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The Session | When Health Meets Politics

Press Release: Montana Legislature Advances Health Policy Changes Amidst Mixed Results on Judiciary Bills

As the 69th Montana Legislature enters Week 15, lawmakers are pushing key health policy initiatives while grappling with mixed outcomes on judicial reforms. This session has witnessed intense discussions around health care, particularly the proposed bifurcation of the Department of Public Health and Human Services (DPHHS) into two separate agencies, a proposal surprisingly gaining bipartisan support.

House Bill 851 seeks to establish one agency overseeing institutional and community care, including the Montana State Hospital, while the other would handle Medicaid programs, foster care, and related services. Proponents argue this restructuring is necessary due to ongoing issues such as budget overruns and management turnover, particularly at the state hospital.

“We need clarity about what’s happening at these facilities,” said Republican Representative John Fitzpatrick, the bill’s sponsor, after it passed with an overwhelming 82-15 vote.

In contrast, efforts to reform judicial processes have not fared as well. A special interim committee proposed 28 bills aimed at increasing oversight of the judiciary, with several aiming to make judicial elections partisan. However, these proposals, backed by a faction of Republican lawmakers, have repeatedly failed to advance, reflecting significant division even within the party. Senate Majority Leader Tom McGillvray expressed disappointment over the lack of progress, noting that expectations for the session have not aligned with reality.

As lawmakers push through the final weeks of the session, the implications of potential federal funding cuts loom large, with concerns about budget sustainability. State officials are preparing for possible changes that could compel a special session should significant cuts be imposed after adjournment.

The legislature’s work continues, with an eye toward balancing immediate legislative goals with long-term solutions for health and judicial reforms. The session is set to conclude by early May, leaving room for further developments in both areas.

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