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Key Votes

HB 623 - Expands Medicaid Eligibility - Key Vote

Montana Key Votes




Stage Details

Legislation - Referred to Committee (House) -
Legislation - Bill Passed With Amendment (Senate) (27-22) - (Key vote)

Title: Expands Medicaid Eligibility

Vote Result
Yea Votes
Nay Votes
Vote Smart's Synopsis:

Vote to pass a bill that expands Medicaid eligibility.

  • Requires the Department of Health and Human Services to submit a request to the secretary of the U.S. Department of Health and Human Services for a waiver that provides health insurance coverage through private insurance options for “eligible individuals” with a low risk of needing extensive medical services and who meet one of the following conditions (Sec. 10):
    • They are currently employed or actively seeking employment;
    • They are primary caregivers for a family member; or
    • They are the spouse of an adult who is employed or actively seeking employment.
  • Defines “eligible individual” as an individual who is under 65 years of age, not pregnant, and who has an income that does not exceed 133% of the federal poverty level (Sec. 9).
  • Requires the department redesign the Medicaid program to meet certain measures including, but not limited to, the following measures (Sec. 15):
    • Implementing a patient-centered medical home model of care;
    • Amending access restrictions to emergency departments;
    • Requiring medical service providers to see Medicaid patients within a specified time frame; and
    • Providing targeted patient education.
  • Requires Medicaid service providers and health insurance issuers to pay the department insurance assistance mitigation fees in an amount proportionate to each provider’s or issuer’s services (Secs. 13 & 17).
  • Requires the department to collect the following amounts from insurance assistance mitigation fees per fiscal year (Secs. 13 & 17):
    • $20 million from Medicaid service provider fees; and
    • $10 million form health insurance issuer fees.
  • Establishes a value-based purchasing system with incentive payments for hospitals, physicians, nurses, long-term care facilities, and home health care agencies that meet established performance standards (Sec. 16).
Legislation - Bill Passed (House) (60-39) - (Key vote)

Title: Expands Medicaid Eligibility

Vote Result
Yea Votes
Nay Votes
Legislation - Introduced (House) -

Title: Expands Medicaid Eligibility


  • Liz Bangerter (MT - R) (Out Of Office)
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