‘Worse Than People Can Imagine’: Medicaid ‘Unwinding’ Breeds Chaos in States
As Medicaid programs across the nation review enrollees' status in the wake of the pandemic, patients struggle to navigate the upheaval.
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Feds Try to Head Off Growing Problem of Overdoses Among Expectant Mothers
Homicides, suicides, and drug overdoses have driven rising rates of pregnancy-related death in the U.S. This fall, six states received federal funding for substance use treatment interventions to prevent at least some of those deaths.
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Domestic Violence Shelters Move Out of Hiding
A new domestic violence shelter in Bozeman, Montana, reflects efforts nationwide to rethink the model that keeps survivors of abuse in hiding. But there are no guidelines for bringing shelters out into the open, leaving each to make it up as they go.
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On the Night Shift With a Sexual Assault Nurse Examiner
Montana and other states are trying to increase the number of nurses specially trained to treat survivors of sexual assault.
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As Montana’s Mental Health Crisis Care Crumbles, Politicians Promise Aid
One of Montana’s largest mental health providers has ratcheted back services amid financial troubles, leaving a vacuum. State policymakers have promised more money to aid behavioral health care, but lasting change could be years out.
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Schools Struggle With Lead in Water While Awaiting Federal Relief
President Joe Biden said in his State of the Union address that federal funds will pay to replace lead pipes in hundreds of thousands of schools and child care centers. In the meantime, schools are dealing with high lead levels now.
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Republican Lawmakers Shy Away From Changing Montana’s Constitutional Right to Abortion
Lawmakers in 14 states have passed near-total bans on abortion since the U.S. Supreme Court overturned Roe v. Wade. But in some conservative-led states where court rulings determined their constitutions protect abortion, including Montana, politicians haven’t asked voters to weigh in.
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Montana’s Tax-Exempt Hospitals Oppose Increased Oversight by State Officials
As Montana officials seek to make nonprofit hospitals prove the benefits they provide the community justify their tax exemptions, industry leaders propose their own changes — which state officials say would further limit the state’s authority.
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As States Seek to Limit Abortions, Montana Wants to Redefine What Is Medically Necessary
Montana officials are looking to tighten rules around medically necessary abortions for those who use Medicaid as their health insurance. Reproductive health advocates and Democratic lawmakers have said the move is part of a broader agenda to whittle away access to the procedure.
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Why People Who Experience Severe Nausea During Pregnancy Often Go Untreated
Because morning sickness is common, severe nausea in pregnancy can be minimized by doctors or the patients themselves. Untreated, symptoms can worsen — and delays lead to medical emergencies.
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A Montana Addiction Clinic Wants to Motivate People With Rewards. Then Came a Medicaid Fraud Probe.
A complaint was filed with the state against an addiction treatment provider that wants to use rewards — an effective but largely unregulated tool — to help people stay in recovery.
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Blackfeet Nation Challenges Montana Ban on Vaccine Mandates as Infringement on Sovereignty
The Montana tribe has entered a legal fight over whether the state has the right to enforce a prohibition of vaccine mandates on its reservation.
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Montana Backs Away From Innovative Hospital Payment Model. Other States Are Watching.
Montana has been a national model for how employers could gain control and transparency over medical bills. Upcoming changes to its model have health care price experts wondering whether the state is making improvements or losing focus.
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Montana Health Officials Aim to Boost Oversight of Nonprofit Hospitals’ Giving
Montana is one of the latest states seeking to increase oversight of nonprofit hospitals’ giving to ensure they justify their tax-exempt status.
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Hospitals Cut Jobs and Services as Rising Costs Strain Budgets
More than two years into the pandemic, hospital budgets are beginning to crack. One of the biggest drivers of financial shortfalls has been the cost to find workers.
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Public Health Agencies Adapt Covid Lessons to Curb Overdoses, STDs, and Gun Violence
Know-how gained through the covid pandemic is seeping into other public health areas. But in a nation that has chronically underfunded its public health system, it’s hard to know which changes will stick.
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When Mental Illness Leads to Dropped Charges, Patients Often Go Without Stabilizing Care
When criminal suspects are deemed too mentally ill to go through the court process and their charges are dropped, they can be left without stabilizing treatment — and sometimes end up being charged with additional crimes.
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Montana Clinics That Provide Abortions Preemptively Restrict Pill Access for Out-of-State Patients
Montana is an island of legal abortion, but three of the state’s five clinics are limiting access to abortion pills for out-of-state patients in an effort to protect themselves and patients from legal attacks.
By Katheryn Houghton and Arielle Zionts -
Some People in This Montana Mining Town Worry About the Dust Next Door
Residents of a Butte neighborhood are concerned about the dust from a nearby open-pit mine that can coat their homes and vehicles. In a city where past mining left a legacy of soil and water pollution, is the air unsafe, too?
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Montana Hires a Medicaid Director With a Managed-Care Past
Montana, one of about a dozen states still managing its own Medicaid programs, has a new Medicaid director who championed handing the management of the program to private companies in Iowa and Kansas.
By Katheryn Houghton and Tony Leys
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