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 377 revises Montana law to ensure parents generally have access to their minor child's health care records. It requires health providers to give parents access to a child's health information within 3 days of a request (or provide contact details for the records' location), with exceptions for court-limited parental rights, child abuse investigations, or government guardianship. The bill also clarifies that minors who can consent to certain care (like mental health services) have exclusive control over information related to that specific care, removing a minor's ability to enforce privacy violations by non-HIPAA-covered providers. This primarily affects parents, minors seeking care without parental consent, and health care providers managing minors' records.
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 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 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 891 grants the Office of Inspector General (OIG) within the Department of Public Health and Human Services (DPHHS) new authority. This bill allows the OIG to issue subpoenas to compel the production of financial records, documents, and data. These subpoenas are specifically for investigations into waste, fraud, or abuse within health care services and public assistance programs administered by the DPHHS. The measure specifies that both the DPHHS director and the inspector general must sign these subpoenas. It also appropriates $5,000 to the DPHHS for the biennium beginning July 1, 2025, to implement these provisions.
HJ 35 is a joint resolution from the Montana Legislature urging federal officials to modify current federal land management and wildfire policies. It calls for an aggressive initial attack on wildfires across all federal lands and for federal forest roads to remain open for access and fire suppression. The resolution also recommends that EPA air quality standards include wildfire smoke and that federal "let it burn" policies be reversed, ensuring NEPA processes are followed. Finally, it advocates for increased involvement of state and local governments and stakeholder groups in federal fire management decisions to protect Montana's communities.
Senate Bill 495 eliminates the Tobacco Prevention Advisory Board. The bill repeals the specific section of law that established this board. It also amends existing statute to remove the board from the list of entities funded by state special revenue accounts, which are primarily used for tobacco disease prevention programs and the Children's Health Insurance Program. The direct effect is the dissolution of the advisory board, which previously provided guidance for these programs.
HB 218 revises the practice of optometry by expanding the scope of services licensed optometrists can provide. It permits optometrists to perform certain in-office surgical procedures and laser surgical procedures, specifically limited to the anterior segment of the eye and adnexa. However, the bill explicitly excludes penetrating intraocular surgery, intravitreal injection, and refractive surgery. To perform laser surgical procedures, optometrists must be certified by the board after completing required didactic and clinical training. This act takes effect on July 1, 2025.