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Bill Summary · HB 867

Legislative bill overview

HB 867 revises Montana's labor laws as they apply to the medical assistance program, modifying employment standards, wage requirements, or working conditions for individuals employed through Medicaid-funded positions. The bill has completed the legislative process and was signed into law by the Governor on May 13, 2025.

Why is this important

The medical assistance program employs thousands of workers in direct care roles (home health aides, personal care assistants, etc.), making changes to their labor protections or compensation directly affect both worker welfare and the accessibility of care services. These revisions could impact program costs, worker recruitment and retention, and the quality of services provided to vulnerable populations receiving Medicaid-funded care.

Potential points of contention

  • Wage and compensation changes: Whether modifications increase or decrease pay for medical assistance workers, affecting recruitment in an already tight labor market
  • Labor protections and scheduling: Changes to overtime rules, shift length, break requirements, or scheduling flexibility that may benefit employers or workers depending on the direction
  • Medicaid program costs: Revisions that could increase or decrease state Medicaid expenditures and their fiscal impact on the broader budget

Compiled from official sources — confirm details with the bill’s official record.

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