HB 386 Montana House · 2025 Regular Session

Revising laws related to continuous medicaid eligibility

HB 386 directs the Department of Public Health and Human Services to apply for the reinstatement of 12-month continuous Medicaid eligibility for specific groups. This would affect parents, caretaker relatives, and adults covered under Medicaid expansion. The department is required to submit amendments to existing federal waivers by September 30, 2025, to restore this continuous eligibility, which was previously allowed before certain waiver changes in 2021 and 2022. The bill would take effect immediately upon passage and approval.
Bill status died 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Feb 2025
House Passage
Feb 2025
Senate Passage
Governor
Introduced Feb 4, 2025 Last action May 20, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

HB0386_1(5).pdf HB0386_2.pdf · 3 edits
MINOR
The bill was renumbered from HB 386.1 to HB0386.2 and includes a significant formatting change where the phrase 'medicaid section 1115 waivers' was capitalized to 'A MEDICAID SECTION 1115 WAIVER'. The most substantive policy change is the restructuring of the timeline and submission requirements for the Department of Public Health and Human Services. The original text required submitting amendments by September 30, 2025, to authorize 12-month continuous eligibility. The new text inserts a specific instruction to 'APPLY FOR THE WAIVER PROVIDED FOR IN SUBSECTION' before the deadline, clarifying that the department must actively apply for the waiver authority rather than simply submitting amendments for an already authorized waiver.
Scope change
The bill's scope regarding the specific waiver projects (11-W-00181/8 and 11-W-00300/8) and eligible populations (parents, caretaker relatives, and Medicaid expansion) remains unchanged. The change affects the procedural requirements for how the department seeks federal approval for these programs.
REQUIREMENT

Added a specific instruction requiring the department to 'APPLY FOR THE WAIVER PROVIDED FOR IN SUBSECTION' before the September 30, 2025 deadline, clarifying the active step needed to secure federal authorization.

TECHNICAL

Capitalized the phrase 'A MEDICAID SECTION 1115 WAIVER' to improve readability and emphasis within the text.

Renumbered the bill from HB 386.1 to HB0386.2, indicating a revision in the legislative process.

Floor votes · House Feb 22, 2025

How they voted

5347
Passed
Total votes 100
Feb 22, 2025
D Democratic42
42 Yea
100% Yea
R Republican58
11 Yea 47 Nay
81% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
31
Key actions
3
Committee
4
Amendments
1
Apr 3, 2025
Amended
(H) Tabled in Committee - (H) Appropriations
lower
Feb 22, 2025
House · Passed
House Vote: pass (53-47)
house
Feb 22, 2025
Committee
(H) Rereferred to Committee - (H) Appropriations
lower
Feb 19, 2025
Lower · Passed
(H) Committee Report - (H) Human Services
lower
Feb 18, 2025
Lower · Passed
(H) Committee Executive Action - (H) Human Services
lower
Feb 5, 2025
Committee
(H) Referred to Committee - (H) Human Services
lower
Feb 4, 2025
Introduced
(H) Introduced
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of S.J. Howell
S.J. Howell
DDemocratic
MT
100