Healthcare

signed · Montana · House May 19, 2025

HB 918: Authorize transfers and other necessary measures to implement HB 2-Section B

House Bill 918 requires the Department of Public Health and Human Services (DPHHS) to report on its progress in developing a plan to comply with the U.S. Supreme Court's *Olmstead v. L.C.* decision. This decision focuses on providing services for individuals with disabilities in community-based settings rather than institutions. DPHHS must provide quarterly updates to the health and human services budget committee during the legislative interim regarding this plan. The bill becomes effective on July 1, 2025, and is set to terminate on September 15, 2026.

Topics ✓ HealthcareSupports HealthcareRequires DPHHS to implement Olmstead v. L.C., advancing community-based disability healthcare access and patient rights, directly aligning with healthcare improvement indicators.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · House May 19, 2025

HB 936: Authorize transfers and other necessary measures to implement HB 2-Section B

HB 936 implements specific provisions of the state's General Appropriations Act, primarily affecting healthcare funding and operations. It reallocates a portion of the hospital utilization fee to provide incentive payments for hospital quality and efficiency, and to support independent critical access hospitals. The bill also expands the eligible uses of the Behavioral Health System for Future Generations Fund to include student loan repayment for certain healthcare professionals and funding for additional beds at the Montana State Hospital on a one-time basis. Finally, it establishes new reporting requirements for comprehensive school and community treatment services for children and for hiring efforts at the Montana State Hospital.

Topics ✓ HealthcareSupports HealthcareReallocates hospital fees for quality incentives and expands behavioral health fund to include mental health services and healthcare professional loan repayment.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · House May 19, 2025

HB 669: Revise laws related to educating children receiving in-state inpatient treatment of serious emotional disturbances

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.

Topics ✓ EducationSupports EducationAuthorizes SPI to contract for educational programs for inpatient treatment children, establishing funding mechanisms to ensure access to education for this vulnerable group.90% confidence ✓ HealthcareSupports HealthcareAuthorizes funding for educational programs tied to mental health treatment for children with serious emotional disturbances, ensuring access to care during inpatient treatment.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · House May 19, 2025

HB 869: Provide for the sudden cardiac arrest prevention in youth sports

HB 869, titled "Provide for the sudden cardiac arrest prevention in youth sports," establishes measures to prevent sudden cardiac arrest in youth athletes. It requires the Superintendent of Public Instruction to develop informational resources on cardiac arrest symptoms and risks. Beginning in the 2026-2027 school year, schools with athletic programs must implement cardiac emergency response plans, including accessible automated external defibrillators (AEDs) and staff training in CPR and AED use. Coaches will be required to be certified in CPR, first aid, and AED use, and hold informational meetings for parents and athletes. The bill also allows coaches or officials to remove athletes exhibiting cardiac arrest symptoms, who then require written medical clearance to return to play, and clarifies that AED purchases are an allowable expenditure for school safety.

Topics ✓ EducationSupports EducationMandates school athletic safety protocols including AEDs and CPR training, enhancing student protection within educational settings per Schools and Education subject.85% confidence ✓ HealthcareSupports HealthcareRequires schools to implement cardiac emergency response plans with AEDs and CPR training, directly advancing public health safety measures for youth athletes.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · Senate May 16, 2025

SB 497: Provide laws related to healthcare provider burnout

SB 497 establishes laws for professional wellness programs aimed at addressing career fatigue in healthcare providers, including physicians, nurses, and dentists. The bill grants civil immunity to members and consultants of these wellness programs for actions performed within their duties. It revises reporting requirements, stating that participation in a wellness program alone does not obligate reporting a healthcare provider to their licensing board, unless there is a good faith determination of incompetence or danger. Additionally, the bill provides an evidentiary privilege, generally protecting the proceedings and records of these programs from discovery in civil actions or admission in licensing actions.

Topics ✓ HealthcareSupports HealthcareEstablishes wellness programs for healthcare providers to address burnout, supporting workforce retention and quality care through mental health-focused initiatives.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · House May 16, 2025

HB 953: Revise medicaid laws related to direct primary care

HB 953 revises Montana's Medicaid laws to allow for the coverage of direct primary care contracts under the state's Medicaid program. This bill directly affects Medicaid enrollees by providing them the option to use these services. It also prohibits the Department of Public Health and Human Services from requiring an enrollee to participate in primary care case management if they opt for a direct primary care contract. The bill provides a definition for "direct primary care contract" and includes an appropriation to support these changes.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage for direct primary care, improving patient access and removing case management requirements per bill text.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · Senate May 16, 2025

SB 524: Revise laws relating to category D assisted living facilities

SB 524 revises laws concerning Category D assisted living facilities, which cater to residents who may pose a danger to themselves or others and require assistance with daily living activities. The bill allows these facilities to be independent or co-located with others, limiting them to 15 residents, and clarifies that while not required, prior authorization is needed for any use of seclusion or restraints. It mandates the Department of Public Health and Human Services to provide technical assistance and a specialized reimbursement model. Additionally, it establishes new processes for diverting individuals from the Montana State Hospital or committing them directly to Category D facilities.

Topics ✓ HealthcareSupports HealthcareClarifies safety protocols for vulnerable residents in assisted living facilities, protecting patient rights and improving care standards under healthcare services.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · Senate May 16, 2025

SB 319: Generally revise health care laws related to doulas

This bill establishes a state licensure system for doulas, defining them as nonmedical professionals who provide continuous physical, emotional, and informational support during pregnancy and up to one year postpartum. Beginning January 1, 2027, individuals wishing to practice as state-licensed doulas must obtain a license from the Department of Labor and Industry. Licensure requires paying fees, completing specific competencies, and adhering to professional conduct standards. Additionally, the bill allows the Department of Public Health and Human Services to provide Medicaid coverage for services offered by state-licensed doulas.

Topics ✓ HealthcareSupports HealthcareEstablishes licensure standards for doulas (nonmedical healthcare support), formalizing their role in pregnancy/postpartum care and improving professional standards within healthcare services.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

vetoed · Montana · House May 13, 2025

HB 881: Revise medicaid buy-in program to include children with disabilities

HB 881 proposed to revise the existing Medicaid buy-in program to include children with disabilities. This would expand eligibility for the program, allowing more children with disabilities to access Medicaid services. The bill also included an appropriation and extended rulemaking authority for the relevant department to implement these changes. It aimed to amend specific sections of Montana law concerning Medicaid administration and eligibility requirements.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill includes specific appropriation to fund expanded Medicaid eligibility for children with disabilities, directly advancing essential public health funding under Budget & Taxes.95% confidence ✓ HealthcareSupports HealthcareExpands Medicaid eligibility for children with disabilities, increasing healthcare access through new appropriations and policy changes.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Montana · House May 13, 2025

HB 880: Establish a stabilization fund for medicaid

HB 880 establishes the Medicaid Stabilization Reserve Account, a state special revenue fund designed to help maintain Medicaid benefits during state revenue shortfalls. The account would be primarily funded by transferring any unused state general fund appropriations for Medicaid at the end of a fiscal year. Funds from this account could only be appropriated by the legislature for state Medicaid matching funds after the budget director certifies a projected general fund deficit. This mechanism aims to mitigate expenditure reductions in the Medicaid program, directly affecting the stability of services for beneficiaries. The bill also includes an initial appropriation of $50,000 for state Medicaid matching funds.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates Medicaid Stabilization Reserve Account using unused general fund appropriations to maintain benefits during revenue shortfalls, protecting essential program funding through fiscal management.95% confidence ✓ HealthcareSupports HealthcareEstablishes Medicaid Stabilization Reserve to maintain benefits during revenue shortfalls, preventing cuts to healthcare coverage and ensuring continued funding for Medicaid services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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