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.
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 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.
HB 621 allows local first responder entities, including police departments, sheriff's offices, fire departments, and emergency medical service providers, to establish peer support programs. These programs must have a written policy that outlines qualifications for peer supporters, defines peer support sessions, and ensures confidentiality for participants. The bill prohibits qualified peer supporters from testifying about the content of peer support sessions, with exceptions if an employee has committed or plans a crime, or indicates intent to harm themselves or others.
HB 867 establishes a medical assistance program specifically for licensed chiropractors and veterinarians. This program provides support and monitors rehabilitation for these professionals who are impaired by substance abuse, mental illness, or chronic physical illness. To fund this initiative, the bill allows the respective boards to adjust the license renewal fees for chiropractors and veterinarians. It also updates existing laws concerning the confidentiality and auditing of professional medical assistance programs to include these new licensee groups.
HB 888 revises the powers of local boards of health concerning isolation and quarantine orders. This bill prohibits local boards of health from requiring individuals to receive a vaccination or other medication as a condition for release from an isolation or quarantine order. It amends existing state law (Section 50-2-116, MCA) that outlines the duties of these boards. The legislation also includes an appropriation.
HB 920 establishes a temporary property tax exemption for new senior care facilities and housing development projects. Tax-exempt non-profit organizations sponsoring these projects must first petition a local government, which determines if there is a "compelling need" for the project through a public hearing. If approved by the local government, the sponsor can then apply to the department of revenue for the exemption. This bill aims to encourage the development of various affordable housing and care options for seniors aged 55 or 62 and older.
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.