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Montana State Hospital staff say facility still struggling

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WARM SPRINGS — A few week after the Montana State Hospital misplaced a projected $7 million in federal funding, workers say the state well being division just isn’t appearing with any urgency to enhance circumstances on the facility.

Tuesday, the U.S. Facilities for Medicare and Medicaid ended its supplier settlement with the state hospital resulting from well being and security violations. The announcement got here virtually two months after federal inspectors discovered the hospital’s practices put sufferers vulnerable to critical sickness and dying. Tom Glovan, vp of the hospital staff union, mentioned management has not addresses workers as a complete in regards to the announcement.

Glovan is a psychiatric technician who has labored on the hospital for greater than 30 years. After he heard the hospital would not be a Medicare and Medicaid supplier, Glovan mentioned he requested the hospital’s Chief Operations Officer Christopher St. Jean if workers would lose their jobs. St. Jean advised him the hospital was funded by the state and it might be “enterprise as ordinary.”

Incapacity Rights Montana Govt Director Bernadette Franks-Ongoy mentioned she discovered it attention-grabbing the state’s response was to speak in regards to the $7 million misplaced in federal reimbursement, and never the underlying issues of federal inspectors. Incapacity Rights Montana is the designated safety and advocacy group in Montana.

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The U.S. Facilities for Medicare and Medicaid Providers inspected the Montana State Hospital for 2 days in February. Poor practices posed put affected person well being in “rapid jeopardy” and put sufferers in danger for critical harm and dying. Employees didn’t present enough safety for sufferers in opposition to falls, which contributed to the dying of 1 affected person. Three different sufferers died from COVID-19 when the hospital did not separate contaminated and non-infected sufferers.

Individuals ought to be actually upset about what’s going on on the state hospital, Franks-Ongoy mentioned. The well being and security requirements are placing individuals in danger.

“Staff have actually simply been crying out for assist saying, ‘Please, will state authorities please do one thing,’” Franks-Ongoy mentioned.

Montana Division of Public Well being and Human Providers Spokesperson Jon Ebelt mentioned it was inaccurate to say the state isn’t appearing to right the problems raised by inspectors. In mid-March, the well being division signed a $500,000 contract with Mountain-Pacific High quality Healthcare, which is a “healthcare enchancment group.” The group started to place in place corrective motion plans to deal with the problems raised by CMS. Mountain-Pacific’s work will proceed via June. One other advisor, Alvarez & Marshal Public Sector Providers, LLC, may even do a full evaluation of all state well being care amenities and create a plan to enhance operations, Ebelt mentioned.

Rep. Dennis Lenz, R-Billings, is the vice chair of the Kids, Households, Well being and Human Providers Interim Committee, which gives oversight of the state hospital. Interim committees are restricted to learning points and giving recommendation to some companies, however don’t have direct energy to make modifications till the legislature is in session, Lenz mentioned.

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Lenz in contrast the Montana State Hospital to an outdated automotive. Perhaps it was working for some time, however now the engine is busted, he mentioned. Fairly than exchange the engine, it is perhaps time to purchase a brand new automotive altogether, he mentioned. Loads of modifications have occurred in psychological well being remedy within the final 20 years, Lenz mentioned.

“Even when it was working completely,” Lenz mentioned. “I’d suppose we’d nonetheless have to have a extremely critical evaluation about how the state hospital works for these of us.”

The interim committee will meet once more Might 12 and 13. Interim Committee Chair Rep. Ed Stafman, D-Bozeman, mentioned a portion of the second day will probably be devoted to discussing the Montana State Hospital.

Lenz mentioned he’d prefer to see some inner options introduced ahead by union healthcare staff. He’s heard lots of complaints in regards to the head of the division, however he didn’t comprehend it these have been legitimate. Montana State Division of Public Well being and Human Providers Director Adam Meier desires to take a measured strategy to bettering the hospital, Lenz mentioned. The purpose is to agree on what the state desires to perform within the state hospital, he mentioned. The top of the state hospital could match into that plan, he could not, Lenz mentioned.

“That’s another person’s name,” Lenz mentioned.

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The management staff killed worker morale, Glovan mentioned. The hospital feels extra like a correction setting than a medical facility. Group therapies are not occurring, sufferers obtain rare passes to go outdoors, and total remedy is restricted to pharmaceutical intervention, he mentioned. Employees are getting into on a regular basis and offering the perfect care they will, however the circumstances aren’t getting higher.

For workers, coaching is scattered and disorganized, he mentioned. Till lately, a part of orientation for brand spanking new workers included a tour of the hospital campus, Glovan mentioned. That doesn’t occur anymore, he mentioned.

“We’ve acquired model new employees coaching model new employees on what ought to be carried out,” Glovan mentioned. “They’re doing nothing to retain workers.”





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Montana

Sheehy, PERC and the future of public lands conservation in Montana

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Sheehy, PERC and the future of public lands conservation in Montana



A great recent article by Chris D’Angelo reports on the connection between Tim Sheehy, the Republican challenging Jon Tester for his senate seat, and PERC, the Bozeman-based Property and Environment Research Center that promotes what it calls “free market environmentalism.”  

While Montanans might wonder about Sheehy’s background and policy positions given the shifting sands in his explanations, the fact that he was on the board of PERC is not in question — despite his failure to disclose that fact as required by Senate rules which his campaign says is an “omission” that’s being “amended.”   

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For those who have long been in the conservation, environmental, and public lands policy arena, PERC is a very well-known entity. As noted on its IRS 990 non-profit reporting form, the center is “dedicated to advancing conservation through markets, incentives, property rights and partnerships” which “applies economic thinking to environmental problems.” 

But to put it somewhat more simply, PERC believes that private land ownership results in better conservation of those lands under the theory — and it is a disputable theory — that if you own the land and resources, you take better care of it due to its investment value.  This has long been their across the board approach to land, water, endangered species and resource extraction.

If one wanted to dispute that theory, it certainly wouldn’t be difficult to do, particularly in Montana where checking the list of Superfund sites left behind by private industries and owners bears indisputable evidence of the myth that private ownership means better conservation of those resources.

In fact, the theory falls on its face since, when “using economic thinking” the all-too-often result is to exploit the resources to maximize profit as quickly as possible.  And again, this example is applicable across a wide spectrum of resources.  In Montana, that can mean anything from degrading rangeland by putting more livestock on it than it can sustain to, as in Plum Creek’s sad history, leaving behind stumpfields filled with noxious weeds on their vast private — once public — land holdings. 

None of this is particularly a mystery, yet PERC has sucked down enormous amounts of funding from anti-conservation sources for more than four decades as it tries mightily to put lipstick on the pig of the all-too-obvious results of runaway private lands resource extraction.

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Running one of the most high-stakes senate campaigns in the nation, however, produces a lot of tap-dancing around the truth in an effort to convince voters that you’re for whatever position will garner the most votes come Election Day. 

In that regard, both Sheehy and PERC are scuttling sideways in their positions.  Given the overwhelming support for “keeping public lands in public hands” in Montana, PERC now claims it “firmly believes that public lands should stay in public hands. We do not advocate for nor support privatization or divestiture.”  

Funny that, given its previous and very long-held position that private ownership of lands and waters is the key to conservation.  Likewise, Sheehy’s position, “that “public lands must stay in public hands” is completely the opposite from the one he held only a year ago, and parrots PERC not only in its verbiage, but in its realization of which way public sentiment and the electoral winds are blowing.

Since what’s at stake is nothing less than the future of public lands in the Big Sky State, it behooves us to demand specific policy positions in writing from all candidates for public office — including the race for Montana’s Senate seat.  



