Decision Making
MMIA is governed by a 15-member board and is comprised of elected and appointed officials from member entities. The seven largest cities-Billings, Bozeman, Butte-Silver Bow County, Great Falls, Helena, Missoula and Kalispell-have permanent seats on the board. Another seven seats are occupied by individuals representing smaller communities, with populations less than 20,000, who are elected by the membership for rotating two-year terms and one at-large member that is elected by the board. No member city or town may have more than one representative on the board. The board governs each coverage program on an independent basis.