Montana becomes 30th state to accept ACA Medicaid expansion

November 02, 2015

Montana became the 30th state to expand Medicaid under the ACA. In April, Montana's Republican legislature approved Medicaid expansion, but like other Republican-controlled states, it made some changes to the program. The Obama administration needed to approve those changes, which include making beneficiaries pay premiums up to 2% of their income, and on Monday it signed off. Of the remaining 20 states, Utah had been seen as the one most likely to adopt expansion next, but a compromise agreement among state Republican leaders fell apart this month in the face of opposition from Republicans in the state House of Representatives.