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.
HB 555 aimed to revise laws related to chemical abortion, primarily by establishing new conditions for health care providers and responsibilities for drug manufacturers. It would have required health care providers to physically examine patients, be present during a chemical abortion, schedule a follow-up visit, and provide a "catch kit" and "medical waste bag" for proper disposal. The bill also sought to make manufacturers of abortion drugs responsible for the proper disposal of discarded drugs and for mitigating environmental effects of chemical byproducts entering public waste systems. Violations by providers could lead to felony charges, while manufacturers could face fines.
HB 637, titled "Provide for medical aid in dying," establishes a legal framework for adults with a terminal illness to request and self-administer medication to end their lives peacefully. To qualify, an individual must be at least 18, have a terminal illness with a prognosis of six months or less, and possess the capacity to make medical decisions. The bill outlines specific requirements for prescribing health care providers, including making multiple determinations about the patient's condition and ensuring an informed, voluntary decision. It also provides immunities for health care providers, requires reporting, and establishes criminal penalties for actions like coercion or altering requests.
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.
House Bill 371 aimed to prohibit the administration of gene-based vaccines, including those using messenger RNA (mRNA) or deoxyribonucleic acid (DNA) technology, to humans within the state of Montana. The bill proposed that anyone providing or administering such a vaccine would be guilty of a misdemeanor, facing a $500 fine for each incident. It also required the relevant licensure board to review the license of any professional who violated this prohibition. This legislation would directly affect healthcare providers and individuals seeking these specific types of vaccines in Montana.
HB 748 sought to revise the marijuana possession and purchase limits for registered medical marijuana cardholders in Montana. The bill proposed increasing the amount of usable marijuana a cardholder could possess from 1 ounce to 5 ounces. It also aimed to raise both the maximum monthly and daily purchase limits for these cardholders from 1 ounce to 5 ounces. The legislation maintained the existing process for cardholders to petition for an exception to the monthly limit if confirmed by their physician.
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 526 proposes that the state join the Advanced Practice Registered Nurse (APRN) compact. This initiative allows Advanced Practice Registered Nurses licensed in one member state to practice in other compact states without needing to obtain a separate license for each. The bill establishes a framework for uniform licensure requirements and facilitates the exchange of information between states for regulatory and enforcement purposes. Its aim is to streamline the licensing process for APRNs and enhance their ability to provide care across state lines, potentially increasing access to healthcare services.
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.
HB 689 aimed to increase pricing transparency for hospitals. It required hospitals to publish a comprehensive list of all their standard charges for medical items and services, including gross charges, negotiated rates with third-party payors, and discounted cash prices. This information was to be made available on hospital websites in both machine-readable and consumer-friendly formats. The bill also included provisions for reporting to state departments, prohibiting debt collection by non-compliant hospitals, and allowing for enforcement actions.
