Montana’s Medicaid expansion has been extremely successful, extending coverage and access to care to nearly 95,000 low-income adults since January 2016 and connecting many with workforce development services.[1] But Montana policymakers are reportedly considering proposals to take Medicaid coverage away from people who don’t meet a work requirement, charge low-income adults high premiums, and make eligibility contingent on completing extra paperwork related to their job readiness and health status.