Healthcare

signed · Montana · Senate May 16, 2025

SB 319: Generally revise health care laws related to doulas

This bill establishes a state licensure system for doulas, defining them as nonmedical professionals who provide continuous physical, emotional, and informational support during pregnancy and up to one year postpartum. Beginning January 1, 2027, individuals wishing to practice as state-licensed doulas must obtain a license from the Department of Labor and Industry. Licensure requires paying fees, completing specific competencies, and adhering to professional conduct standards. Additionally, the bill allows the Department of Public Health and Human Services to provide Medicaid coverage for services offered by state-licensed doulas.

Topics ✓ HealthcareSupports HealthcareEstablishes licensure standards for doulas (nonmedical healthcare support), formalizing their role in pregnancy/postpartum care and improving professional standards within healthcare services.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

vetoed · Montana · House May 13, 2025

HB 880: Establish a stabilization fund for medicaid

HB 880 establishes the Medicaid Stabilization Reserve Account, a state special revenue fund designed to help maintain Medicaid benefits during state revenue shortfalls. The account would be primarily funded by transferring any unused state general fund appropriations for Medicaid at the end of a fiscal year. Funds from this account could only be appropriated by the legislature for state Medicaid matching funds after the budget director certifies a projected general fund deficit. This mechanism aims to mitigate expenditure reductions in the Medicaid program, directly affecting the stability of services for beneficiaries. The bill also includes an initial appropriation of $50,000 for state Medicaid matching funds.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates Medicaid Stabilization Reserve Account using unused general fund appropriations to maintain benefits during revenue shortfalls, protecting essential program funding through fiscal management.95% confidence ✓ HealthcareSupports HealthcareEstablishes Medicaid Stabilization Reserve to maintain benefits during revenue shortfalls, preventing cuts to healthcare coverage and ensuring continued funding for Medicaid services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

signed · Montana · Senate May 13, 2025

SB 95: Provide funding for suicide prevention

Senate Bill 95 allocates $300,000 to the Department of Public Health and Human Services for the biennium beginning July 1, 2025. This funding is dedicated to suicide prevention efforts specifically for service members, veterans, and their families. The bill outlines several key uses for the money, including implementing prevention strategies and establishing screening standards for suicide risk. It also aims to improve care transitions and increase lethal means safety through initiatives such as a statewide safe storage campaign and training events. The act is effective July 1, 2025, and terminates on June 30, 2027.

Topics ✓ HealthcareSupports HealthcareAllocates $300,000 for suicide prevention mental health services targeting veterans, directly advancing mental healthcare access and prevention programs.95% confidence ✓ VeteransSupports VeteransExplicitly funds suicide prevention for veterans with $300k allocation, directly addressing mental healthcare needs as stated in bill summary.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · Senate May 13, 2025

SB 218: Provide for private right of action for injuries caused by certain medical interventions to treat gender dysphoria

SB 218 establishes a private right of action, allowing minors, their legal guardians, or estates to file civil lawsuits against healthcare professionals and physicians. These lawsuits can be brought for injuries caused by specific medical interventions, including certain surgeries, hormone therapies, and puberty blockers, when provided to minors to treat gender dysphoria. Liability may arise if the injury is proximately caused by a deviation from the applicable medical standard of care. The bill sets a statute of limitations for these actions and clarifies that it does not apply to treatments for medically verifiable disorders of sex development or complications from prior medical treatments.

Topics ✗ HealthcareOpposes HealthcareBill creates legal liability for providers of gender dysphoria treatments (hormones, puberty blockers, surgeries) to minors, restricting access to these healthcare services through potential lawsuits.92% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Montana · House May 8, 2025

HB 687: Revise age of expanded Medicaid participants required to engage in community engagement activities

HB 687 revises the age range for expanded Medicaid participants who are required to engage in community engagement activities. Previously, participants aged 19 to 55 were subject to this requirement. This bill extends that upper age limit, now requiring individuals from 19 to 62 years old to participate. Affected participants must complete 80 hours per month in activities such as employment, education, work training, or community service, unless they qualify for an exemption. This change directly impacts expanded Medicaid recipients between the ages of 56 and 62.

Topics ✗ HealthcareOpposes HealthcareExtends mandatory community engagement requirements for Medicaid participants, potentially restricting access to healthcare coverage by adding new compliance barriers for 19-62-year-olds.92% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

passed both · Montana · Senate May 6, 2025

SJ 49: Interim study of youth and family behavioral health prevention

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.

Topics ✓ HealthcareSupports HealthcareBill initiates study to identify gaps in youth mental health prevention programs, aiming to strengthen system through comprehensive review of funding, workforce, and delivery settings.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

signed · Montana · Senate Apr 18, 2025

SB 495: Eliminate the tobacco prevention advisory board

Senate Bill 495 eliminates the Tobacco Prevention Advisory Board. The bill repeals the specific section of law that established this board. It also amends existing statute to remove the board from the list of entities funded by state special revenue accounts, which are primarily used for tobacco disease prevention programs and the Children's Health Insurance Program. The direct effect is the dissolution of the advisory board, which previously provided guidance for these programs.

Topics ✗ Budget & TaxesOpposes Budget & TaxesDefunds tobacco prevention and CHIP programs by removing advisory board from state special revenue accounts, directly eliminating funding streams.95% confidence ✗ HealthcareOpposes HealthcareDissolves tobacco prevention advisory board, removing it from state funding lists for tobacco disease prevention programs, directly defunding public health initiatives.90% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Montana · House Feb 28, 2025

HB 41: Generally revise dangerous drug schedule

HB 41 adds gabapentin to Montana's Schedule V list of controlled substances under the "depressants" category. This change directly affects medical providers who prescribe gabapentin (used for nerve pain, seizures, and other conditions), pharmacists who dispense it, and patients using the medication. The bill amends Montana Code § 50-32-232 to explicitly include gabapentin - identified by its chemical name "1-(aminomethyl)cyclohexaneacetic acid" - in Schedule V depressants alongside drugs like pregabalin. This policy update standardizes gabapentin's regulatory classification without altering its medical use or prescribing rules.

Topics ✗ HealthcareOpposes HealthcareBill restricts access to gabapentin (a medical treatment) by adding it to controlled substance schedule, limiting prescribing/dispensing for nerve pain/seizures without clear healthcare advancement.92% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare