Providing practical policy solutions to key health systems challenges.

The goal of this focus area is to provide practical policy solutions to key health systems challenges; to ensure that Montanans have adequate information to understand and reach informed decisions regarding proposed Medicaid and health policy changes at the federal and state levels; and to allow Montana’s health system to adapt to new policies promptly and effectively.

State and federal health policies have a profound impact on the lives, health, and health care of Montanans. In early 2019, the law that authorized Montana’s Medicaid expansion will come up for reauthorization by the state legislature. Federal health policy continues to be uncertain, with new policy proposals arising nearly every month. In this environment of rapid change and uncertainty, the public and policymakers need timely, fact-based policy analysis from a credible source. Moreover, state organizations working to strengthen the health system need resources effectively engage and support policy decisions that will have a positive effect on the Foundation’s goal of improving the health and health care for all Montanans.

Funding Opportunity

There are currently no grant opportunities in this focus area. In 2018, we will continue to work with stakeholders to identify the most effective health policy investments.

Medicaid and Health Policy Resources

Our Work in Medicaid and Health Policy

Medicaid and Health Policy Grantees

Montana Department of Public Health and Human Services

Analyzing and Understanding the Impact of Medicaid Expansion on Montanans

Grant Term: 12 months; 2018-2019
Grant Amount: $90,500

This statewide project seeks to analyze available demographic and health data of the Montana Medicaid Expansion population in order to better understand the impact of expanded health coverage on Montanans.

Montana Budget and Policy Center

Medicaid Policy Analysis and General Operating Support

Project Term: 12 months; Ended 2018
Grant Amount: $50,000

This grant provided general operating support for the Montana Budget and Policy Center who will continue their work with Healthy Montana Coalition partners to disseminate information about Montana’s Medicaid expansion. During the grant period, the grantee helped to organize 15 events, conducted outreach to more than 18,000 Montanans, and produced 3 reports:

  1. Rural Montana Hit Harder Under House Passed Health Care Plan
  2. 142,000 Montanans Face Uncertainly of Health Coverage with Threat of ACA Repeal
  3. Montana Families Rely on Children’s Health Insurance Program

Montana Primary Care Association

Documenting Patient Experiences with Montana's Medicaid Expansion

Project Term: 3 months; Ended 2017
Grant Amount: $16,400

This project resulted in the publication of Montana Coverage Matters, a storybook that documents individual patient experiences related to the Medicaid expansion. This project was done in partnership with the Montana Human Rights Network (who received an additional $20,000 MHCF grant for this project).

Montana Budget and Policy Center

Report on the Impact of Medicaid Repeal on Montana's Budget, Health Care Providers, and Individuals

Project Term: 12 months; Ended 2017
Grant Amount: $8,000

This project produced a report, 142,000 Montanans Face Uncertainty of Health Coverage with Threat of ACA Repeal, published in January 2017. The report generated two news stories and was mentioned in nine others.

Billings Clinic

American Indian Health Care Advocate Program

Grant Amount: $46,829
Project Term: 12 months; Ended 2017

This project provided outreach, information, and health insurance enrollment assistance to American Indian people residing on the Crow and Northern Cheyenne Reservations and the urban American Indian population residing in Billings. Through the American Indian Healthcare Advocate Program, outreach events, presentations, and informational materials were distributed to over 700 individuals with questions about Montana’s Medicaid expansion and how obtaining health insurance could increase their access to quality health care. Twenty-six people were directly enrolled in a health insurance product for which they were eligible but not yet enrolled and 177 people were assisted in the enrollment process. Additionally, a qualitative research project was initiated to gain insight into American Indian perceptions of health insurance and health care.

2018 Call for Proposals

Find out about this year’s available grants.