Despite pushback from neighbors, state officials made a final decision to build the 32-bed hospital on the edge of Laurel’s city limits. The 114-acre parcel has been the subject of a nearly yearlong tussle between residents and state officials, and Gov. Greg Gianforte promised in December 2025 that a facility would not go where it’s unwanted. Defendants will be evaluated for whether they’re fit to stand trial at the facility.