas Campos “after experiencing medical distress.” ICE opened an investigation into the death, but did not provide a cause of death. However, The Washington Post later reported that another man detained at Camp East Montana had witnessed guards choking Lunas Campos when he refused to enter a segregated housing unit. Weeks later, the El Paso County Medical Examiner ruled that Lunas Campos had experienced “asphyxia due to neck and torso compression” and ruled his death a homicide.

Lunas Campos is the first detainee to die at Camp East Montana as a result of a use-of-force incident, but we are strongly concerned that he will not be the last if ICE is allowed to continue operating Camp East Montana.

ICE was given $45 billion in taxpayer dollars in the reconciliation bill, $1.2 billion of which were awarded to Acquisition Logistics, LLC, a company with no previous experience managing immigration detention facilities, to build and oversee Camp East Montana. However, in the wake of three deaths in custody so far, continued concerns about conditions at the facility, and ICE’s apparent disinterest in responding to oversight letters from Congress, we do not believe Camp East Montana is being run professionally or responsibly.

Camp East Montana must be shut down. For the safety of everyone at the facility, for an end to abuses to detainees, and for fiscal responsibility to the American people, the site cannot continue to operate. We are calling on DHS and ICE to move to immediately close operations at Camp East Montana.

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We look forward to hearing from the Department promptly on this matter.     

The other co-signers include Representatives Yassamin Ansari, Nanette Barragán, Yvette Clarke, Lloyd Doggett, Maxwell Frost, Jesús “Chuy” García, Sylvia Garcia, Daniel Goldman, Jimmy Gomez, Henry Johnson, Stephen Lynch, Seth Moulton, Eleanor Holmes Norton, Delia Ramirez, Andrea Salinas, Janice Schakowsky, Darren Soto, Rashida Tlaib, Paul Tonko, Lauren Underwood, Gabe Vasquez, and Nydia Velázquez.


Issues: Immigration



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