Budget-Strapped Montana Will Stress-Test Trump’s Medicaid Work Rules
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Montana
KFF Health News’ latest news on Montana
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Montana Hurries To Adopt Trump’s Medicaid Work Rules Amid Budget Woes
The state is ramping up to implement the federal work requirements six months ahead of the deadline. But Montana is one of several states already struggling to pay for health services.
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License To Deliver: Some Midwives Break the Law To Assist With Home Births
Some states bar professional midwives from attending home births if they don’t have a nursing license. Their advocates say laws to allow midwife licensing would make home birth safer and more accessible, plus help address a maternity care shortage.
By Lisa Rab -
Trump Demands Medicaid Data for Deportation. Some States Go a Step Further.
Several states have required their health agencies to take on another job: verifying immigration status among Medicaid recipients and reporting them to the U.S. Department of Homeland Security. North Carolina is the latest to pass such a law, and experts expect more to follow.
By Andrew Jones -
Montana Moves Ahead With Doula Pay but Warns Medicaid Cuts Still May Come
Montana health officials say they’re seeking to add doula services to the state’s Medicaid program, reversing a previous statement that they would “not be moving forward” amid a budget shortfall.
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Journalists Talk Hot Health Topics: Urgent Care Clinics Performing Abortions and Doulas’ Pay
KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
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States Face Another Challenge With Medicaid Work Rules: Staffing Shortages
Some states already don’t have enough staff to quickly process Medicaid applications and answer enrollees’ phone calls. Researchers say they may not be prepared to handle new Medicaid work rules, predicting people will lose coverage as a result.
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This Northern Cheyenne Doula Was About To Start Getting Paid — Then Medicaid Cuts Hit
Montana was on track to start reimbursing doulas, who support new and expectant parents, through Medicaid this year. But state officials halted that plan amid a budget shortfall. Other such services deemed optional under Medicaid are at risk nationwide as states brace for federal cuts.
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Give and Take: Federal Rural Health Funding Could Trigger Service Cuts
States are rolling out plans for their share of a $50 billion fund meant to improve rural health care. In some states, the money may provoke rural hospitals to cut services.
By Aaron Bolton, MTPR and Arielle Zionts -
Lawmakers Seek To Protect Crisis Pregnancy Centers as Abortion Clinic Numbers Shrink
Some states have tried to crack down on crisis pregnancy centers, accusing them of deceptive practices. But now conservative lawmakers are pushing legislation to increase protections for the organizations, which work to dissuade women from abortions.
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Oz Says California’s Not Fighting Health Care Fraud, but Data Shows It’s Part of a Larger Battle
Trump administration officials say the state allows rampant fraud and have promised to investigate, blaming the “Russian, Armenian mafia” in the hospice and home health care industry. But data shows hotbeds of health care fraud throughout the country, with California outperforming most other states in recovering fraud dollars.
By Don Thompson -
The NIH Workforce Is Its Smallest in Decades. Here’s the Work Left Behind.
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
By Rachana Pradhan and Katheryn Houghton -
Six Federal Scientists Run Out by Trump Talk About the Work Left Undone
Cancer treatments, disease outbreaks, addiction science: Scientists say an exodus from the National Institutes of Health will harm the nation's ability to respond to illness.
By Rachana Pradhan and Katheryn Houghton -
The People — And Research — Lost in the NIH Exodus
Government data shows the National Institutes of Health lost about 4,400 people — more than 20% of its staff — as the Trump administration slashed the federal workforce. Hear from six scientists on why they walked out the door and the work they left behind.
By Rachana Pradhan and Katheryn Houghton -
Despite Their Successes, Some Mobile Crisis Response Teams Are in Crisis
Mobile crisis units are trained to respond to emergency calls when people are experiencing delusions or hallucinations. But unlike police departments, which are generally funded by local taxpayers, mobile crisis teams don’t have a single, reliable funding source. As a result, some are closing down, despite successful operations and local support.
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End of Enhanced Obamacare Subsidies Puts Tribal Health Lifeline at Risk
Tribal insurance programs give Native Americans access to affordable health care when the Indian Health Service falls short. Those plans are threatened by the expiration of enhanced Affordable Care Act subsidies.
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Native Americans Are Dying From Pregnancy. They Want a Voice To Stop the Trend.
Native American women face higher rates of death than other demographics. In response, Native Americans have been working with state and federal officials to boost tribal participation and leadership in maternal mortality review committees to better track and address pregnancy-related deaths.
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In Lodge Grass, Montana, a Crow Community Works To Rebuild From Meth’s Destruction
Meth is a problem most everywhere, but particularly in Indian Country. On the Crow Indian Reservation in Montana, new buildings serve as symbols of a town trying to rebuild after being devastated by addiction.
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Homeless Shelters for Seniors Pop Up, Catering to Older Adults’ Medical Needs
Seniors are the fastest-growing segment of homeless Americans. Shelters are struggling to take in people with mobility issues and other chronic health conditions that can make living in a shelter nearly impossible. But specialized shelters for seniors are cropping up around the country to fill the gap.
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Medical Bills Can Be Vexing and Perplexing. Here’s This Year’s Best Advice for Patients.
As the crowdsourced investigative series from KFF Health News approaches its eighth anniversary, “Bill of the Month” offers its top takeaways of 2025 to help patients manage, decipher, and even fight their medical bills.