Montana
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Uninsured Rate for Young Children Rose More Sharply than for Older Children from 2022-2024
Key Findings The number of infants, toddlers and preschoolers who are uninsured is at the highest level in nearly a decade and is increasing more sharply than for older children. The number of uninsured children under age 6 grew by 23% between 2022 and 2024, while the number of uninsured school-aged children grew by 17%. The charts and appendix…
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Congress Wanted to Protect People Living in Areas with High Unemployment from Losing Health Care Due to Work Reporting Requirements. Will it Actually Happen?
During the Congressional debate about the passage of H.R. 1, many concerns were raised about the adoption of a mandatory work reporting requirement for people covered by Medicaid expansion – including the risks of people living in areas with high unemployment losing health coverage despite their best efforts to find work. In response, statutory language…
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Tracking Montana Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Montana posts monthly state administrative data, including Medicaid enrollment. Timely administrative…
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Which Parents Will be Impacted by Medicaid Work Reporting Mandate?
A new work reporting requirement for adults in Medicaid is one of the most widely publicized provisions in the Trump budget reconciliation bill (H.R. 1) passed last year and accounts for a great deal of the projected coverage loss and cuts to Medicaid. In fact, a new study from the Urban Institute estimates that between…
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Is Your State Leaving Money on the Table? How CHIP Health Service Initiatives Can Help States Support Children’s Access to Care
At a time when states are facing growing fiscal pressures and increasing strain on health systems, the Children’s Health Insurance Program (CHIP) Health Services Initiatives (HSIs) represent an often overlooked source of federal funding offering flexible financing to support outreach and targeted health initiatives to improve children’s health. This source of federally-matched funding becomes increasingly…
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State by State Medicaid and CHIP Enrollment Data
This tracker shows enrollment data for Medicaid and the Children’s Health Insurance Program (CHIP) in all 50 states and DC, from January 2025 to the most recent month available. Data include total Medicaid/CHIP enrollment, as well as enrollment for children, adults, and Medicaid expansion. Historical data are also included to provide additional context for state…
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Are States Ready to Implement HR 1 and Medicaid Work Reporting Requirements?
Key Findings Introduction On July 4, 2025, President Trump signed into law HR 1 (P.L. 119-21), the massive budget reconciliation bill that cuts more than $1 trillion from Medicaid and Marketplace health coverage. The law strips coverage from many lawfully residing immigrants, ties the hands of states to raise revenue to cover the state share…
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How Would Changes to Federal Medicaid Expansion Funding Impact People in “Trigger” States and Those with Expansion Enshrined in State Constitutions?
Congress is currently considering draconian cuts to Medicaid that would mean millions of low-income Americans lose access to affordable health care. But both the type of federal cuts and how the joint state-federal Medicaid program operates in each state mean that the impact on people living in different states would vary considerably. The major difference…
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Medicaid’s Role in Small Towns and Rural Areas
Key Findings Background One-fifth of people in the United States live in areas that are classified as non-urban. Residents of rural areas and small towns face additional challenges accessing needed health services compared to residents of metro areas for a variety of reasons including acute provider shortages, limited connectivity, and long distances to travel to…
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Federal Funding Cuts to Medicaid May Trigger Automatic Loss of Health Coverage for Millions of Residents of Certain States
Despite virtually no discussion of Medicaid during the election, Medicaid is facing proposals for significant reductions in federal funding. My colleague Edwin Park has already detailed some of the discussion around these cuts – which are being considered in service of facilitating an extension of tax breaks, the majority of which would go to the…
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State Medicaid and CHIP Snapshots, 2023
The Georgetown University Center for Children and Families (CCF) and the American Academy of Pediatrics (AAP) created factsheets underscoring the importance of Medicaid in providing coverage for children in all 50 states and the District of Columbia. Sources available here. Previous snapshots can be found here (2019), here (2018) and here (2017). Check out more interactive…
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Report Finds Medicaid Expansion Has Made Huge Impact in Montana, Especially in Rural Areas
The Montana Healthcare Foundation hired consulting firm Manatt Health to conduct a comprehensive evaluation of the effects of the Montana legislature’s expansion of the Medicaid program. This follows up the foundation’s 2021 report on Montana’s Medicaid program and Medicaid expansion. Combined, these reports lay out the background of Medicaid in Montana and the program’s reach,…
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New Urban Institute Estimates of 1.7 Million More Uninsured Children if Supreme Court Overturns Affordable Care Act
On Tuesday, November 10, the Supreme Court will hear oral arguments for California v. Texas, a case in which a group of conservative attorneys general led by the Texas Attorney General and the Trump Administration are seeking to overturn the entire Affordable Care Act (ACA). Researchers from the Urban Institute recently projected that the number…
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Is pandemic time the right time to make Medicaid recipients look for jobs?
Montana Free Press By: Katheryn Houghton In 2019, Montana lawmakers passed Medicaid expansion, building in new work and “community engagement” requirements for eligibility. Those requirements were scheduled to go into effect this summer. In the interim, a pandemic has upended both the statewide economy and the employment status and prospects of thousands of Montanans…. Joan…
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Repealing the Medicaid Access Rule is Bad News for Children and Providers
On July 15, CMS proposed to repeal—but not replace—the Access Rule. Repeal of this important rule will leave children in Medicaid fee-for-service, as well as their providers, with no systematic assessment of their access to services and no procedural protections against arbitrary payment cuts. (This could be especially problematic in the event of a recession,…
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2016 Maps
The interactive maps and data for 2016 provide information on the percent of adults and children covered by Medicaid and/or CHIP.You can embed these maps on your website by selecting a state on the left then copying the embed code on the right side of the map and pasting it into a post on your…
