MontanaHB 41969th Legislature, Regular Session (2025)HouseWALLET

Implementing cost reporting for certain Medicaid service provider types

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 2 costs, 0 mixed.

Medicaid rate study and funding

Beginning July 1, 2025, DPHHS produces a Medicaid rate adequacy report at least once every 4 years, if funded. The first report is due September 1, 2026. It compares pay rates to provider costs using cost reports, claims, and national data (BLS, IRS, USDA, Census) and peer states. The law provides $1.2 million ($600,000 state and $600,000 federal) for the biennium starting July 1, 2025 to build the first report. DPHHS may hire experts to help.

New cost reports for Medicaid providers

Beginning July 1, 2025, Medicaid service providers that DPHHS identifies must file a standard cost report. It applies to providers in adult and children’s mental health, substance use disorder, developmental disabilities, and senior and long-term care. You must report actual revenue and spending for your most recent fiscal year and cooperate with audits when asked. DPHHS sets the format, protects data, and consults providers. DPHHS updates base-year data at least once every 4 years and not more than once in any 2-year period.

Old HCBS fiscal report repealed

The law repeals the prior HCBS fiscal accountability report to the legislature (section 53-6-406). The repeal takes effect July 1, 2025.

Sponsors & Cosponsors

Sponsor

David Bedey
Republican • House

Cosponsors

John Esp
Republican • Senate
Kenneth Bogner
Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 288 • No: 9

Senate vote • 4/22/2025

Do Concur

Yes: 49 • No: 1

Senate vote • 4/16/2025

Do Concur

Yes: 50 • No: 0

House vote • 3/20/2025

Do Pass

Yes: 93 • No: 5

House vote • 3/18/2025