Montana Gov. Steve Bullock is giving Medicaid expansion another try.
The Affordable Care Act is on the move in Western states, with the governors of Utah, Wyoming and Montana all working on deals with the Obama administration to expand Medicaid in ways tailored to each state.
But getting the federal stamp of approval is just the first hurdle. The governors also have to sell the change to their state legislators, who have their own ideas of how expansion should go.
The latest example is Montana, where the governor and the legislature have competing proposals about how much federal Medicaid expansion cash the state should try to bring in.
Montana’s GOP-dominated legislature, which meets every other year, rejected Democratic Gov. Steve Bullock’s attempts in 2013 to expand Medicaid and set up a state-based insurance exchange. This year Bullock has a different Medicaid proposal that aims to reduce Montana’s 17 percent
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