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Senate committee tables bill to shift assisted‑living funding to Community First Choice

Senate Finance and Claims · February 26, 2025
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Summary

Senate Bill 100 proposed moving some assisted‑living recipients from the Big Sky waiver to Community First Choice (CFC), a change proponents said would raise federal participation and yield net general‑fund savings; after fiscal questions and debate about entitlement risks and data gaps, the Finance and Claims committee tabled the bill.

Senate Bill 100, the Senior Care Facility Access Stabilization Act, would direct Montana’s Department of Public Health and Human Services to move certain assisted‑living individuals from the Big Sky waiver into Community First Choice (CFC) by January 2026, increasing federal participation in the program and changing how some services are funded.

Sponsor Sen. Becky Beard said the switch would increase federal participation in the services and produce general‑fund savings by reducing more expensive nursing‑home placements. "Moving some of these individuals on the wait list to the CFC program will therefore provide savings to Montana's general funds," Beard said during the hearing.

Proponents focused on the fiscal note. Rose Hughes, executive director of the Montana…

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