HB 758 aims to protect health benefit plan enrollees from balance billing for out-of-network ground ambulance services. It prohibits ambulance services from billing enrollees more than their in-network cost-sharing for covered transportation. The bill requires insurers to pay ambulance providers directly, caps out-of-pocket costs for these services at $100, and ensures these costs count towards deductibles. It also mandates that insurers reimburse ambulance services at established local rates or at least 400% of the Medicare rate if no contracted rate exists, and requires the state to create a public database of local ambulance rates.
HB 50 protects parents and pregnant women with drug use disorder by preventing child welfare investigations or custody actions solely based on positive drug test results. It amends Montana law to shield individuals seeking treatment or prenatal care from criminal charges related to drug use, and prohibits using drug test results alone to initiate child abuse cases or remove children from homes. The bill directly affects pregnant women, parents, healthcare providers, and child welfare systems by ensuring medical care access isn't penalized. Key provisions include immunity for seeking overdose help and requiring medical evaluation as the primary factor in child welfare decisions.
HB 912 proposes creating a new secure forensic facility in Montana, overseen by the Department of Public Health and Human Services. This facility would provide care, treatment, and security for up to 70 individuals involved in the legal system due to mental illness, including those needing competency restoration or forensic evaluations. The bill allocates $60 million from the Behavioral Health System for Future Generations Fund to plan, construct, and equip this facility, while also expanding the fund's uses to support new behavioral health infrastructure.
HB 747 permits day-care centers that care for children under one year of age or those at higher risk of severe illness from communicable diseases to adopt a policy regarding whether they accept children with certain immunization exemptions. The bill requires these day-care centers to notify parents or guardians if such a policy is adopted. This allows specific day-care centers to determine their own stance on accepting children with exemptions from required immunizations, impacting both the centers and families seeking childcare.
HB 494 proposes to revise how Montana allocates its yearly tobacco settlement proceeds, effective July 1, 2025. This bill would change the distribution percentages between two state special revenue accounts. Currently, 32% of the proceeds fund statewide tobacco disease prevention programs, and 17% goes to the Children's Health Insurance Program (CHIP). HB 494 would reverse these allocations, directing 17% to tobacco prevention and 32% to CHIP to secure federal matching funds.
HB 310 proposed establishing a state matching grant program to increase community shelter capacity for the homeless population. Administered by the Department of Public Health and Human Services, these grants would help local governments and eligible nonprofit organizations. The funds would specifically target services for senior citizens, veterans, survivors of domestic violence, youth transitioning from foster care, and individuals with mental health or substance use disorders. Applicants would be required to provide matching funds and collaborate with existing homelessness service providers. The bill appropriated $2 million from the general fund for the program, which was set to operate from July 2025 to June 2027.
HB 199 proposed to modify the composition of the Montana State Board of Medical Examiners. The bill aimed to reduce the number of doctor of medicine members on the board from five to four. Concurrently, it sought to increase the number of physician assistant members from one to two. This adjustment would directly affect the representation of these medical professionals on the 12-member board.
HB 750, titled "Provide for annual increase of Medicaid provider reimbursement rates," proposes to annually increase the reimbursement rates for services covered by the Montana Medicaid program. This bill directly affects healthcare providers who offer services to Medicaid recipients in Montana. It mandates that the department responsible for Medicaid annually increase these reimbursement rates by a minimum of 2%.
HB 884 sought to establish the Montana Behavioral Health Trust Fund and an oversight board to support behavioral health services statewide. It would have created a permanent endowment, with only the interest generated from it being transferred quarterly into a special revenue account. This account would fund grants for various eligible purposes, including mental health programs in public schools, expanding crisis care services, and providing support for individuals experiencing homelessness. A newly formed seven-member board would have been responsible for administering the fund, determining grant priorities, and monitoring the effectiveness of funded services.
HB 386 directs the Department of Public Health and Human Services to apply for the reinstatement of 12-month continuous Medicaid eligibility for specific groups. This would affect parents, caretaker relatives, and adults covered under Medicaid expansion. The department is required to submit amendments to existing federal waivers by September 30, 2025, to restore this continuous eligibility, which was previously allowed before certain waiver changes in 2021 and 2022. The bill would take effect immediately upon passage and approval.
