Provide presumptive eligibility for Medicaid coverage of home and community-based services
SB 72 creates a "presumptive eligibility" process for Montana Medicaid, allowing people with physical disabilities or who are elderly to immediately access home and community-based services like personal care, meal delivery, medical equipment, and emergency response systems while awaiting full Medicaid approval. It requires a screening process by trained staff (including tribal entities, hospitals, or aging agencies) to verify income, residency, and need, with applicants having 30 days to apply for ongoing Medicaid coverage. The program aims to prevent hospitalizations or institutional care by providing temporary coverage during the application period, ending after 30 days or when full eligibility is determined. The bill requires state approval from CMS before implementation and was vetoed by the governor in May 2025, with a legislative override attempt failing.
Bill status
vetoed
4 of 5 stages cleared
Introduction
Dec 2024
Committee Review
Mar 2025
Senate Passage
Apr 2025
House Passage
May 2025
Vetoed
Jun 2025
Introduced Dec 27, 2024
Vetoed Jun 18, 2025
Maddy AI version diff · 10 comparisons
What changed between versions
SB0072_X(7).pdf
→
SB0072_X(8).pdf
·
4 edits
MODERATE
The bill was reorganized to clarify its purpose and streamline the presumptive eligibility process for home and community-based services. It expanded the list of covered services to include specific waivers and transition support, updated the list of entities authorized to conduct screenings, and adjusted the timeline for submitting ongoing applications from 10 days to 30 days.
Scope change
The scope of covered services was broadened to explicitly include the Big Sky Waiver and Community First Choice Program services necessary for preventing institutionalization or facilitating transitions from hospital settings.
ELIGIBILITY
Covered services were updated to explicitly include the Big Sky Waiver and Community First Choice Program, focusing on preventing institutionalization and aiding patient transitions from hospitals.
REQUIREMENT
The deadline for applicants to submit a formal application for ongoing Medicaid coverage was extended from 10 days to 30 days after the initial presumptive eligibility determination.
The list of entities authorized to conduct screening was restructured to clearly define roles for area agencies on aging, tribal entities, hospitals, and other certified facilities.
TECHNICAL
The bill title and section headers were revised to improve clarity and remove redundant language regarding presumptive eligibility.
Floor votes · Senate Apr 12, 2025 · House Apr 9, 2025
How they voted
45–5
Passed
Total votes 50
Apr 12, 2025
D
Democratic18
100% Yea
R
Republican32
84% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
65
Key actions
12
Committee
12
Amendments
2
Jun 18, 2025
Vetoed
(S) Veto Override
upper
May 23, 2025
Vetoed
(S) Veto Override Vote in Progress
upper
May 23, 2025
Vetoed
(S) Vetoed by Governor
upper
May 12, 2025
Lower · Passed
(H) Signed by Speaker
lower
Apr 21, 2025
Upper · Passed
(S) Signed by President
upper
Apr 12, 2025
Senate · Passed
Senate Vote: pass (45-5)
senate
Apr 9, 2025
House · Passed
House Vote: pass (72-24-4)
house
Apr 9, 2025
Introduced
(H) Returned to Senate with Amendments
lower
Mar 29, 2025
Lower · Passed
(H) Committee Report - (H) Appropriations
lower
Mar 28, 2025
Lower · Passed
(H) Committee Executive Action - (H) Appropriations
lower
Mar 26, 2025
Committee
(H) Rereferred to Committee - (H) Appropriations
lower
Mar 21, 2025
Lower · Passed
(H) Committee Report - (H) Human Services
lower
Mar 19, 2025
Lower · Passed
(H) Committee Executive Action - (H) Human Services
lower
Feb 25, 2025
Committee
(H) Referred to Committee - (H) Human Services
lower
Feb 21, 2025
Upper · Passed
(S) Committee Report - (S) Finance and Claims
upper
Feb 21, 2025
Upper · Passed
(S) Committee Executive Action - (S) Finance and Claims
upper
Feb 10, 2025
Committee
(S) Rereferred to Committee - (S) Finance and Claims
upper
Feb 6, 2025
Upper · Passed
(S) Committee Report - (S) Public Health, Welfare and Safety
upper
Feb 5, 2025
Upper · Passed
(S) Committee Executive Action - (S) Public Health, Welfare and Safety
upper
Jan 25, 2025
Amended
(S) Tabled in Committee - (S) Public Health, Welfare and Safety
upper
Jan 7, 2025
Committee
(S) Referred to Committee - (S) Public Health, Welfare and Safety
upper
Dec 27, 2024
Introduced
(S) Introduced
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Mike Yakawich
RRepublican
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