Dr. Billy Oley (left) talks with Dr. William George in the Beartooth Billings Clinic in Red Lodge, Mont. The hospital became part of the Billings Clinic system in exchange for help with its digital medical records. Eric Whitney for NPR hide caption

itoggle caption Eric Whitney for NPR

Karl Sutton leaves his mobile greenhouse in Montana. He sells spinach as part of a farmers co-op, and likes that nonprofit business model for his health insurance, too. Eric Whitney for NPR hide caption

itoggle caption Eric Whitney for NPR

Lt. Gov. John Walsh defending himself in Helena, Mont., on Jan. 26 against reports that he was reprimanded by the U.S. Army in 2010 for using his position as Montana adjutant general to solicit National Guard memberships to a private organization. Matt Volz/AP hide caption

itoggle caption Matt Volz/AP

Sen. Jon Tester, D-Mont., receives a kiss from his grandson Wednesday in Great Falls, Mont. Tester won re-election in a tight contest with Republican Rep. Denny Rehberg. Michael Albans/AP hide caption

itoggle caption Michael Albans/AP

Sen. Jon Tester, D-Mont., (center) campaigns at a parade Saturday in Belgrade, Mont. Martin Kaste/NPR hide caption

itoggle caption Martin Kaste/NPR

1909. Facing nearly due west from ridge northeast of Como Lake. Light selection cut in open ponderosa pine. Ground cover is comprised of perennial grasses and forbs, including basalmroot. A few low-growing bitterbrush plants can be seen in the vicinity of horses and in distance on left. A group of willows can be seen behind horsemen at left center. Photo 87357/U.S. Forest Service hide caption

itoggle caption Photo 87357/U.S. Forest Service

Sen. Jon Tester, D-Mont., faces a potentially tough re-election bid. Win McNamee/Getty Images hide caption

itoggle caption Win McNamee/Getty Images