Healthcare

vetoed · Montana · House Jun 4, 2025

HB 610: Revise preauthorization laws relating to healthcare

HB 610 would have removed a requirement for prior approval (preauthorization) under Montana's Medicaid program for specific FDA-approved antipsychotic drugs. These drugs must be recognized in the latest DSM-5 as effective for certain mental health conditions. The bill would have directly affected Medicaid patients needing these medications and their healthcare providers, who would no longer need to seek pre-approval for covered antipsychotics. The law would have applied to claims for services provided after its effective date. (Note: The bill was vetoed by the governor and the veto override failed, so this policy change did not take effect.)

Topics ✓ HealthcareSupports HealthcareRemoves preauthorization for FDA-approved antipsychotics in mental health care, improving patient access to necessary medications without bureaucratic delays.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · Senate May 23, 2025

SB 474: Require acceptance of religious and personal medical exemptions to required immunizations

SB 474 would have expanded school immunization exemptions in Montana to include religious exemptions and a new "personal medical informed consent" exemption requiring only a notarized statement. This new exemption would allow students to decline vaccines after consulting a healthcare provider (without needing a provider's signature), distinct from the existing medical exemption requiring a healthcare provider's written statement. The bill also amended school immunization laws (20-5-405 and 49-2-312) to prevent schools from being sued for injuries related to exempt students and to block overly burdensome exemption forms. The bill died in committee on May 23, 2025, and never became law.

Topics ✗ HealthcareOpposes HealthcareExpands vaccine exemptions, weakening school immunization requirements and public health protections by replacing medical exemption standards with less stringent notarized consent.92% confidence | Rep's Stance ✗ Voted No ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 558: Establish a nurse health corps

HB 558 establishes the Montana Nurse Corps Act, enabling licensed nurses to provide home health care visits to specific patient groups at a fixed $10 fee per visit. It directly affects eligible patients (those enrolled in Medicare/Medicaid or with family income under 400% of the federal poverty level) and participating nurses who join the program. Key provisions include limiting nurse charges to $10 per visit for eligible patients, shielding nurses from liability for ordinary negligence (except gross negligence), and requiring patient notice of this liability protection. The bill also outlines nurse eligibility requirements and program oversight by the state nursing board.

Topics ✓ HealthcareSupports HealthcareEnables low-cost home health visits ($10/visit) for Medicare/Medicaid/low-income patients, expanding access to care through a new nurse corps program.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 929: Generally revise laws relating to chiropractic practitioners

HB 929 proposes to revise laws related to chiropractic practitioners in Montana. The bill would establish an optional license endorsement allowing chiropractors who meet specific requirements to prescribe a limited formulary of noncontrolled, nonscheduled drugs. These drugs include items like over-the-counter analgesics, prescription nonsteroidal anti-inflammatory drugs, and muscle relaxants, intended for musculoskeletal treatment and pain. The Board of Chiropractors would be responsible for establishing the educational qualifications, application procedures, and prescribing protocols for this endorsement, for which a fee may be assessed.

Topics ✓ HealthcareSupports HealthcareExpands chiropractor prescribing rights for musculoskeletal pain, improving patient access to non-invasive treatment options within healthcare services.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 364: Generally revise laws related to immunizations

HB 364 proposes to update laws concerning student immunizations and exemptions in K-12 schools. It would require school governing authorities to submit written reports on student immunization and exemption data to state and local health departments. These reports must only contain deidentified or aggregate information, ensuring student privacy. The Department of Public Health and Human Services would determine the specific form and schedule for these reports.

Topics ✓ HealthcareSupports HealthcareRequires school immunization data reporting for public health oversight, strengthening disease prevention efforts under healthcare policy.90% confidence ✓ TechnologySupports TechnologyRequires deidentified health data reporting to protect student privacy, aligning with tech policy data protection standards.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 851: Create department of health services

HB 851 proposes to create a new state agency called the Department of Health Services. This new department would take over specific human services functions currently managed by the Department of Public Health and Human Services. These transferred responsibilities include the administration of developmental disabilities services, mental health services (like the Montana State Hospital), chemical dependency services, and veterans' long-term care facilities. The bill also provides an appropriation for the new department, grants it rulemaking authority, and requires its contracts to include dispute resolution clauses.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill creates new department via appropriation, funding transferred health services functions (e.g., mental health, veterans care) as part of state budget allocation.90% confidence ✓ HealthcareSupports HealthcareCreates new department to manage mental health, developmental disabilities, and chemical dependency services with funding, advancing healthcare delivery95% confidence ✓ VeteransSupports VeteransBill explicitly transfers veterans' long-term care facilities to new department and includes funding appropriation for these services.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 377: Generally revise access by parent to child patient health care information

HB 377 revises Montana law to ensure parents generally have access to their minor child's health care records. It requires health providers to give parents access to a child's health information within 3 days of a request (or provide contact details for the records' location), with exceptions for court-limited parental rights, child abuse investigations, or government guardianship. The bill also clarifies that minors who can consent to certain care (like mental health services) have exclusive control over information related to that specific care, removing a minor's ability to enforce privacy violations by non-HIPAA-covered providers. This primarily affects parents, minors seeking care without parental consent, and health care providers managing minors' records.

Topics ✓ HealthcareSupports HealthcareBill clarifies parental access to minor's health records while protecting minors' privacy in mental health services, supporting patient rights in healthcare.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 758: Revise health care laws relating to out-of-network services

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.

Topics ✓ HealthcareSupports HealthcarePrevents balance billing for ambulance services, caps out-of-pocket costs at $100, and ensures costs count toward deductibles, strengthening patient access and financial protection in healthcare.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 50: Provide protections to parents and pregnant women with substance use disorder

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.

Topics ✓ Criminal JusticeSupports Criminal JusticePrevents criminal charges for drug use when seeking treatment, reducing criminalization and aligning with justice reform by diverting to healthcare instead of prosecution.90% confidence ✓ HealthcareSupports HealthcareBill prevents criminal charges and child welfare actions for seeking substance use treatment/prenatal care, directly protecting patient access and rights in healthcare services per summary.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 912: Generally revise behavioral health laws to create a secure forensic facility

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.

Topics ✓ Criminal JusticeSupports Criminal JusticeCreates secure forensic facility for mental health treatment in legal system, advancing rehabilitation and competency restoration within criminal justice framework.95% confidence ✓ HealthcareSupports HealthcareAllocates $60M from behavioral health fund to create facility providing mental health care/treatment for forensic patients, directly advancing mental health services under healthcare topic.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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