Bill > SB199

This bill revises Montana's Medicaid expansion program, primarily focusing on two key areas: taxpayer integrity fees and community engagement requirements. For taxpayer integrity fees, the bill modifies how fees are assessed for Medicaid participants who own property or vehicles beyond certain thresholds, including adding a provision that limits households to one light vehicle without incurring additional fees. The community engagement requirements are adjusted to slightly narrow the list of qualifying activities, removing substance abuse education from the list and streamlining the types of activities that count toward the 80-hour monthly community engagement requirement. The bill also introduces a new nonseverability clause, meaning that if any part of the law is found unconstitutional, the entire law becomes invalid. Additionally, the bill extends the potential termination date of the Medicaid expansion program to June 30, 2025, and includes a contingency provision that would allow the program to terminate if necessary federal approvals or waivers are not obtained. The changes are part of ongoing efforts to manage and potentially reform Montana's Medicaid expansion program, with a focus on program integrity and participant requirements.

Health and Social Services

https://bills.legmt.gov/#/laws/bill/2/LC0584