Cash-strapped Montana will be the second state to implement new federal Medicaid work rules

Montana will be the second state to implement Medicaid
work rules. (Photo by John Kakuk, Unsplash)

Despite depleted coffers, Montana is moving forward with its rollout of Medicaid's new work rules beginning on July 1. 

The state will be the second, after Nebraska, to require its residents to "prove they’re working to keep their coverage," reports Katheryn Houghton of KFF Health News. "That’s six months ahead of the federal deadline for states to implement Medicaid work rules for millions of enrollees."

The new work requirements are part of President Donald Trump's One Big Beautiful Bill Act, which Congress passed in 2025, but the onus of implementation falls on state health departments. Houghton explains, "The federal spending law requires states to check every six months whether millions of Medicaid enrollees work, go to school, or volunteer at least 80 hours a month, or qualify for an exemption."

Adding new staff and technology infrastructure to prepare for and execute work checks "takes time and money," Houghton writes. "Health policy analysts say that Montana’s budget crunch is a hint of the challenges to come nationwide."

The OBBBA also cut federal Medicaid dollars flowing to states by around $1 trillion over 10 years. The lopped-off funds represent the "largest pool of federal funding for states," Houghton explains. Joan Alker, a researcher focused on health coverage, told KFF, "States are the ones that are gonna have to do the dirty work of implementing cuts."

To address its shortfall, Montana plans to "stall rate increases for healthcare providers that were due July 1," KFF reports. However, clinicians say they need the rate bump to address staffing shortages and growing patient waitlists, which they attribute to already low Medicaid reimbursement rates.

Montana residents currently face long wait times to "access public assistance," Houghton adds. "And many can lose coverage at renewal time because of paperwork issues. … All these problems reflect a national challenge to connect people to care through strained public assistance programs."

Trump plan takes second shot at ending rural schools program Congress created to address resource gaps

Classroom at Velva Public Schools, which educates 
roughly 450 students. (Velva Public Schools photo)

The Trump administration is pushing to end the Rural Education Achievement Program by rolling the money into a $2 billion block grant. But rural schools rely on REAP to fill the funding gaps for "tutoring, afterschool and technology needs," reports Linda Jacobson for The74. Smaller school district leaders say the funding "is vital."

REAP was created by Congress to help rural schools meet the same educational standards that bigger public schools must adhere to, even though rural areas have fewer services and resources for helping students reach those strict benchmarks.

Monty Mayer, the superintendent of the Velva Public Schools in North Dakota, which serves nearly 450 students across two schools, told The74, "Money rolled into a block grant would be swallowed up by the bigger schools as their needs are much greater than ours. [That would leave] “small rural schools looking to find answers in different places without a clear picture as to where those resources would come from.”

When Education Secretary Linda McMahon gave her testimony to the Senate appropriations committee in late April, she "faced several questions from both Democrats and Republicans about the future of the program. She suggested that REAP was underutilized," Jacobson writes. McMahon testified that rural schools don't apply for REAP dollars because they lack grant writers and grant writing expertise.

Rural education experts don't agree with McMahon. They claim Congress designed REAP to be flexible because rural schools lack grant writing staff and expertise. "States or districts don’t write grant proposals for the funding, said Steven Johnson, superintendent of the Fort Ransom Public School District, which operates one elementary school in southeast North Dakota," Jacobson reports. "Districts eligible for the funds, based on size and location, receive an invitation to apply. And most do, Johnson said."

During her testimony, McMahon also said that REAP funds weren't "giving the returns that we hope to see for rural schools." McMahon did not cite the evidence or measurement standards that informed her statement.

This is the second time the administration has pitched the block grant proposal. Last year, "Congress ultimately rejected it." Jacobson reports. "With the appropriations process likely to drag out for months, it’s unclear whether lawmakers will be more receptive this year."

Rural law enforcement officers often receive little or no support for frequent on-the-job mental trauma

Police answer calls to tragic events such as school shootings, family annihilation, severe child abuse cases and domestic violence crimes. During those calls, victim care is a primary focus but little attention is given to the psychological trauma law enforcement officers may experience as they manage crime scenes, reports Susan Szuch for the Springfield News-Leader, which covers Ozark news.

It's often hard for police to ask for help, particularly in rural communities where suicide rates are higher, but reaching out for care is stigmatized, according to Szuch. If officers ask for mental support or have psychological struggles, they can be deemed unfit for duty.

Michael Mason

The experiences of Michael Mason, a rural police officer and later Police Chief in Humansville, Missouri, a town with roughly 900 residents, serve as an example. Mason had a hard time processing many of the difficult scenes he had to work. In 2023, he attempted suicide. Afterward, he was "given a choice to get help but be fired and lose his Peace Officer Standards and Training certification, or to resign and keep his credentials," Szuch writes. "Mason chose to resign."

