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MontanaHB 68769th Legislature, Regular Session (2025)HouseWALLET

Revise age of expanded Medicaid participants required to engage in community engagement activities

Sponsored By: Stacy Zinn (Republican)

Became Law

Health Care ServicesHealthLabor and EmploymentSocial Services

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Bill Overview

Analyzed Economic Effects

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

80 hours a month for Medicaid adults

Adults 19 to 62 on this Medicaid coverage must do 80 hours each month. Hours can include work, job training, school, substance use treatment, or volunteer service. Other approved activities that promote work or Medicaid’s health goals also count, including those needed for federal waivers. Not meeting or reporting hours can affect your coverage.

Many Medicaid adults exempt from hours

The law lists who does not have to do the hours. You are exempt if you are medically frail, blind or disabled, or pregnant. You are also exempt for an acute medical need or inability to work. Caregivers, foster parents, full‑time high school students, and 6+ credit college or vocational students are exempt. TANF or SNAP participants or exemptees, people under court or corrections supervision, the chronically homeless, and domestic violence victims are exempt. Residents of high‑poverty areas and members of entities that pay the state fee in 15‑30‑2660(3) are exempt. You are exempt if your monthly income is above 80 times the minimum wage. You are also exempt for any reporting month with hospitalization, a documented serious illness, or a catastrophic hardship set by rule. The department can use its records to confirm your exemption or that you met the hours.

Work hours rule ends June 30, 2025

This work‑hours section ends June 30, 2025. After that date, this rule no longer applies unless lawmakers renew it.

Sponsors & Cosponsors

Sponsor

  • Stacy Zinn

    Republican • House

Cosponsors

  • Carl Glimm

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 177 • No: 117

House vote • 4/12/2025

Do Concur

Yes: 32 • No: 18

House vote • 4/10/2025

Do Concur

Yes: 30 • No: 17

House vote • 3/4/2025

Do Pass

Yes: 57 • No: 42

House vote • 3/3/2025

Do Pass

Yes: 58 • No: 40

Actions Timeline

  1. Chapter Number Assigned

    5/8/2025House

  2. Signed by Governor

    5/5/2025House

  3. Transmitted to Governor

    4/25/2025House

  4. Signed by President

    4/25/2025Senate

  5. Signed by Speaker

    4/23/2025House

  6. Returned from Enrolling

    4/14/2025House

  7. Sent to Enrolling

    4/12/2025House

  8. 3rd Reading Concurred

    4/12/2025Senate

  9. Committee Report--Bill Concurred

    4/11/2025Senate

  10. Committee Executive Action--Bill Concurred

    4/11/2025Senate

  11. Hearing

    4/10/2025Senate

  12. Rereferred to Committee

    4/10/2025Senate

  13. 2nd Reading Concurred

    4/10/2025Senate

  14. Committee Report--Bill Concurred

    4/3/2025Senate

  15. Committee Executive Action--Bill Concurred

    4/2/2025Senate

  16. Hearing

    3/27/2025Senate

  17. Referred to Committee

    3/5/2025Senate

  18. Transmitted to Senate

    3/4/2025House

  19. 3rd Reading Passed

    3/4/2025House

  20. Committee Report--Bill Passed

    3/3/2025House

  21. Committee Executive Action--Bill Passed

    3/3/2025House

  22. Hearing

    3/3/2025House

  23. Rereferred to Committee

    3/3/2025House

  24. 2nd Reading Passed

    3/3/2025House

  25. Committee Report--Bill Passed

    2/28/2025House

Bill Text

  • Enrolled

    4/14/2025

    PDF

  • Introduced

    2/24/2025

    PDF

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