Can Montana Elderly Care Survive the 2023 MT Legislation?


Montana has lost nearly a dozen nursing homes in 2022. The reality is that dozens more assisted living and long-term care facilities are hanging by a thread.

They wait to see if our governor and the state legislature will take the critical steps needed to keep essential services available for the elderly in this vast state. Now is the time to make your voice heard on this vital issue.

While the governor says Montanans would prefer to age in their homes and no one would disagree, the reality is that a beloved father or uncle or husband who weighs more than 200 pounds is incontinent and becoming combative in his dementia, can be more than he 85-year-old, 100-pound spouse can handle.

As facilities offering skilled nursing, medication management, PT, balanced nutrition and 24-7 caregivers close their doors, families watch their loved ones being shipped hundreds of miles away, only to see this facility close a few months later, right at the time they do the loved one begins to feel comfortable with staff and furniture.

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This doesn’t have to happen.

The governor and lawmakers must adjust their budget to implement the recommendations of the $2 million insurance rate study they commissioned last year. The governor’s budget doesn’t come close.

Additionally, the governor and legislature must speak the money when it comes to funding home and community services that at this time do not come close to meeting the needs of our elders.

Many could get by with just a little help at home: balanced nutritional support, home care and case management to assist with chores, medications, adaptive structures and equipment to support independence.

In contrast, the state of Montana is sitting in a $2 billion surplus, and this week the Senate will pass a bill (SB 121) that would give Montanans who, like our governor, make over $1 million a year $6,000 a year and 50 Dollar grants annual tax cut on average for Montanans earning $43,000 to $67,000 per year.

This kind of generosity for the rich could instead be used to fund the necessary budget support needed to support the generation that raised us, built our schools and roads, and taught us the difference between right and wrong to do so they can age gracefully loving in the communities that have supported them for so many years.

If you are interested in helping, you can contact your representative or senator (leave a message at the Capitol switchboard at 406-444-2511) and Gov. Greg Gianforte (406-444-3111) and ask them to provide Elderly Services Fully fund people, both long-term care and home and community-based services.

For more information on how to contact your elected officers, see

Margie MacDonald is a board member and lobbyist for Big Sky 55+, a non-profit organization for seniors. She represented Billings in the Montana House and Senate for 12 years from 2009 to 2020.