Although Mason moved on from his job loss and landed the police chief position in Humansville, he faced similar challenges and had learned not to ask for help. "He took his own life on Dec. 14, 2025," Szuch reports. "He was one of at least 27 law enforcement officers who died by suicide last year."

While laws and attitudes toward psychological care for law enforcement officers have been slow to shift, some changes have been made. "In 2020, the Law Enforcement Suicide Data Collection Act established a data collection program to 'help agencies understand and prevent suicides,'" Szuch explains. "In 2022, the federal Public Safety Officer Support Act changed its definition for line-of-duty deaths to include suicide, which can affect not only the way the death is discussed but how honors are conferred and what benefits survivors receive."

For officers who want someone to talk to, law enforcement leaders stress the "importance of talking to someone who understands a law enforcement officer’s unique situation and experiences," Szuch reports. "CopLine, a hotline for law enforcement officers run by retired law enforcement officers, offers a free, confidential way for them to talk with someone who understands the trauma and pressures of the job." The phone number for CopLine is 1-800-267-5463 (1-800-COPLINE).

What's up with tomato prices? The U.S. has collected $4.6 million in tomato tariffs — a 'staggering' 27,879% increase

The price of tomatoes is up 40% over
last year. (Photo by E. Akyurt, Unsplash)

For many Americans, tomatoes are a grocery staple, so heading into a store only to see the price of red sauce or salsa skyrocket serves as a reminder that the country is facing ongoing affordability challenges.

"Prices for those red orbs have soared more than any other food product over the past year to cement a spot as one of the consumer headaches du jour," reports Matt Sedensky of The Associated Press.

In the case of tomatoes, their "prices are up about 40% over a year ago, according to the latest Consumer Price Index," Sedensky explains. In comparison, coffee prices are up 18.5%, beef roasts are up 17.8%, and frozen fish and seafood are up 12%.

The war with Iran and tariffs are the two primary reasons tomatoes are pricier. "The war spiked gas prices and increased shipping costs," Sedensky explains. "Meantime, the U.S. withdrew from a deal allowing duty-free imports of tomatoes from Mexico, which grows most of America’s supply."

While American tomato farmers cheered to see their competition get slapped with a 17% tomato tariff,  Sedensky writes, soaring tomato prices have been another inflation shock for many U.S. consumers and restaurant operators.

Federal data says it best: "U.S. tariffs collected on tomatoes ballooned from just $16,424 in 2024 to nearly $4.6 million," AP reports. "A staggering 27,879% increase."

Some consumers have rushed to plant gardens, but for restaurants that collectively use thousands of tomatoes a day, the cost increase is hard to absorb.

Wayne Humphrey, chief operating officer of Snarf’s Sandwiches, where sliced tomatoes top most sandwiches, told AP, "That single ingredient now costs us more than $1.7 million in additional spend annually. The math is getting harder to ignore.”

Democrats who want rural voters to switch sides need to 'show up' and fight for rural communities

Democrats need to fight harder than Republicans on
issues that impact rural Americans. (Rural Strategies photo)

Building trust with rural Americans by fighting hard for the issues rural voters care about is what Democrats need to do now, reports Mara Liasson of NPR.

While Democrats losing rural voters is not news, what Democrats should do about it is. Liasson explains, "Pollster Celinda Lake, originally from rural Montana, says she's watched as the Republican advantage with rural voters grew from a relatively narrow five-point advantage in 2000 to a whopping 25-point edge for Trump with rural voters in 2024."

Lake recently "conducted a poll of 600 likely general election voters from rural areas in battleground states," Liasson reports. "And what these voters had to say about Democrats is damning."

One polled voter said Democrats were "out of touch with middle America," according to Liasson. Another said Democrats were "lost in space. All they want to do is spend money and give stuff away."

Lake told Liasson, "The Democratic brand is in terrible shape in rural America." Lake pointed out that while most rural voters skew Republican, they are currently very dissatisfied with the economy, and that offers Democrats a window of opportunity.

"Her takeaway from the poll is that Democrats should be running to keep rural hospitals open and insulin prices down," Liasson reports. "In other words, Democrats don't have to change their positions to win rural voters. They just have to fight harder for what they already believe in."

Dee Davis, the president of the Center for Rural Strategies, the group that commissioned the poll, said that Democrats that go all in on rural issues can fight for the same concerns that more urban populations worry about. Liasson adds, "After all, college-educated urban voters also care about healthcare, gas prices and jobs. The strategy Davis thinks Democrats should adopt is not rocket science."

Davis told Liasson, "You got to show up. You got to talk to people. You might not win the first time out, but you got to be there and compete."