Montana Releases Draft 1115 Demonstration For Medicaid Expansion Work Requirements 

On July 18, 2025, the Montana Department of Public Health and Human Services (DPHHS) issued a preliminary Section 1115 demonstration proposal seeking approval for work requirements targeting adults enrolled in expanded Medicaid coverage. DPHHS is seeking a five-year approval of the demonstration. It intends to implement the waiver as soon as implementation is possible if it receives federal approval.

Participants would be required to fulfill 80 hours monthly of approved activities or face potential Medicaid coverage termination. The proposal incorporates exceptions and justifiable cause allowances for those who are physically vulnerable, expecting, undergoing addiction treatment, providing care for disabled . . .