Healthcare

signed · Montana · House May 5, 2025

HB 458: Generally revise laws related to physician assistants

HB 458 revises laws concerning physician assistants and medical malpractice claims. The bill expands the definition of "health care provider" to include physician assistants, affecting their liability in malpractice cases. It also increases the limit on noneconomic damages in medical malpractice claims, raising the initial cap from $250,000 to $300,000. This new limit will then progressively increase each year, reaching $500,000 by 2029 and adjusting annually by 2% thereafter. These changes apply to both future and existing medical malpractice claims.

Topics ✓ HealthcareSupports HealthcareExpands healthcare provider definition for PAs and increases malpractice damage caps, improving access and patient rights95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · House May 5, 2025

HB 397: Revise laws related to privacy in mental health digital service

HB 397 establishes confidentiality standards for mental health digital services. It defines these services as mobile applications or websites that collect, use, or access information related to an individual's mental health or substance use disorder, market themselves as facilitating such services, and use the information for diagnosis, treatment, or management. The bill subjects these services to existing health care information disclosure and confidentiality provisions. It also provides for enforcement and remedies for individuals whose information is disclosed in violation of these standards.

Topics ✓ HealthcareSupports HealthcareEstablishes confidentiality standards for mental health digital services, protecting patient privacy under existing healthcare confidentiality laws, aligning with patient rights and mental health support.92% confidence ✓ TechnologySupports TechnologyHB 397 extends existing health privacy laws to digital mental health services, enforcing confidentiality standards for data handling in technology platforms, thus protecting user privacy.92% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · House May 5, 2025

HB 398: Generally revise insurance laws related to prior authorization of chronic conditions

HB 398 revises health insurance laws regarding utilization review, impacting patients and health insurance companies. The bill requires health plans to honor previously approved health care services for at least three months when a patient changes plans, ensuring continuity of care. It mandates that only licensed physicians, specializing in the relevant condition, can make or review decisions to deny or reduce health care services (adverse determinations). Additionally, it clarifies the definition of "adverse determination" and other related terms within insurance law.

Topics ✓ HealthcareSupports HealthcareRequires continuity of care for chronic conditions and mandates specialist review for denials, protecting patient access to approved treatments and reducing arbitrary insurance denials.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · House May 5, 2025

HB 544: Generally revise health insurance laws relating to health utilization review

HB 544 revises health insurance laws, affecting health insurance issuers, covered individuals, and state employees/retirees. It prohibits health insurance issuers from retroactively denying coverage for services that received prior approval, with exceptions for fraud or misrepresentation. The bill also allows biologic therapies to be prescribed to minors under 18, even if FDA-approved only for adults, provided the treatment is medically necessary and supported by peer-reviewed medical literature. Furthermore, it amends provisions for state insurance contracts, detailing conditions under which certain state employees, retirees, and their families, as well as legislators and judges, can continue membership in state group health plans.

Topics ✓ HealthcareSupports HealthcareProhibits retroactive coverage denials and expands access to biologic therapies for minors, protecting patient rights and improving access to care.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · Senate May 5, 2025

SB 163: Generally revise privacy laws related to biometric, genetic, and neural data

SB 163 revises Montana's Genetic Information Privacy Act by expanding its scope to include neurotechnology data. The bill extends privacy protections to information concerning an individual's central or peripheral nervous system activity, such as brain data, collected by various devices. It adds new definitions for neurotechnology and neurotechnology data, and revises provisions related to privacy notices and exceptions. The intent is to safeguard consumers' sensitive neurotechnology data, particularly when collected by non-invasive devices outside of medical settings. This aims to provide similar privacy protections for neurotechnology data as currently exist for genetic data.

Topics ✓ HealthcareSupports HealthcareExpands privacy protections for neurotechnology data, directly safeguarding sensitive health information under healthcare privacy standards90% confidence ✓ TechnologySupports TechnologyExpands privacy protections to neural data under Montana's Genetic Information Privacy Act, explicitly safeguarding sensitive neurotechnology data per bill intent.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · House Apr 17, 2025

HB 218: Revising the practice of optometry to include certain laser procedures and in-office surgical procedures

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.

Topics ✓ HealthcareSupports HealthcareExpands optometrists' scope to include anterior eye procedures, increasing patient access to specialized eye care without requiring ophthalmologist referrals for specific services.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · Senate Apr 17, 2025

SB 109: Revise workers' compensation definition of treating physician to include physical therapists

SB 109 revises Montana's workers' compensation law by expanding the definition of "treating physician." This bill includes physical therapists within that definition, allowing them to serve as primary treating providers for injured workers. This change directly affects workers seeking care for injuries and physical therapists providing treatment under workers' compensation claims. The bill amends Section 39-71-116, MCA.

Topics ✓ HealthcareSupports HealthcareExpands healthcare access by allowing physical therapists as primary treating providers under workers' comp, improving patient access to care without physician referral.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · House Apr 17, 2025

HB 143: Revise definition of treating physician to include physician assistants without regard to proximity of other providers

HB 143 revises the definition of "treating physician" within the state's Workers' Compensation Act. This bill expands the definition to explicitly include physician assistants (PAs). A key provision is the removal of any requirement for PAs to be in proximity to other medical providers to qualify as a treating physician for these purposes. This change affects how workers' compensation claims are managed and potentially broadens the types of healthcare providers recognized for injured workers.

Topics ✓ HealthcareSupports HealthcareExpands recognition of physician assistants as treating providers in workers' compensation, removing proximity barriers to improve access to healthcare services for injured workers.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands workers' compensation access by including PAs as treating physicians without proximity restrictions, strengthening injured workers' benefit access under Labor & Employment.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · House Apr 17, 2025

HB 198: Revise laws that prohibit contracts that restrict practice of health care providers

HB 198 revises laws that prohibit contracts restricting the practice of specific healthcare providers. The bill prevents employment or professional relationship contracts from limiting a healthcare provider's right to practice their licensed profession in any area or for any period after their relationship ends. It also prohibits contracts from restricting their ability to treat or solicit current patients of their former employer or partner. This applies to a range of providers, including psychiatrists, psychologists, various counselors, nurses, and physician assistants, but does not apply to contracts for the sale of a practice.

Topics ✓ HealthcareSupports HealthcarePrevents restrictive contracts limiting provider practice or patient access post-employment, aligning with improved access and provider rights in healthcare services.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · Senate Apr 17, 2025

SB 347: Revise medical resident licensure laws

SB 347 revises medical resident licensure laws in Montana, directly affecting individuals undergoing medical training in the state. The bill removes unlicensed trainees from existing licensing exemptions, meaning they will now be required to obtain a license. It also revises definitions, including adding "PGY" (post-graduate year) and defining a "Resident" as someone enrolled in an approved residency program who holds a valid resident license to practice medicine. These changes clarify and update the qualifications and licensing requirements for medical residents.

Topics ✓ HealthcareSupports HealthcareClarifies medical resident licensure requirements, strengthening professional standards and oversight in healthcare training without restricting access or funding.75% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare