Health Care Policy Analysis

Impact on Montana of Medicaid Provisions in the Better Care Reconciliation Act

This independent analysis by nationally-recognized experts from Manatt Health projects that if the U.S. Senate’s Better Care Reconciliation Act (BCRA) is enacted, Montana’s Medicaid program could lose $5.3 billion in federal funding, and more than 75,000 adults enrolled through the recent Medicaid expansion could lose coverage as early as 2021. The report is an update of the in-depth analysis released by MHCF on June 14, which looked at the U.S. House’s version of the bill, the American Health Care Act (AHCA). Like the House-passed version of the bill, the Senate’s version includes core features of the AHCA including capped funding for children, disabled, and adult members of Medicaid, and the elimination of Medicaid expansion funding.


Lee: $5.3B projected cuts from health care bill so severe, Montana could struggle to pay for education, infrastructure

Impact on Montana of the American Health Care Act’s Medical Provisions

This independent analysis projects that if the American Health Care Act (AHCA) is enacted, Montana’s Medicaid program would lose $4.8 billion in federal funding, and more than 70,000 adults enrolled through the recent Medicaid expansion would lose coverage by 2026. The analysis, conducted by Manatt Health and commissioned by MHCF, takes an in-depth look at the U.S. House-passed AHCA and its impact on both health care coverage and the state budget.


MTPR: Study Finds Thousands of Montanans Would Lose Coverage if Healthcare Bill Passes
KXLH: Obamacare Repeal Would Cost MT $4.8 Billion in Medicaid Refunds Over 6 Years
Daily Inter Lake: Montana to Lose $4.8 Billion in Medicaid Funding
Great Falls Tribune: State Could Lose $4.8B in Funds Under Health Care Proposal
Gazette Opinion: Do Health Care Reform Without Harm

Repealing the Medicaid Expansion: Implications for Montana

This report projects that over 71,000 newly insured Montanans could lose access to medical care and that the state could lose over $284 million in critical health care funding if Congress repeals the Medicaid expansion. The Affordable Care Act (ACA or “Obamacare”) allowed states to extend Medicaid coverage to adults with incomes up to 138% of the federal poverty line. In 2015, Montana took advantage of this opportunity through the bipartisan Health and Economic Livelihood Partnership (HELP) Act. This report, commissioned by MHCF, and written by nationally-recognized experts from Manatt Health analyzes the impacts of Montana’s recent Medicaid expansion, and the potential consequences if Congress repeals the program.


Billings Gazette Opinion: What Medicaid Repeal Would Cost Montana
Daily Inter Lake: Montana Officials Debate House Republicans’ Health-Care Proposal
Montana Public Radio: Montana Stands To Lose $284 Million In Medicaid Repeal
ABC FOX Montana: ACA Repeals
NBC Montana: Medicaid Expansion Repeal Could Impact Montanans 
KTVH: How the Repeal of the ACA Could Affect Montana

Medicaid’s Role in the Delivery and Payment of Substance Use Disorder Services

Montana can take practical and cost-effective steps to address its growing substance abuse crisis, according to a report by MHCF and the Montana Department of Public Health and Human Services, and authored by national experts at Manatt Health. The report finds that Montana’s current treatment system is severely under capacity as it struggles to address high rates of alcohol and drug abuse. Montana’s 2015 expansion of Medicaid creates an important opportunity to strengthen the state’s substance use disorder prevention and treatment system; a federal rollback of the Medicaid expansion could put many of these opportunities at risk. The report provides an extensive list of options for DPHHS, many of which can be implemented at little cost or even in ways that generate cost savings for the state.


Daily Inter Lake: Montanans Struggle To Find Substance Abuse Treatment
KGVO: Exploding Drug Use Forcing Law Enforcement and Healthcare to Work Together
MTPR: Montana Has ‘Golden Opportunity’ To Grow Drug, Alcohol Treatment 

Impacts of ACA Repeal on American Indian and Alaska Native Populations

American Indians and Alaska Natives could face disproportionate impact in the event of an ACA repeal. This report, authored by Dr. Donald Warne at North Dakota State University, in partnership with the National Indian Health Board, highlights the specific effects of an ACA repeal. Support for the research and data collection associated with this report was provided by the Robert Wood Johnson Foundation and MHCF.