Revise funding for assisted living services
SB 100 establishes new rules for Medicaid payments in Montana's assisted living facilities. It requires the state agency to adjust room and board costs annually based on recipients' income (minus a $100 personal needs allowance) and directs the shift of Medicaid-covered assisted living services from the current "Big Sky Waiver" program to the federal "Community First Choice" program by 2026. The bill mandates quarterly reporting on service usage, waitlists, and costs for both programs. It affects Medicaid-eligible seniors receiving assisted living care, ensuring payments align with income and streamlining service delivery under federal Medicaid options.
Bill status
died
3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
Senate Passage
Feb 2025
House Passage
Governor
Introduced Jan 6, 2025
Last action May 23, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
SB0100_2(3).pdf
→
SB0100_2(4).pdf
·
3 edits
MINOR
The bill modifies the transfer of funds from the Big Sky Waiver Program to the Community First Choice Option Program, specifying that transfers will cover the actual costs of individuals moving to the new program. It adds a requirement for quarterly reporting to the interim budget committee during the 2027 biennium, detailing metrics such as average participants, waiting list numbers, provider changes, and expenditures. The effective date for these changes is updated to July 1, 2025.
Scope change
The scope of the funding transfer is clarified to include the actual cost of serving individuals, and the reporting requirements are expanded to include specific performance metrics for both programs.
FISCAL
Clarified that funding transfers from the Big Sky Waiver to the Community First Choice Option Program will be based on the actual cost of serving individuals.
REQUIREMENT
Mandated quarterly reporting to the interim budget committee during the 2027 biennium, including data on average participants, waiting list sizes, provider participation changes, and per-capita expenditures.
TIMELINE
Updated the effective date of the act from July 1, 2027, to July 1, 2025.
Floor votes · Senate Feb 19, 2025
How they voted
32–18
Passed
Total votes 50
Feb 19, 2025
D
Democratic18
100% Yea
R
Republican32
56% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
33
Key actions
4
Committee
5
Amendments
1
Feb 26, 2025
Amended
(S) Tabled in Committee - (S) Finance and Claims
upper
Feb 26, 2025
Upper · Passed
(S) Committee Executive Action - (S) Finance and Claims
upper
Feb 19, 2025
Senate · Passed
Senate Vote: pass (32-18)
senate
Feb 19, 2025
Committee
(S) Rereferred to Committee - (S) Finance and Claims
upper
Feb 15, 2025
Upper · Passed
(S) Committee Report - (S) Public Health, Welfare and Safety
upper
Feb 14, 2025
Upper · Passed
(S) Committee Executive Action - (S) Public Health, Welfare and Safety
upper
Jan 13, 2025
Committee
(S) Referred to Committee - (S) Public Health, Welfare and Safety
upper
Jan 6, 2025
Introduced
(S) Introduced
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Becky Beard
RRepublican
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