Healthcare Policy
Montana Healthcare Policy 2026
Medicaid expansion status, ACA coverage, uninsured rates, and how healthcare shapes the 2026 elections in Montana.
Yes
Medicaid Expanded
9.1%
Uninsured Rate
80,000
ACA Marketplace Enrollees
Federal
Exchange Type
Key Healthcare Provisions
| Medicaid Expansion (ACA) | Yes |
| Reproductive Healthcare | Legal (court protected) |
| Mental Health Parity | Moderate parity |
| Drug Pricing Policy | Not regulated |
Healthcare System Overview
Montana expanded Medicaid in 2015 through a bipartisan effort. The expansion, known as HELP (Health and Economic Livelihood Partnership), covers adults earning up to 138% of poverty. Rural healthcare access remains a major challenge.
2026 Political Impact
Montana\'s healthcare challenges are acute given its rural geography and vast distances. Medicaid expansion has been broadly popular even among conservative voters who benefit from coverage.