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Committee hears proposal to let Montana Medicaid explore direct primary care payments

2867601 · April 3, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

A bill would authorize the Department of Public Health and Human Services to create rules enabling Medicaid to pay for direct primary care membership arrangements; sponsors and proponents told the House Human Services Committee the measure only authorizes rulemaking and does not require payment.

Representative Ed Butchery, the bill sponsor, introduced House Bill 9 53 to authorize the Department of Public Health and Human Services (DPHHS) to create rules allowing Medicaid to pay for direct primary care (DPC) membership arrangements on behalf of enrollees. "House bill 9 53 is a bill that deals with what is called direct primary care or DPC arrangements," he said, adding the 2021 Legislature has already authorized DPC in Montana and that DPC clinics in the state charge an average of about $77 per month.

The bill’s nut graf is procedural: it does not require the department to pay for DPC memberships but instead authorizes DPHHS to study and develop rules so the state Medicaid program could…

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