This updated economic analysis of Medicaid expansion in Montana finds it continues to support economic activity and improve health without depressing labor force participation or burdening the state budget. Key findings include:

  • Medicaid expansion creates 5,600 to 8,000 jobs and generates $350 to $560 million in personal income throughout Montana’s economy annually.
  • Medicaid expansion does not impose a fiscal cost to the state. Savings generated by expansion coupled with increased revenues attributable to expansion more than offset the state’s share of expansion costs.
  • Most Medicaid expansion beneficiaries work, and those who do not have caregiving responsibilities or disabilities. 72% of adult Medicaid enrollees are in the labor force or attending school.
  • Most working adult Medicaid beneficiaries are employed in low-wage or seasonal industries. Medicaid provides health insurance to 13% of Montana’s workforce.
  • Medicaid expansion has not reduced adult labor force participation in Montana.

The Montana Healthcare Foundation commissioned the report, which was produced by Bryce Ward of ABMJ Consulting. Read the accompanying press release.

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