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Medicaid expansion in Montana: termination risks, enrollment and state cost tradeoffs
Summary
LFD and DPHHS staff briefed Section B on how sunsetting Medicaid expansion would shift costs and trigger redeterminations, and why terminating expansion would not yield large state general fund savings.
Legislative Fiscal Division and Department of Public Health and Human Services staff told the Section B subcommittee that Medicaid expansion’s scheduled termination (June 2025 absent legislative action) would trigger a redetermination for current enrollees and likely shift many people into traditional Medicaid, increasing the state’s share of costs.
Dr. Josh Poulet (LFD) said termination would not produce large savings for the state because only a portion of the 10% state share for expansion is general fund; other state special revenues finance…
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