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Montana bill would require regular cost reports for Medicaid providers, sponsors say
Summary
House Bill 419 would require cost reporting for certain Medicaid‑dependent services and funds a one‑time $1.2 million appropriation; supporters say the data will protect rate adequacy and stabilize wages and services for people with disabilities and behavioral‑health needs.
Representative David Beatty opened the House Health and Human Services hearing on House Bill 419, telling the committee the bill requires periodic cost reporting so the adequacy of Medicaid provider rates can be assessed at least once every four years and supports budget requests to adjust reimbursements.
The bill would exclude hospital cost‑based reimbursements and services paid under resource‑based relative value systems, and the first report is scheduled to be due Sept. 1, 2026. Beatty said HB 419 includes a one‑time appropriation of $1,200,000, split between the state general fund and a federal special revenue match, and that it repeals a narrower reporting statute currently in the Montana Code Annotated.
Proponents described concrete effects they said the bill would prevent or remedy. Ms. Witt of Ability Montana said…
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