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 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 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.
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 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 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.
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.
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.
