HJ 35 is a joint resolution from the Montana Legislature urging federal officials to modify current federal land management and wildfire policies. It calls for an aggressive initial attack on wildfires across all federal lands and for federal forest roads to remain open for access and fire suppression. The resolution also recommends that EPA air quality standards include wildfire smoke and that federal "let it burn" policies be reversed, ensuring NEPA processes are followed. Finally, it advocates for increased involvement of state and local governments and stakeholder groups in federal fire management decisions to protect Montana's communities.
SJ 49 requests an interim study of youth and family behavioral health prevention programs across Montana. An interim committee will be designated to comprehensively review these programs, focusing on their funding, workforce, and delivery settings for youth under 18. The study aims to identify gaps in the state's behavioral health system and assess how prevention efforts divert youth and families from crises, with findings to be reported to the 70th Legislature.
HB 447 enacts the Respiratory Care Interstate Compact, allowing licensed respiratory therapists to practice in multiple member states without needing a full license in each. This aims to increase public access to respiratory therapy services and improve workforce mobility, including for military members and their spouses. The compact establishes a "compact privilege" for therapists to practice in other member states while preserving each state's regulatory authority. It also includes provisions for criminal background checks for license applicants.
HB 454 revises the required frequency of patient visits by a licensed physical therapist when supervising a physical therapy assistant. This bill directly affects licensed physical therapists, physical therapy assistants, and the patients they serve. It changes the supervisory requirement, allowing a physical therapist to make an onsite or telehealth visit once for every eight visits made by an assistant, rather than six. Additionally, the time-based supervisory visit is extended from every two weeks to every 30 days, whichever occurs first.
HB 473 grants the Department of Public Health and Human Services (DPHHS) the authority to adopt Medicare fee schedules issued by the Centers for Medicare and Medicaid Services (CMS) through administrative rule. A key provision allows for the automatic incorporation of future updates to these federal fee schedules. This streamlines the process for DPHHS to align state reimbursement rates with federal Medicare standards. The bill affects the DPHHS's rulemaking procedures and indirectly impacts healthcare providers and beneficiaries whose services are reimbursed based on these schedules.
HB 458 revises laws concerning physician assistants and medical malpractice claims. The bill expands the definition of "health care provider" to include physician assistants, affecting their liability in malpractice cases. It also increases the limit on noneconomic damages in medical malpractice claims, raising the initial cap from $250,000 to $300,000. This new limit will then progressively increase each year, reaching $500,000 by 2029 and adjusting annually by 2% thereafter. These changes apply to both future and existing medical malpractice claims.
HB 397 establishes confidentiality standards for mental health digital services. It defines these services as mobile applications or websites that collect, use, or access information related to an individual's mental health or substance use disorder, market themselves as facilitating such services, and use the information for diagnosis, treatment, or management. The bill subjects these services to existing health care information disclosure and confidentiality provisions. It also provides for enforcement and remedies for individuals whose information is disclosed in violation of these standards.
HB 398 revises health insurance laws regarding utilization review, impacting patients and health insurance companies. The bill requires health plans to honor previously approved health care services for at least three months when a patient changes plans, ensuring continuity of care. It mandates that only licensed physicians, specializing in the relevant condition, can make or review decisions to deny or reduce health care services (adverse determinations). Additionally, it clarifies the definition of "adverse determination" and other related terms within insurance law.
House Bill 475 restricts the use of physical restraints on inmates known to be pregnant during labor and delivery. It generally prohibits restraints unless there are extraordinary circumstances, such as an individualized determination that the inmate is a flight risk or poses a clear threat to themselves or others. Even in these cases, leg or waist restraints are strictly prohibited. The bill also requires that any applied restraints be the least restrictive necessary and removed when the risk is mitigated or at the request of a healthcare professional.
HB 476 establishes a grant program to fund the installation and maintenance of newborn safety devices. The Department of Public Health and Human Services will award competitive grants, up to $20,000 per applicant, to eligible fire departments, hospitals, and law enforcement agencies. The department is also responsible for creating rules for the application process and evaluation criteria. The bill appropriates $160,000 from the general fund for this program, which is effective July 1, 2025, and terminates on June 30, 2027.
