Bill > SB334

This bill proposes to expand Medicaid eligibility in Montana with specific conditions and requirements for able-bodied adults. The expansion would only occur if the state successfully obtains a federal waiver and requires participants to meet community engagement requirements, such as working, participating in job training, or volunteering for 80 hours per month. Eligible individuals must be between 19 and 65 years old, have an income between 0% and 100% of the federal poverty level, and meet other specified criteria. The bill introduces measures to increase program integrity, including biannual eligibility redeterminations, potential lifetime benefit limits, and suspension of automatic renewals. Participants would be required to pay premiums based on their income, with potential increases over time, and could face disenrollment for non-payment. The legislation includes several exemptions from community engagement requirements, such as for pregnant women, students, individuals with medical conditions, and those experiencing specific hardships. The bill is contingent on various conditions, including the extension of the existing Medicaid expansion program and meeting federal waiver requirements, and is set to be effective July 1, 2025, with a termination date of June 30, 2029.

Health and Social Services

https://bills.legmt.gov/#/laws/bill/2/LC1341