How does
Montana
Perform on Health Opportunity and Equity?

This graphic illustrates how each state compares to other states across various factors that influence health

HEALTH OUTCOMES
14th
Domain score:
71
SOCIAL & ECONOMIC FACTORS
15th
Domain score:
57
COMMUNITY & SAFETY FACTORS
33rd
Domain score:
78
PHYSICAL
ENVIRONMENT
9th
Domain score:
67
ACCESS TO
HEALTH CARE
35th
Domain score:
60
Key State Highlights.
Montana generally enjoys better health outcomes compared to many states across the nation; however, the state still suffers from substantial socioeconomic, health, and health care access inequities across racial/ethnic groups.
  • American Indian/Alaska Native residents experience substantially higher rates of premature mortality, and Black babies are most likely to be born with low birth weights.
  • American Indian/Alaska Native individuals in Montana face greater environmental challenges, as they are least likely to live in areas with low rates of homicide, physical assault. They also face the lowest rates of employment, a livable income, health insurance coverage, and access to psychiatric care.
  • Only 53% of Black and 55% of Hispanic populations living in Montana have attained a post-secondary education, as compared to a state rate of 65%.
Adult Health Status
Child Health Status
Infant Mortality
Low Birthweight
Premature Mortality
Affordable Housing
Employment
Livable Income
Post-Secondary Education
Youth in School or Working
Low Homicide
Low Physical Assault
Low Robbery
Low Sexual Assault
Food Security
Home Ownership
Housing Quality
Low Liquor Store Density
Access to Primary Care
Access to Psychiatric Care
Affordable Health Care
Dedicated Healthcare Provider
Health Insurance Coverage
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Youth in School or Working
89%
of young people are in school or working
100%
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
13,543
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Youth in School or Working
Hope Goal
100%
60%
70%
80%
90%
100%
MT
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Post-Secondary Education
65%
of adults have post-secondary education
83%
More adults would need to attain post-secondary education to achieve the HOPE Goal
130,368
More adults would need to attain post-secondary education to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Post-Secondary Education
Hope Goal
83%
20%
30%
40%
50%
60%
70%
80%
90%
MT
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Premature Mortality
464.61
deaths per 100,000 adults age 25-64
More 25-64 year old adults surviving per year to achieve the HOPE Goals
1,756
More 25-64 year old adults surviving per year to achieve the HOPE Goals
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Premature Mortality
Hope Goal
241
0
400
800
1200
1600
MT
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Low Sexual Assault
67%
of people live in counties with low sexual assault rates
100%
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
335,024
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Sexual Assault
Hope Goal
100%
0%
20%
40%
60%
80%
100%
MT
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Low Robbery
84%
of people live in counties with low robbery rates
100%
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
160,390
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Robbery
Hope Goal
100%
0%
20%
40%
60%
80%
100%
MT
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Low Physical Assault
79%
of people live in counties with low physical assault rates
100%
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
215,265
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Physical Assault
Hope Goal
100%
0%
20%
40%
60%
80%
100%
MT
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Low Homicide
93%
of people live in counties with low murder rates
100%
More people would need to live in counties with low murder rates to achieve the HOPE Goal
93,790
More people would need to live in counties with low murder rates to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Homicide
Hope Goal
100%
0%
20%
40%
60%
80%
100%
MT
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Low Liquor Store Density
94%
of people are living in counties with low liquor store density
100%
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
40,277
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Liquor Store Density
Hope Goal
100%
0%
20%
40%
60%
80%
100%
MT
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Livable Income
63%
of adults live in households with livable income
88%
More adults would need to live in households with livable incomes to achieve the HOPE Goal
187,261
More adults would need to live in households with livable incomes to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Livable Income
Hope Goal
88%
20%
30%
40%
50%
60%
70%
80%
90%
MT
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Low Birthweight
8%
of infants are born with low birth weight
5%
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
293
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Birthweight
Hope Goal
5%
4%
6%
8%
10%
12%
14%
16%
18%
MT
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Health Insurance Coverage
90%
of people under age 65 have health insurance coverage
98%
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
72,180
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Health Insurance Coverage
Hope Goal
98%
50%
60%
70%
80%
90%
100%
MT
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Infant Mortality
5
infant deaths per 1,000 live births
2.5
More infants surviving to their first birthday per year to achieve the HOPE Goal
28
More infants surviving to their first birthday per year to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Infant Mortality
Hope Goal
2.5
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
MT
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Housing Quality
85%
of households have good housing quality
92%
More households would need to have good housing quality to achieve the HOPE Goal
30,210
More households would need to have good housing quality to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Housing Quality
Hope Goal
92%
55%
60%
65%
70%
75%
80%
85%
90%
95%
MT
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Home Ownership
72%
of households live in a home they own
81%
More households would need to own their homes to achieve the HOPE Goal
38,419
More households would need to own their homes to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Home Ownership
Hope Goal
81%
0%
20%
40%
60%
80%
100%
MT
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Oops! Something went wrong while submitting the form.
Food Security
86%
of people with food security
97%
More people would need to have food security to achieve the HOPE Goal
116,969
More people would need to have food security to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Food Security
Hope Goal
97%
30%
40%
50%
60%
70%
80%
90%
100%
MT
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Oops! Something went wrong while submitting the form.
Employment
92%
of people in the labor force are employed
99%
More people in the labor force would need to be employed to achieve the HOPE Goal
36,022
More people in the labor force would need to be employed to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Employment
Hope Goal
99%
75%
80%
85%
90%
95%
100%
MT
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Dedicated Healthcare Provider
77%
of adults have a usual source of care
92%
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
105,924
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Dedicated Healthcare Provider
Hope Goal
96%
40%
50%
60%
70%
80%
90%
100%
MT
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Child Health Status
92%
of children in very good or excellent health
98%
More children would need to be in very good or excellent health to achieve the HOPE Goal
More children would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Child Health Status
MT
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Adult Health Status
54%
of U.S. adults are in very good or excellent health
73%
More adults would need to be in very good or excellent health to achieve the HOPE Goal
134,899
More adults would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Adult Health Status
Hope Goal
73%
20%
30%
40%
50%
60%
70%
MT
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Affordable Housing
68%
of households with affordable housing
87%
More households would need affordable housing to achieve the HOPE Goal
51,155
More households would need affordable housing to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Housing
Hope Goal
87%
30%
40%
50%
60%
70%
80%
MT
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Oops! Something went wrong while submitting the form.
Affordable Health Care
91%
of adults with affordable health care
96%
More adults would need to have affordable health care to achieve the HOPE Goal
32,774
More adults would need to have affordable health care to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Health Care
Hope Goal
97%
50%
60%
70%
80%
90%
100%
MT
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Oops! Something went wrong while submitting the form.
Access to Psychiatric Care
76%
of people live in counties with access to psychiatric care
100%
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
259,319
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Psychiatric Care
Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
MT
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Access to Primary Care
91%
of people live in counties with access to primary care
100%
More people would need to live in counties with access to primary care to achieve the HOPE Goal
99,990
More people would need to live in counties with access to primary care to achieve the HOPE Goal
How Does 
Montana
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Primary Care
Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
MT
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Oops! Something went wrong while submitting the form.