HB 929 proposes to revise laws related to chiropractic practitioners in Montana. The bill would establish an optional license endorsement allowing chiropractors who meet specific requirements to prescribe a limited formulary of noncontrolled, nonscheduled drugs. These drugs include items like over-the-counter analgesics, prescription nonsteroidal anti-inflammatory drugs, and muscle relaxants, intended for musculoskeletal treatment and pain. The Board of Chiropractors would be responsible for establishing the educational qualifications, application procedures, and prescribing protocols for this endorsement, for which a fee may be assessed.
HB 364 proposes to update laws concerning student immunizations and exemptions in K-12 schools. It would require school governing authorities to submit written reports on student immunization and exemption data to state and local health departments. These reports must only contain deidentified or aggregate information, ensuring student privacy. The Department of Public Health and Human Services would determine the specific form and schedule for these reports.
HB 851 proposes to create a new state agency called the Department of Health Services. This new department would take over specific human services functions currently managed by the Department of Public Health and Human Services. These transferred responsibilities include the administration of developmental disabilities services, mental health services (like the Montana State Hospital), chemical dependency services, and veterans' long-term care facilities. The bill also provides an appropriation for the new department, grants it rulemaking authority, and requires its contracts to include dispute resolution clauses.
HB 274 sought to establish a medical respite care program in Montana for homeless individuals who are eligible for Medicaid. This program would have provided short-term housing in residential facilities with supportive medical services for those recovering from illness or injury but not requiring hospitalization. Services would have included treatment plan monitoring, medication management, immunizations, discharge planning, and transportation for medical appointments. The bill directed the Department of Public Health and Human Services to seek federal approval for the program and to report annually on its costs and the number of individuals served.
HB 758 aims to protect health benefit plan enrollees from balance billing for out-of-network ground ambulance services. It prohibits ambulance services from billing enrollees more than their in-network cost-sharing for covered transportation. The bill requires insurers to pay ambulance providers directly, caps out-of-pocket costs for these services at $100, and ensures these costs count towards deductibles. It also mandates that insurers reimburse ambulance services at established local rates or at least 400% of the Medicare rate if no contracted rate exists, and requires the state to create a public database of local ambulance rates.
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 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.