In Poisoned Montana Town, Warren Buffett-Owned Railroad Accuses Clinic of Medicare Fraud

BNSF Railway accuses the Center for Asbestos Related Disease of Medicare fraud by misdiagnosing and overtreating asbestos-caused illnesses, which the health clinic calls a cynical attempt by the company to limit its own liability.

Only One Vaccine Is OK’d for Older Teens. It’s Also the Hardest to Manage in Rural America.

Of the three covid vaccines the U.S. government has authorized, only one is available to 16- and 17-year-olds: the Pfizer shot. It’s also the most complicated to manage in rural settings, with their small, dispersed populations. That forces some teens and their families to travel long distances for a dose — or go without.

Public Health Experts Worry About Boom-Bust Cycle of Support

Congress has poured tens of billions of dollars into public health since last year. While health officials who have juggled bare-bones budgets for years are grateful for the money, they worry it will soon dry up, just as it has after previous crises such as 9/11, SARS and Ebola. Meanwhile, they continue to cope with an exodus from the field amid political pressure and exhaustion that meant 1 in 6 Americans lost their local health department leader.

Montana Sticks to Its Patchwork Covid Vaccine Rollout as Eligibility Expands

Montana’s overstretched counties and tribal governments have developed a mishmash of policies and plans that require ingenuity and mutual support to work. A reporting project by KHN, Montana Free Press and the University of Montana School of Journalism finds the biggest test of that disparate system looms as vaccine eligibility expands. Plus: a county-by-county guide to vaccine availability in Montana.

Getting a Prescription to Die Remains Tricky Even as Aid-in-Dying Bills Gain Momentum

Access to physician-assisted death is expanding across the U.S., but the procedure remains in Montana’s legal gray zone more than a decade after the state Supreme Court ruled physicians could use a dying patient’s consent as a defense.

Covid-Inspired Montana Health Insurance Proposal Wouldn’t Kick In for 2 Years

Montana is looking to join most other states in requiring small businesses to offer laid-off employees temporary continuity of their health care plans. But the bill, if it passes, likely won’t take effect in time to help people directly affected by the pandemic.

Looking to Kentucky’s Past to Understand Montana Health Nominee’s Future

Montana’s pick for health director has garnered both praise and criticism for his past in Kentucky, where he sought to add work requirements to the state’s Medicaid program and was a top health official amid a hepatitis A outbreak.

With GOP Back at Helm, Montana Renews Push to Sniff Out Welfare Fraud

Montana is one of the latest states looking to aggressively check welfare eligibility to cut costs. Supporters of such steps say it’s about what’s fair — weeding out those who don’t qualify for assistance — while opponents say it will cut loose enrollees who actually need help.

Spurred by Pandemic, Little Shell Tribe Fast-Tracks Its Health Service Debut

As the newest federally recognized tribe, the Little Shell Tribe of Chippewa Indians of Montana is starting from scratch to deliver health care to members. While covid-19 has been devastating, it has sped up the tribe’s ability to build a clinic. Yet, lacking a reservation, the tribe faces challenges reaching its scattered members.