Proposed Work Requirements in Montana’s Medicaid Program: An Update

Focus Area: Medicaid & Health Policy

Category: Report

Date Published: 2019

As many as 50,000 to 56,000 low-income people in Montana could lose health coverage under a new bill (HB658) introduced on March 12 to reauthorize Montana’s Medicaid expansion and impose new work and reporting requirements on Medicaid recipients. These findings are part of {an updated analysis} published today by researchers at George Washington University’s Milken Institute School of Public Health.

The new report updates a previous in-depth analysis released on February 13 that looked at an early draft of the bill. HB658 includes several relatively minor changes from the previous bill draft. This updated report takes those changes into account and adds an analysis on the potential impacts on the self-employed and newly proposed reporting requirements such as health risk assessments and employment readiness reports.

The report emphasizes that there are uncertainties in these projections: it is not known whether the Centers for Medicare and Medicaid (CMS) would approve certain provisions in HB658, and how the state would implement them if they are approved. Ambiguities in the bill could also lead to legal and regulatory challenges: the report also notes that according to specific clauses in HB658, if any of the new work and reporting requirements are not approved by CMS or are voided by litigation, Montana’s entire Medicaid expansion would be terminated.

2019 Call for Proposals

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