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Montana Hurries To Adopt Trump’s Medicaid Work Rules Amid Budget Woes

State officials say the changes could drop more enrollees and strain providers as Montana faces a $183 million shortfall.

Montana plans to be one of the first states to enforce President Donald Trump’s work mandate for Medicaid enrollees, adding another challenge for state health officials trying to plug a massive budget hole. Clinicians and patient advocates say the incoming changes will deliver a twofold blow: They expect the work requirements to kick more patients off Medicaid, meaning fewer can afford care, while the health department’s budget problems make it …

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Missoula Current broke the news on Wednesday, May 27, 2026.
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