NPR News·3 min read·medium

Montana starts enforcing Medicaid work requirements on Oct 1. Patients are confused

A
Aaron Bolton
Montana starts enforcing Medicaid work requirements on Oct 1. Patients are confused
✦AI Summary

Montana has begun enforcing new Medicaid work requirements, causing confusion among beneficiaries regarding compliance timelines. Patients are struggling to understand when and how to submit proof of employment to maintain their health coverage.

Why it matters

Changes to Medicaid eligibility rules can lead to coverage gaps for vulnerable populations, highlighting the administrative burden of new state-level welfare policies.

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Bethany Zulick went back to school in January to become a high school English teacher.

Years ago, she taught English as a second language overseas and loved it.

"It's so exciting to me to watch someone learn a new word or have that spark of understanding," said Zulick, who lives in Missoula.

This story was produced in partnership with KFF Health News .

Zulick knew she could earn enough money as a substitute teacher to make going back to school financially viable — except for the cost of health insurance. She didn't want to risk being unable to see her doctor for her allergies or for preventive care.

The health insurance offered through Montana State University was too expensive, Zulick said, almost as much as her tuition. But then she found a solution that allowed her to make the leap: Medicaid. She wouldn't have to pay any monthly premiums.

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