Medicaid Expansion Information for Stakeholders

Reports and Data

Medicaid Expansion Section 1115 Demonstration Waiver Information

Montana’s Medicaid expansion program is provided through a Section 1115 Demonstration Waiver, which is approved by the Centers for Medicare and Medicaid Services (CMS). Documentation related to Montana’s application for this waiver, and CMS’ approval of it, are available at the following links:

Relevant State Legislation

HB 658

In 2019, the legislature passed House Bill (HB) 658, which authorized the continuation of Medicaid expansion and directed DPHHS to seek federal approval for some program changes. The application submitted for federal approval is posted on this Medicaid Expansion Waiver Submission page. 

SB 261

The 2017 Montana Legislature passed Senate Bill (SB) 261 , which required state agencies to make a variety of changes related to state revenues.

As mandated in Section 14 (1) of SB 261, the Department terminated its contract with the Third Party Administrator (TPA) of the Health and Economic Livelihood Partnership (HELP) Plan.

SB 405

The 2015 Montana Legislature passed Senate Bill (SB) 405, the Health and Economic Livelihood Partnership (HELP) Act, which authorized the expansion of Montana’s Medicaid program to cover Montana adults with incomes up to 138% of the federal poverty level. 

Medicaid Expansion (HELP Act) Oversight Committee

SB 405 established a Montana HELP Act oversight committee which met from 2015-2018. The committee consisted of nine voting members, including legislative members, industry experts, a representative of the state auditor’s office, and a member of the general public or staff member of the Governor’s Office.

The Committee reviewed the implementation of the programs established in the HELP Act. The committee prepared a final report to the governor and to the legislative finance committee by August 15 of each even-numbered year.

Reports and other meeting materials are posted below.

2018 meetings

July 20, 2018

10:30am - 12:30pm, Capitol Building, Room 102

March 8, 2018

2017 meetings

September 27, 2017

July 31, 2017

2016 meetings

Nov. 22, 2016

July 13, 2016

March 22, 2016

2015 meetings

December 1, 2015

August 17, 2015