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 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 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.
HB 385 proposed establishing the School Mental Health Promotion Pilot Program, administered by the Office of Public Instruction. This program would have provided grants to Montana school districts to implement innovative, student-led, and locally determined initiatives aimed at improving student mental health. Districts applying for grants would have needed to demonstrate specific needs, broad community support in their application development, and plans for mental health promotion activities and program evaluation. The bill proposed annual grants ranging from $10,000 to $50,000 for a two-year period, with $250,000 appropriated annually from the general fund. The program was set to terminate on June 30, 2029.
HB 653 revises state law regarding parental access to a child's health care information and consent for medical care. The bill generally requires parental consent for most medical procedures, examinations, prescription drugs, and mental health services for children, with exceptions for emergencies. It also mandates that health care providers make a child's health information available to a parent within 10 days of a request. However, parental access to this information is not required if a government entity is the child's guardian, a court order limits parental rights, or the parent is under investigation for abuse or a crime against the child.
The provided bill text, identified as Senate Bill 382, focuses on revising laws related to immunization exemptions, which differs from the title "Establish the specie legal tender act" for HB 382.
Based on the provided text, this bill mandates that various entities, including state agencies, schools, child care facilities, and licensed health care providers, must accept religious or informed consent exemptions for required immunizations, injections, or medications for employment or attendance. It establishes that denying such an exemption is an unlawful discriminatory practice. Non-compliant entities could face a loss of state funding, and individuals denied an exemption may file complaints and seek compensatory damages. The bill also clarifies and strengthens the existing provisions for religious, medical, and informed consent exemptions for school attendance.
HB 500 aimed to revise laws related to chiropractic practitioners in Montana. The bill sought to establish a new license endorsement, allowing chiropractors who obtain it to prescribe certain noncontrolled, nonscheduled drugs like muscle relaxants and NSAIDs for diagnostic and therapeutic purposes. The Board of Chiropractors would have been responsible for setting the educational qualifications and protocols for this prescriptive authority. Additionally, the bill proposed that chiropractic services be included as part of the Montana Medicaid program.
HB 943 establishes the Montana Rare Disease Advisory Council within the Department of Public Health and Human Services. This 17-member council, composed of patients, caregivers, medical professionals, researchers, and other stakeholders, will provide guidance, education, and recommendations on the needs of individuals with rare diseases in Montana. Its duties include surveying patient needs, developing policy recommendations for improved access to care and treatment, publishing resources, and identifying research opportunities. The council is required to meet regularly and submit annual reports to the Governor and Legislature, and the bill includes an appropriation to cover initial costs.
