Healthcare

vetoed · Montana · Senate Jul 14, 2025

SB 422: Generally revise laws relating to insurance coverage relating to cancer

SB 422 requires Montana health insurers to cover FDA-approved drugs for advanced or metastatic cancer without forcing patients to first fail other treatments. It prohibits insurers from demanding that patients prove they've tried and failed alternative drugs before approving coverage for new treatments that align with national cancer guidelines. This directly affects patients diagnosed with advanced or metastatic cancer in Montana, ensuring faster access to potentially life-saving medications without unnecessary bureaucratic hurdles. The law applies only to drugs approved by the FDA and consistent with evidence-based cancer treatment protocols.

Topics ✓ HealthcareSupports HealthcareMandates insurers cover FDA-approved cancer drugs without prior treatment failure requirements, improving patient access to life-saving treatments per national guidelines.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Montana · Senate Jul 11, 2025

SB 537: Generally revise marijuana tax laws

SB 537 revises Montana's marijuana tax revenue distribution, directing funds from the marijuana state special revenue account to new and existing state accounts. It requires transferring excess funds annually to specific accounts, including 12% to the HEART account for addiction treatment and mental health programs, 20% to wildlife habitat projects, and 14% to behavioral health initiatives. The bill also allocates funds for law enforcement canine training, sexual assault evidence kits, and homeless shelter support, while modifying existing transfer rules for agencies like the Department of Fish, Wildlife, and Parks. These changes apply to all state agencies receiving marijuana tax revenue under Montana law.

Topics ✓ Budget & TaxesSupports Budget & TaxesDirects marijuana tax revenue to specific public service accounts (12% to addiction treatment, 20% to wildlife, 14% to behavioral health), increasing funding for state programs.95% confidence ✓ Criminal JusticeSupports Criminal JusticeAllocates 12% to HEART account for addiction treatment and 14% to behavioral health initiatives, directly supporting rehabilitation programs aligned with criminal justice reform goals.85% confidence ✓ EnvironmentSupports EnvironmentAllocates 20% of marijuana tax revenue to wildlife habitat projects, directly funding environmental conservation as specified in bill summary.90% confidence ✓ HealthcareSupports HealthcareAllocates 12% to HEART for addiction/mental health and 14% to behavioral health, directly funding healthcare programs under healthcare topic indicators.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Montana · Senate Jun 18, 2025

SB 72: Provide presumptive eligibility for Medicaid coverage of home and community-based services

SB 72 creates a "presumptive eligibility" process for Montana Medicaid, allowing people with physical disabilities or who are elderly to immediately access home and community-based services like personal care, meal delivery, medical equipment, and emergency response systems while awaiting full Medicaid approval. It requires a screening process by trained staff (including tribal entities, hospitals, or aging agencies) to verify income, residency, and need, with applicants having 30 days to apply for ongoing Medicaid coverage. The program aims to prevent hospitalizations or institutional care by providing temporary coverage during the application period, ending after 30 days or when full eligibility is determined. The bill requires state approval from CMS before implementation and was vetoed by the governor in May 2025, with a legislative override attempt failing.

Topics ✓ HealthcareSupports HealthcareCreates immediate Medicaid access to home/community services for disabled/elderly, expanding coverage without full approval process95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 136: Prohibit consent as a defense for physician assisted suicide

SB 136 amends Montana's criminal code (Section 45-2-211, MCA) to state that a patient's consent to physician aid in dying is not a defense to a homicide charge against the physician. The bill defines "physician aid in dying" as a physician prescribing a lethal medication for the patient to self-administer, excluding standard comfort care or withholding life-sustaining treatment. This directly affects physicians who provide such aid, making their actions prosecutable as homicide if consent is claimed as a defense. The law takes effect July 1, 2025, and does not impact existing practices of comfort care or end-of-life treatment under Montana law.

