Healthcare

signed · Montana · House May 19, 2025

HB 794: Revise pharmacy laws

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 It also eliminates outdated notification practices for biosimilar drug selection and generic drug signage requirements.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.

Topics ✓ HealthcareSupports HealthcareUpdates pharmacy regulations to clarify definitions, remove outdated requirements, and mandate clinical pharmacist endorsements, improving operational efficiency and professional practice in healthcare delivery.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · House May 19, 2025

HB 76: Generally revise laws related to the board of behavioral health

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.

Topics ✓ HealthcareSupports HealthcareEstablishes certification for family peer support specialists in behavioral health, expanding regulated mental health services under board oversight.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports 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 Yes ✓ Supports 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 Yes ✓ Supports Healthcare

signed · Montana · House May 19, 2025

HB 620: Revise laws prohibiting contracts that restrict practice to include physicians of all specialties

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.

Topics ✓ HealthcareSupports HealthcareExpands protections for physicians to practice freely after employment changes, preventing restrictive contracts that could limit patient access to care and strengthen healthcare provider mobility.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands employment protections for physicians by prohibiting restrictive practice contracts, advancing workers' right to practice freely post-employment.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports 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 Yes ✓ Supports 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 Yes ✓ Supports Healthcare

signed · Montana · House May 19, 2025

HB 891: Provide subpoena powers to the office of inspector general

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.

Topics ✓ HealthcareSupports HealthcareBill grants OIG subpoena authority to investigate fraud/waste in healthcare programs, protecting public funds and strengthening program integrity within DPHHS services.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · Senate May 19, 2025

SB 560: Provide for a hospital community benefit fee

SB 560 requires nonprofit hospitals to report their annual charity care and community benefit spending to the state. The bill mandates that a nonprofit hospital's total community benefit must exceed the amount of property taxes it would have paid if it were not tax-exempt. If a hospital's reported community benefit does not meet this threshold, a fee equal to the difference will be assessed. These collected fees are then deposited into a new Critical Access Health Care Special Revenue Account, which provides funding to critical access hospitals not affiliated with other hospitals.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates fees from tax-exempt hospitals to fund critical health care access, creating new state revenue for public services while ensuring proportional community benefit.95% confidence ✓ HealthcareSupports HealthcareBill mandates hospital community benefits funding via fees, directing collected funds to Critical Access Health Care Special Revenue Account, directly increasing healthcare program funding.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · Senate May 16, 2025

SB 260: Provide for alteration of service district boundaries

SB 260 establishes procedures for altering the boundaries of hospital and school service districts. It allows real property owners to petition for these changes if they have difficulty accessing public services or to improve public safety services like law enforcement, firefighting, or emergency medical services. The process involves petitions, public hearings, and election procedures to transfer property between existing districts or create new divisions. The bill also provides for sharing tax collections and making reconciliation payments between districts when boundaries are altered.

Topics ✓ HealthcareSupports HealthcareBill enables boundary changes to improve access to emergency medical services, directly enhancing healthcare access as part of public safety services.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare