Revise the Medicaid expansion program

This bill revises Montana's Medicaid expansion program by introducing new fees and community engagement requirements for participants. It requires individuals aged 19 to 55 to complete 80 hours of work, education, or community activities each month to receive coverage, while also establishing taxpayer integrity fees for those with significant assets like excess real estate equity or multiple vehicles. The legislation creates a monthly fee of $100 plus additional charges based on asset value above certain thresholds, and imposes fees on nonprofit organizations with Medicaid-eligible members. These changes aim to maintain program integrity by linking benefits to active participation and limiting access for those with substantial financial resources.