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Medicaid Changes Spark Legislative, Provider Concern

Montana is moving the new federal work rules in six months early as officials cancel a planned 3% Medicaid provider rate increase.

  • Montana initiated federally-mandated Medicaid work requirements today, July 1, six months ahead of schedule. Montana Department of Public Health and Human Services Director Charlie Brereton said the department is prepared to support members through this transition.
  • Last year, President Donald Trump signed a reconciliation bill known as the 'One Big, Beautiful Bill,' which implemented work requirements for Medicaid access that all states must implement by year-end.
  • Facing a budget shortfall, Montana canceled a planned 3% Medicaid provider rate increase. Jason Cronk at Immanuel Living in Kalispell warned rural nursing homes depending on Medicaid as primary revenue face 'devastating' consequences without new dollars.
  • Caregiver Celeste Thompson lost Medicaid coverage due to the new requirements because spousal income factors into disability payments. Helena Rep. Mary Caferro criticized Governor Greg Gianforte, saying he chooses to 'cut Medicaid,' making life less affordable for Montanans.
  • Catalyst Montana is organizing demonstrations at the capitol on July 8. Senior organizer Dillon Sarb noted that administrative hurdles and coverage losses are already straining rural hospital finances across the state.
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Medicaid changes spark legislative, provider concern

Changes to Medicaid rules and the cancellation of a planned healthcare provider reimbursement increase have led to concern among both providers and patients as Montana faces a deficit in the human services division. After voting to increase Medicaid spending last…

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katytimes.com broke the news on Tuesday, June 30, 2026.
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