The last plan before state lawmakers to use federal Medicaid funds to expand health insurance to tens of thousands of uninsured Montanans is mostly likely dead after being referred to a committee hostile to the bill in the legislature’s final days.
HB623 would have used Medicaid Expansion funds provided to states through the Affordable Care Act (ACA) to allow eligible low-income Montanans to buy private health coverage on the insurance exchanges also set up by ACA. The other, more standard, Medicaid Expansion bills have already been tabled by the legislature.
During Friday’s House floor session, House Speaker Mark Blasdel (R-Somers) said he was referring that bill back to the House Health and Human Services Committee. As far as Minority Leader Chuck Hunter (D-Helena) is concerned, that move probably kills the bill.
“That is the Committee that was built for the very purpose of saying no to any kind of expansion of Medicaid and that will no doubt be the fate of this bill as well,” he said.
Hunter appealed Speaker Blasdel’s decision to move the bill to committee—which takes a majority vote. But when the body took that vote, a few Representatives were confused on what their vote meant, like Great Falls Democrat Tom Jacobson.
“I hit my yes button, my green button in support of that motion which in my mind was in support of Chuck,” Jacobson said. “But apparently the way the motion was read, it should have been a no.”
Here’s how speaker Blasdel described the motion on the floor:
“Members of the body, this is a majority vote, a yes vote concurs with the ruling of the chair. A no vote does not.”
That would mean a yes vote agreed with Blasdel’s decision to send the bill to committee. The final tally was an even 50 to 50—with Jacobsen’s accidental vote the only Democratic yes. A tie vote in this circumstance went in Blasdel’s favor—sending the bill to the committee. House Members took a break shortly thereafter and leadership discussed options to reconsider that vote. The break lasted over an hour.
“I think that vote was a failure that didn’t adequately represent the true feelings of the members on the floor,” Hunter said. “When we came back to do a reconsideration the other side had whipped their votes and coerced some folks into changing their votes on those bills.”
A majority vote of 51 would have brought the bill back up to the floor—in theory that’s what the original vote would have been if Representative Jacobsen had voted with the Democrats like he intended. But the reconsideration vote failed 48-52. Speaker Blasdel agrees some minds were changed while leadership discussed reconsideration options.
“There was a lot of misunderstandings about what got put into that bill and what wasn’t,” he said. “There was a lot of discussion among members, obviously I just wanted to take time to look at things with the minority leader and figure out how we were going to proceed.”
Democratic Governor Steve Bullock strongly advocates Medicaid Expansion—and he was quick to condemn the decision.
“These legislators who voted to send our tax dollars out of state are going to have to go home and tell their bosses that they stood in the way of lower health care costs, they stood in the way of good paying jobs and they stood in the way of access to affordable health care for tens of thousands of Montanans who desperately need it,” he said. Great Falls Tribune Capitol Bureau Chief John S. Adams posted the Governor’s full comments.
The Governor did not outright refuse using a veto of the state budget as a bargaining chip to get lawmakers to reconsider some kind of Medicaid Expansion, saying “I think everything’s on the table but we really should be responsible to make sure this gets done, be that this week or the weeks ahead.”
The Legislature is set to wrap up sometime next week.