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Couple walking across the U.S. reach Montana

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Couple walking across the U.S. reach Montana


WHITE SULPHUR SPRINGS — A couple from Missouri have a goal to walk through every state in the lower 48.

Paige and Torin – known by their social media handle “Walking America Couple” – are in leg three of a five-leg, cross-country journey.

They’ve already traversed through 21 states, and on Thursday, their journey brought them to just outside White Sulphur Springs.

“Even out here in the more rural open space, we still make a lot of friends on the side of the road. People often stop and ask what we’re doing, or stop to see if we need water or food,” says Paige.

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Each leg takes the couple roughly six months to one year, though they take short breaks in-between. They’re also completing the entire journey with their dog Jak.

“I think he loves the adventure more than we do,” Paige adds.



Through rain, shine, snow, and severe weather warnings, the couple have not been deterred, their purpose and mission propelling them.

“We would like to set the example that you can find contentment under almost any circumstance,” says Torin. “I started out the journey an incredibly cynical person, and it was through these repeated interactions of kindness with people that I had otherwise written off in the past, that my perspective began to change dramatically,” he adds.

Now, their journey is helping to spread the same happiness they’ve discovered to those they encounter on their journeys.

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“We hope to be the example that we’re, as humans, all more malleable than we think,” says Paige.

For more information, click here to visit their website.





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Montana lawmakers looking at possible future marijuana dispensary regulations

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Montana lawmakers looking at possible future marijuana dispensary regulations


HELENA — Since the launch of Montana’s adult-use recreational marijuana system in 2022, the state has put limits on who can enter the market. Now, state lawmakers are looking at possibly extending the limits, but in a much different form.

Earlier this month, the Montana Legislature’s Economic Affairs Interim Committee held a preliminary discussion on several marijuana-related bills that could be proposed for the 2025 session. One would freeze the number of marijuana dispensaries and other facilities for two years.

Since the start of legal sales, Montana has had a moratorium, allowing only providers who had been licensed in the state’s medical marijuana system to join the recreational market. It was initially set to expire June 30, 2023, but the Legislature voted last year to extend it two more years.

While the number of licensees was limited, those providers were allowed to open additional “licensed premises,” including dispensaries. The proposed legislation – still in a very early form and subject to change – would prevent any business from adding a new licensed premise between July 1, 2025, and June 30, 2027.

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“This time, we’re talking about a freeze on all cannabis-related business location licensing, so no new growers, no new kitchens, no new storage facilities, no new dispensaries – they’re the part the public are really going to notice,” said Pepper Petersen, president and CEO of the Montana Cannabis Guild.

The committee referred to the proposal as an extension of the moratorium, but marijuana industry representatives said it’s essentially an entirely new policy, because it would remove the requirement that licensees be former medical providers. That would allow licensees to sell or transfer their businesses to new owners who haven’t previously been in the system.

Petersen said people in the industry understand that many Montanans feel there are enough – or too many – dispensaries in the state. He believes local governments should be taking more active steps to limit the growth of dispensaries through zoning or other regulations.

“We’ve suggested to local governments for two years or more now that they put a number of restrictions on when, where and how dispensaries can open,” he said.

Local governments like Cascade County have looked at ways to regulate marijuana businesses. Next month, the city of Missoula is set to hold a public hearing on a proposal to pause issuing business licenses for new dispensaries.

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“When Missoula, Montana, one of the most liberal cities in the state – one of the most marijuana-friendly cities in the country – has said we’ve got too many dispensaries, that reverberates through the state Legislature,” Petersen said.

During the committee meeting, lawmakers also talked about putting together a bill draft to clarify what authority local governments have to put regulations on marijuana businesses. In addition, they looked at a “cleanup” bill to make some technical changes to marijuana laws, as well as a proposed resolution to support the federal SAFER Banking Act, which would allow legal marijuana businesses to access banking services. The committee is set to take a closer look at all of the proposals, including potential amendments, at a meeting in August.





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