HB 807 amends state law to prohibit individuals from being required to receive certain vaccines. Specifically, it mandates that vaccines whose use is allowed under an emergency use authorization (EUA) or those still undergoing safety trials cannot be a requirement. This applies to persons, governmental entities, employers, and public accommodations, preventing them from denying services, employment, or access based on non-receipt of such vaccines. The bill integrates this new prohibition into existing law concerning discrimination based on vaccination status.
HB 590 revises laws related to electronic health records, affecting health carriers, healthcare providers, and patients. It requires health carriers to establish and maintain specific application programming interfaces (APIs) for patient and provider access to health information, adhering to federal standards. Additionally, the bill prohibits healthcare providers from "information blocking" and mandates the disclosure of certain sensitive test results, such as those indicating malignancy or genetic markers, to a patient's electronic health record within 72 hours of finalization.
HB 794 revises general pharmacy laws, impacting pharmacies, pharmacy technicians, and clinical pharmacist practitioners. The bill updates and clarifies definitions, removes the utilization plan requirement for in-state and mail-order pharmacies, and mandates an endorsement for clinical pharmacist practitioners. It also eliminates outdated notification practices for biosimilar drug selection and generic drug signage requirements. Additionally, the bill clarifies pharmacy wholesale distribution licenses and the powers of the Board of Pharmacy, and adjusts provisions for insurance plans regarding out-of-state mail-order pharmacies.
HB 76 revises laws concerning the Board of Behavioral Health. The bill establishes certification and regulation for "family peer support specialists," individuals who use their personal experience to support parents and caregivers of children with significant physical, developmental, or behavioral health needs. It also adds family peer support to the list of practices regulated by the board and provides a specific licensure exemption for religious officials.
House Bill 620 revises state law concerning contracts that restrict a healthcare provider's ability to practice after leaving an employer or partnership. It expands existing protections, previously applicable to specific behavioral health professionals, to now include licensed physicians of all specialties. The bill amends Section 28-2-724, MCA, ensuring that contracts cannot prevent these medical professionals from practicing, providing services, or establishing patient relationships in any geographic area after their professional relationship ends.
HB 669 revises laws concerning educational programs for children receiving in-state inpatient treatment for serious emotional disturbances, directly affecting these children, their school districts, and qualifying treatment facilities. The bill authorizes the Superintendent of Public Instruction (SPI) to contract with facilities to deliver these educational programs, establishing a daily rate for services based on actual costs. Funding responsibility is shared, with the SPI paying the facility the daily rate minus a contribution from the child's school district of residence. It also clarifies the SPI's rulemaking authority for tuition calculations and outlines alternative methods for providing education if a facility fails to offer appropriate programs or contract with the state.
HB 732, the "Prompt Cost Report Reimbursement Act," revises how the Montana Department of Public Health and Human Services reimburses critical access hospitals participating in the state's Medicaid program. The bill requires the department to perform a tentative settlement and make interim payments to these hospitals within 240 days of a cost report being submitted to the Medicare administrative contractor. A final settlement and adjustment will occur after the Medicare administrative contractor completes its full review or audit. This process aims to align Montana Medicaid's reimbursement with Medicare's, ensuring more timely payments to critical access hospitals for services rendered.
HB 825 revises laws related to healthcare decision-makers for adult patients. It allows patients to designate a "trusted decisionmaker" to make medical choices on their behalf if they lose the ability to make their own, with healthcare providers required to document this designation. The bill establishes a legal hierarchy for selecting a decision-maker for incapacitated patients, placing the patient-designated trusted decisionmaker high on that list. This ensures a patient's chosen individual has authority to make healthcare decisions if they cannot.
HB 576 revises the funding for Medicaid and health and support services for children and adults who are aged, blind, or disabled. The bill allows a portion of the state's annual tobacco settlement proceeds to be used as matching funds for federal programs, including the Children's Health Insurance Program (CHIP), home visiting services, and specific Medicaid waivers. It also expands the uses of an existing state special revenue account, enabling its funds to similarly provide matching funds for these same services. These changes are designed to help secure federal funding for a range of health and support programs.
HB 543 repeals the termination date for laws requiring the reporting and disclosure of violence against healthcare employees. Previously, these reporting requirements were set to expire on a specific date. By repealing that sunset clause, this bill makes the reporting and disclosure obligations permanent. This ensures that information about violence affecting healthcare workers will continue to be collected and shared indefinitely.
