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The Montana House of Representatives

The Montana House of Representatives during the 66th legislative session.

Rules

After the ceremonies marking the start of the session, the House had to vote to adopt the rules that would govern how it operates. Rules are normally something that the public doesn't take note of, but this year is different.

A disagreement among House Republicans, who hold a 58-42 majority, went public in November when lawmakers chose their leadership. A group called the Solutions Caucus, made up of moderate Republicans, wanted to lower the number of votes it takes to do something called "blasting" a bill.

Blasting a bill is a way for the House to pull a bill that's died in a committee back onto the House floor for consideration. That could be important this year for big bills like one to continue Medicaid expansion.

Rep. Ed Buttrey (R-Great Falls) talks during a House Rules Committee meeting Jan. 8, 2019.

Rep. Ed Buttrey (R-Great Falls) talks during a House Rules Committee meeting Jan. 8, 2019.

Last session, and for decades, it's been 60 votes. This group wanted it to be 51 votes.

By Monday, House Republicans had struck a balance between the two, of 58 votes. That number is tied to the number of members of the majority party in the House. Republicans have said they no longer have a rift within the party after reaching the compromise. Democrats called the change a political move. The rules passed 88-12 in the House.

Medicaid expansion

One of the biggest debates of the session will be if and how Montana continues Medicaid expansion. The program provides health care to about 95,000 Montanans and covers people who earn up to 138 percent of the federal poverty level, or $16,643 for a single person or $33,948 for a family of four.

There were two main developments during the first week of the session:

Rep. Mary Caferro (D-Helena) introduces a bill to reauthorize Medicaid expansion

Rep. Mary Caferro (D-Helena) introduces a bill to reauthorize Medicaid expansion during a press conference in the State Capitol on Jan. 10.

Democratic Rep. Mary Caferro, of Helena, said she'll introduce a bill to remove the sunset on the program, which is set to expire this summer unless lawmakers act. Caferro said her bill is a starting point for a public debate about what expansion, which she believes should continue, will look like.

Fellow House member Rep. Ed Buttrey, a Republican from Great Falls, is also drafting a bill. Buttrey said his bill will include some sort of work requirement, which he calls a community benefit and may also be met, possibly through volunteering, by people who can't work. Republicans have also said they want to see some form of assets and means testing, and possibly drug testing. Buttrey said his bill will be public soon.

Montana Gov. Steve Bullock also released a report showing how many businesses in Montana employ people who are covered by Medicaid expansion. Since the program passed in 2015 and started in 2016, the governor has been touting benefits of the program compiled in reports from various organizations. That's focused on the health and human effects of the program, as well as economic.

This new approach is meant to highlight the benefits for businesses, about 18,000 of which statewide have at least one employee on the program. That's according to data from the state Department of Revenue and Department of Labor and Industry.

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For the accommodations and food services industry, about 90 percent of businesses have an employee covered. The report also shows businesses would have owed fines of between $11.1 million and $16.7 million if those employees were not covered, and it would have cost them between $353.6 million and $941.2 million to cover those employees privately.

In other news:

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