SB 164 amends Montana's endangering the welfare of children law to prohibit specific medical treatments for children under 16. The bill bans surgical procedures, puberty blockers, and hormone therapies (like estrogen or testosterone) when used to alter a child's appearance or affirm a gender identity inconsistent with their biological sex. Violating this prohibition is classified as a felony, carrying up to five years in prison and a $10,000 fine, with harsher penalties if the child suffers serious injury. The law would take effect on January 1, 2026, directly affecting medical providers, caregivers, and children under 16 who might receive these treatments.
SB 554 (Montana) limits nonprofit hospitals (excluding critical access/rural emergency hospitals) to charging no more than 300% of the Medicare reimbursement rate for Medicare-eligible services. Hospitals exceeding this rate face an escalating excise tax (starting at 25% in 2027 and rising to 50% after 2030) and risk losing nonprofit status. The bill also requires hospitals to maintain written financial assistance and community benefit policies, submit annual reports including IRS Form 990, and comply with new reporting rules. This bill died in process in May 2025 and was never enacted.
SB 522 aimed to reduce or eliminate waiting lists for Medicaid-covered services in Montana by requiring the Department of Health to implement funding changes, apply for federal waivers, and prioritize services like senior care, behavioral health, and dental care. It mandated annual reports tracking waiting list sizes, ongoing efforts to address them, and projected elimination dates. The bill died in committee on May 23, 2025, without becoming law. It did not alter existing Medicaid eligibility but focused on administrative and programmatic solutions to service access delays.
SB 479 proposes to revise Montana laws around chemical abortion by requiring health care providers to physically examine patients, be present during administration, schedule a follow-up within 7 days, and provide disposal kits (catch kits and medical waste bags) for patients to return used materials. It holds manufacturers of abortion drugs responsible for environmental cleanup if drug byproducts contaminate wastewater systems, with fines up to $20,000 per violation. The bill exempts life-threatening medical emergencies and prohibits prosecuting patients for violations. This legislation directly affects health care providers prescribing abortion drugs and pharmaceutical manufacturers, with penalties including felony charges for providers violating the requirements. The bill died in process in May 2025 and was never enacted.
SB 187 would revise Montana's Medicaid program by eliminating the termination date for the Medicaid expansion (making it permanent) and adding new coverage for auxiliary personnel services (like community health integration and illness navigation) and traditional healing services (provided by tribal or Indian health facilities). These changes would directly affect Medicaid beneficiaries, particularly in rural and tribal communities, by expanding access to these specific services. The bill also amends existing Medicaid service provisions and repeals outdated sections of the law to implement these updates.
This bill would have repealed a 2023 law (Section 7, Chapter 187) that was set to terminate Montana's chemical dependency treatment voucher program. It aimed to prevent the program's end by removing the termination provision, ensuring continued funding for individuals seeking substance use disorder treatment. The bill specified immediate effectiveness upon approval but did not become law. It died in the legislative process in May 2025, so the voucher program's termination date remains in effect as originally scheduled under the 2023 law.
SB 378 establishes a Tribal Relations Management Team within Montana's Department of Public Health and Human Services (DPHHS), creating two specific roles: a Tribal Relations Manager and a Director of American Indian Health. The Tribal Relations Manager coordinates government-to-government consultations with tribal governments, facilitates policy development with tribes, and prepares annual reports to the governor. The Director of American Indian Health identifies health disparities between tribal and non-tribal populations and develops strategies to improve health equity. This bill directly affects DPHHS operations and tribal governments by mandating structured collaboration on health programs and reporting.
HB 558 establishes the Montana Nurse Corps Act, enabling licensed nurses to provide home health care visits to specific patient groups at a fixed $10 fee per visit. It directly affects eligible patients (those enrolled in Medicare/Medicaid or with family income under 400% of the federal poverty level) and participating nurses who join the program. Key provisions include limiting nurse charges to $10 per visit for eligible patients, shielding nurses from liability for ordinary negligence (except gross negligence), and requiring patient notice of this liability protection. The bill also outlines nurse eligibility requirements and program oversight by the state nursing board.
HB 185 directs the Department of Public Health and Human Services (DPHHS) to implement continuous eligibility for children under six years old in the Healthy Montana Kids plan. This means eligible children would remain enrolled in the program until their sixth birthday, regardless of changes in family income or other circumstances that might otherwise make them ineligible. DPHHS is required to apply for the necessary federal waivers and state plan amendments by July 1, 2025, and implement the continuous eligibility within six months of federal approval. The bill aims to provide consistent health coverage for young children enrolled in Medicaid and the Children's Health Insurance Program.
HB 851 proposes to create a new state agency called the Department of Health Services. This new department would take over specific human services functions currently managed by the Department of Public Health and Human Services. These transferred responsibilities include the administration of developmental disabilities services, mental health services (like the Montana State Hospital), chemical dependency services, and veterans' long-term care facilities. The bill also provides an appropriation for the new department, grants it rulemaking authority, and requires its contracts to include dispute resolution clauses.
