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Montana's Health Care Marketplace: What's Next?

Montana, USAWednesday, January 14, 2026
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Montana's health care marketplace is shutting down this week, leaving many residents questioning what comes next. With premiums remaining high, the closure raises significant concerns about access to affordable health care.

Republican Plan: Health Savings Accounts Over Subsidies

State senators Steve Daines and Tim Sheehy support a Republican proposal that redirects federal funds toward health savings accounts (HSAs) instead of extending marketplace subsidies.

  • Health Savings Accounts (HSAs) allow individuals to save money for medical expenses.
  • Critics argue that this plan may not benefit those who need financial assistance the most.
  • Marketplace subsidies were designed to make health care more affordable, and without them, some may struggle to pay for insurance.

Concerns Over Access to Health Care

The closure of the marketplace raises critical questions:

  • Will people find affordable alternatives?
  • Will some Montanans go without insurance?

The Complex Debate Over Health Care

The ongoing debate involves balancing budgets while ensuring that everyone has access to necessary care. As the marketplace closes, the focus shifts to finding solutions that prevent anyone from being left without proper health coverage.

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