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MontanaHB 57669th Legislature, Regular Session (2025)HouseWALLET

Revise funding for medicaid and health and support services to children and to adults who are aged, blind, and disabled

Sponsored By: Jane Gillette (Republican)

Signed by Governor

Health Care ServicesTobacco

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Bill Overview

Analyzed Economic Effects

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

Tobacco dollars boost CHIP and Medicaid

The law sets aside 17% of yearly tobacco settlement money for health programs. This money matches federal funds for CHIP and Montana Medicaid. It can also pay for home visiting, Medicaid waivers 0148.R07.00 and 0208.R07.00, and early help for infants and toddlers with disabilities. The state also uses tobacco dollars for tobacco disease prevention so kids do not start and adults can quit. The health department runs these programs. The Legislature must approve spending, and money not appropriated within two years moves to a trust fund.

More CHIP funding, possible cuts in shortfalls

A state special revenue account gets money under 33-2-708(3)(b). The department can use it to enroll more kids in CHIP, help with premiums, pay admin costs, and keep a reserve. It also matches federal funds for CHIP and Medicaid, supports home visiting, Medicaid waivers 0148.R07.00 and 0208.R07.00, and early help for infants and toddlers with disabilities. Unspent appropriation balances stay in the account and can be used only for these purposes. This account does not replace other funding for these programs. If funding falls short, the department may reduce CHIP eligibility under existing law.

Sponsors & Cosponsors

Sponsor

  • Jane Gillette

    Republican • House

Cosponsors

  • John Fuller

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 292 • No: 3

Senate vote • 4/14/2025

Do Concur

Yes: 47 • No: 1

Senate vote • 4/12/2025

Do Concur

Yes: 48 • No: 2

House vote • 3/4/2025

Do Pass

Yes: 99 • No: 0

House vote • 3/3/2025

Do Pass

Yes: 98 • No: 0

Actions Timeline

  1. Chapter Number Assigned

    5/13/2025House

  2. Signed by Governor

    5/8/2025House

  3. Transmitted to Governor

    5/1/2025House

  4. Signed by President

    5/1/2025Senate

  5. Signed by Speaker

    4/29/2025House

  6. Returned from Enrolling

    4/15/2025House

  7. Sent to Enrolling

    4/14/2025House

  8. 3rd Reading

    4/14/2025Senate

  9. 2nd Reading

    4/12/2025Senate

  10. 2nd Reading Pass Consideration

    4/11/2025Senate

  11. Committee Report

    3/31/2025Senate

  12. Committee Executive Action

    3/28/2025Senate

  13. Hearing

    3/17/2025Senate

  14. Revised Fiscal Note Printed

    3/7/2025House

  15. Revised Fiscal Note Signed

    3/5/2025House

  16. Revised Fiscal Note Received

    3/5/2025House

  17. Referred to Committee

    3/5/2025Senate

  18. Transmitted to Senate

    3/4/2025House

  19. 3rd Reading

    3/4/2025House

  20. 2nd Reading

    3/3/2025House

  21. Revised Fiscal Note Requested

    3/3/2025House

  22. Committee Report

    3/1/2025House

  23. Committee Executive Action

    2/28/2025House

  24. Fiscal Note Printed

    2/26/2025House

  25. Fiscal Note Unsigned

    2/26/2025House

Bill Text

  • Enrolled

    4/14/2025

    PDF

  • As Amended (Version 2)

    3/1/2025

    PDF

  • Introduced

    2/19/2025

    PDF

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