Topics ✗ Criminal JusticeOpposes Criminal JusticeBill removes consent as a defense for physician-assisted suicide, making it prosecutable as homicide under criminal code, expanding criminalization of medical practices.95% confidence ✗ HealthcareOpposes HealthcareBill criminalizes physician-assisted suicide by removing consent as a defense, restricting access to a specific healthcare service under homicide laws.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 164: Revise offense of endangering the welfare of children

SB 164 amends Montana's endangering the welfare of children law to prohibit specific medical treatments for children under 16. The bill bans surgical procedures, puberty blockers, and hormone therapies (like estrogen or testosterone) when used to alter a child's appearance or affirm a gender identity inconsistent with their biological sex. Violating this prohibition is classified as a felony, carrying up to five years in prison and a $10,000 fine, with harsher penalties if the child suffers serious injury. The law would take effect on January 1, 2026, directly affecting medical providers, caregivers, and children under 16 who might receive these treatments.

Topics ✗ Criminal JusticeOpposes Criminal JusticeBill expands criminalization by classifying medical treatments as felony offenses, increasing penalties for specific acts. Aligns with OPPOSE indicators: expands criminalization.95% confidence ✗ HealthcareOpposes HealthcareBill bans gender-affirming medical treatments (surgery, puberty blockers, hormone therapy) for minors, restricting access to healthcare services under the guise of child welfare.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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died · Montana · House May 22, 2025

HB 185: Provide for continuous healthy Montana kids plan eligibility for children under 6

HB 185 directs the Department of Public Health and Human Services (DPHHS) to implement continuous eligibility for children under six years old in the Healthy Montana Kids plan. This means eligible children would remain enrolled in the program until their sixth birthday, regardless of changes in family income or other circumstances that might otherwise make them ineligible. DPHHS is required to apply for the necessary federal waivers and state plan amendments by July 1, 2025, and implement the continuous eligibility within six months of federal approval. The bill aims to provide consistent health coverage for young children enrolled in Medicaid and the Children's Health Insurance Program.

Topics ✓ HealthcareSupports HealthcareEnsures continuous health coverage for children under six without income-based interruptions, expanding access to healthcare services95% confidence | Rep's Stance ✗ Voted No ✗ Opposes 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 No ✗ Opposes Healthcare

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died · Montana · House May 20, 2025

HB 783: Generally revise health insurance laws relating to certain conditions

HB 783 aimed to revise health insurance laws by requiring coverage for specific conditions and treatments. It would have mandated individual health insurance policies to cover glucagon-like peptide-1 receptor agonists and treatments for polycystic ovary syndrome when medically necessary, including for diagnoses of diabetes or class 3 obesity. While allowing standard cost-sharing and cost containment measures, the bill prohibited special limitations on glucagon-like peptide-1 receptor agonists. Additionally, it sought to add other mandatory coverages, such as fertility preservation services and therapies for Down syndrome, to state group health plans. The bill would have affected individuals with these conditions and those covered by applicable health insurance policies in the state.

Topics ✓ HealthcareSupports HealthcareMandates coverage for specific treatments (GLP-1 agonists, PCOS) when medically necessary, prohibiting special limitations and expanding access to essential healthcare services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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died · Montana · House May 20, 2025

HB 386: Revising laws related to continuous medicaid eligibility

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.

Topics ✓ HealthcareSupports HealthcareRestores 12-month continuous Medicaid eligibility for parents, caretakers, and expansion adults, ensuring uninterrupted health coverage and access to services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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died · Montana · House May 20, 2025

HB 565: Require health insurance companies doing business in Montana to cover IVF treatment

House Bill 565, also known as the "Building Families Act," would have required certain health insurance policies in Montana to cover the diagnosis and treatment of infertility, including in vitro fertilization (IVF). This mandate would have applied to small group, large group, and individual health insurance policies issued or renewed in the state. The bill defined infertility based on factors like age and time trying to conceive, or a physician's findings. It set a lifetime coverage minimum of at least $40,000 for fertilization services and aimed to ensure fertility coverage was not subject to different limitations than other medical benefits.

Topics ✓ HealthcareSupports HealthcareHB 565 mandates insurance coverage for IVF treatment, expanding access to fertility care under Montana health insurance policies, directly advancing healthcare coverage for reproductive services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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