SUMMARY: Montana’s Republican-led legislature and GOP governor are poised to extend the state’s Medicaid expansion program, covering 76,000 adults, beyond its June 30 expiration. With potential changes at the federal level, state lawmakers must act quickly. Discussions prioritize preparing for possible federal rollbacks, including cuts and work requirements. Recent legislation passed in the House to make expansion permanent, while other proposals suggest tightening eligibility and cost control. Although concerns over increased state costs loom if federal support decreases, some lawmakers argue against making adjustments based on uncertain federal policies. Bipartisan opposition has surfaced regarding proposals to curtail the expansion.

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SUMMARY: A measles outbreak in West Texas has led to private school closures, overwhelming local health departments. Since the outbreak began three weeks ago, 90 cases have been confirmed, mostly in children under 18, with 16 hospitalizations. Health officials fear the outbreak will worsen, and some parents may be avoiding testing their children. The outbreak has been exacerbated by low vaccination rates, particularly in communities like Gaines, which has one of the lowest vaccination rates in Texas. Local officials are working to contain the virus through pop-up clinics, mobile testing, and educating schools, but the situation remains challenging.

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SUMMARY: Republicans are again targeting Medicaid, proposing significant funding cuts to finance President Trump’s agenda on tax cuts and border security. Approximately 79 million people rely on Medicaid and the Children’s Health Insurance Program (CHIP), vital for numerous hospitals and states. Amid Democratic resistance, potential cuts could include reducing federal matching funds and imposing work requirements, which critics argue adds unnecessary barriers. Historically controversial, these efforts reflect deep partisan divides over Medicaid’s role as a safety net versus a welfare program. Many Americans favor Medicaid, making proposed cuts politically sensitive. The outcome remains uncertain as GOP leaders face internal challenges.

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