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 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 884 sought to establish the Montana Behavioral Health Trust Fund and an oversight board to support behavioral health services statewide. It would have created a permanent endowment, with only the interest generated from it being transferred quarterly into a special revenue account. This account would fund grants for various eligible purposes, including mental health programs in public schools, expanding crisis care services, and providing support for individuals experiencing homelessness. A newly formed seven-member board would have been responsible for administering the fund, determining grant priorities, and monitoring the effectiveness of funded services.
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 885 aims to improve customer service for Medicaid applicants and recipients in Montana. It requires the Department of Public Health and Human Services (DPHHS) to implement mobile-first technology for online applications and renewals, utilize text and email for communications, and ensure written notices are in plain language and translated. The bill also mandates the DPHHS to provide expected wait times and callback options for hotline callers and to reopen 10 local public assistance offices by June 30, 2026. Additionally, it establishes quarterly reporting requirements to the legislature on various Medicaid client service metrics.
House Bill 556 regulates how health insurance issuers use artificial intelligence (AI) for reviewing and managing healthcare services. It prohibits AI, algorithms, or other software tools from solely determining medical necessity or denying, delaying, or modifying healthcare services. Instead, medical necessity determinations must be made by licensed healthcare professionals, considering individual patient history and circumstances, not just group data. The bill also requires AI tools to be applied fairly, avoid discrimination, and be open to audit, making non-compliance an unfair claim settlement practice.
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 797, also known as the "Expanding Physician Access Act," aims to revise occupational licensing laws to facilitate the licensure of international physicians. The bill establishes a process for the board to grant provisional licenses to international physicians who meet specific educational, examination, and experience requirements, and have an employment offer from a healthcare provider in the state. These provisional licenses automatically convert to full licenses after three years of continuous active practice in the state. This initiative seeks to remove barriers for internationally licensed physicians to fill vacancies, particularly in rural and primary care settings, while maintaining existing standards of care and licensing requirements.
HB 230 proposed to revise Montana's Medicaid laws, directly affecting current and prospective Medicaid clients. The bill aimed to eliminate work requirements and premiums, while establishing 12-month continuous eligibility for certain populations like parents and adults in the expansion program. It also sought to improve customer service by streamlining application processes, enhancing digital communications, and providing a phone hotline. Additionally, the bill intended to establish a Medicaid Client Advisory Board to advise the Department of Public Health and Human Services and repeal the termination date of the Montana Health and Economic Livelihood Partnership Act.
