Healthcare

died · Montana · Senate May 23, 2025

SB 216: Creating the Montana physicians' workforce investment act

SB 216 creates Montana's Physicians' Workforce Investment Act, establishing a task force to administer grants for health sector facilities (like hospitals) to launch or expand residency and fellowship programs. The grant program provides up to $2 million per facility to support new graduate medical education programs, requiring applicants to submit accreditation plans, 2-year financial projections, and 5-year sustainability strategies. This directly affects Montana hospitals seeking to train medical graduates (those with medical degrees but without residency completion) and aims to address physician shortages by increasing training opportunities. The task force must report annually on grant usage, program locations, specialty fields, and accreditation status to the legislature.

Topics ✓ HealthcareSupports HealthcareFunds $2M grants for hospitals to expand medical residency programs, directly strengthening physician workforce development and healthcare access in Montana.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · Senate May 23, 2025

SB 334: Providing medicaid expansion to able-bodied adults who comply with community engagement requirements

SB 334 would have expanded Montana Medicaid eligibility to able-bodied adults under 65 with incomes at or below 100% of the federal poverty level, but only if they met community engagement requirements. Key provisions include mandating participation in workforce development programs (like job training in healthcare or cybersecurity) and requiring the state to seek federal waiver approval by December 2025. The bill also included measures like biannual eligibility reviews and lifetime benefit limits for this group. However, the bill died in process on May 23, 2025, after failing to advance beyond committee review.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid eligibility to low-income adults with community engagement requirements, directly advancing health coverage access.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · Senate May 23, 2025

SB 474: Require acceptance of religious and personal medical exemptions to required immunizations

SB 474 would have expanded school immunization exemptions in Montana to include religious exemptions and a new "personal medical informed consent" exemption requiring only a notarized statement. This new exemption would allow students to decline vaccines after consulting a healthcare provider (without needing a provider's signature), distinct from the existing medical exemption requiring a healthcare provider's written statement. The bill also amended school immunization laws (20-5-405 and 49-2-312) to prevent schools from being sued for injuries related to exempt students and to block overly burdensome exemption forms. The bill died in committee on May 23, 2025, and never became law.

Topics ✗ HealthcareOpposes HealthcareExpands vaccine exemptions, weakening school immunization requirements and public health protections by replacing medical exemption standards with less stringent notarized consent.92% confidence | Rep's Stance ✗ Voted No ✓ Supports Healthcare

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died · Montana · Senate May 23, 2025

SB 295: Restoring the right for injured worker to choose their own doctor.

SB 295 would restore Montana injured workers' right to choose their own treating physician for initial treatment and ongoing care under workers' compensation, without being forced to use a managed care organization (MCO) or preferred provider organization (PPO) without consent. The bill requires insurers to allow workers to select a physician from a designated list for initial treatment and to change physicians with the insurer's approval (with mediation available if approval is denied). It also mandates that insurers provide individual written notice (not workplace postings) before referring workers to an MCO or PPO. This directly affects injured workers seeking medical treatment for work-related injuries in Montana, giving them more control over their healthcare decisions.

Topics ✓ HealthcareSupports HealthcareRestores injured workers' right to choose treating physician, improving healthcare access without insurer-imposed MCO/PPO restrictions.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentRestores injured workers' right to choose physicians under workers' comp, protecting healthcare access and advancing labor rights without forced MCO/PPO use.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · Senate May 23, 2025

SB 164: Revise offense of endangering the welfare of children

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.

Topics ✗ Criminal JusticeOpposes Criminal JusticeBill expands criminalization by classifying medical treatments as felony offenses, increasing penalties for specific acts. Aligns with OPPOSE indicators: expands criminalization.95% confidence ✗ HealthcareOpposes HealthcareBill bans gender-affirming medical treatments (surgery, puberty blockers, hormone therapy) for minors, restricting access to healthcare services under the guise of child welfare.95% confidence | Rep's Stance ✗ Voted No ✓ Supports Healthcare

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died · Montana · Senate May 23, 2025

SB 554: Generally revise laws related to hospitals operating as nonprofit care facilities

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.

Topics ✓ Budget & TaxesSupports Budget & TaxesImposes escalating excise tax (25-50%) on hospitals exceeding Medicare rate, generating state revenue through new tax mechanism.95% confidence ✓ HealthcareSupports HealthcareCaps hospital charges for Medicare services at 300% of Medicare rate, reducing patient costs and enforcing community benefit requirements to improve access.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · Senate May 23, 2025

SB 479: Generally revise laws related to chemical abortion

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.

Topics ✗ HealthcareOpposes HealthcareRestricts access to chemical abortion via mandatory provider presence and follow-ups, limiting patient access to a healthcare service95% confidence | Rep's Stance ✗ Voted No ✓ Supports Healthcare

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died · Montana · Senate May 23, 2025

SB 100: Revise funding for assisted living services

SB 100 establishes new rules for Medicaid payments in Montana's assisted living facilities. It requires the state agency to adjust room and board costs annually based on recipients' income (minus a $100 personal needs allowance) and directs the shift of Medicaid-covered assisted living services from the current "Big Sky Waiver" program to the federal "Community First Choice" program by 2026. The bill mandates quarterly reporting on service usage, waitlists, and costs for both programs. It affects Medicaid-eligible seniors receiving assisted living care, ensuring payments align with income and streamlining service delivery under federal Medicaid options.

Topics ✓ HealthcareSupports HealthcareShifts Medicaid services to federal Community First Choice program, expanding access to assisted living care while requiring cost transparency and reporting on service usage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 377: Generally revise access by parent to child patient health care information

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.

Topics ✓ HealthcareSupports HealthcareBill clarifies parental access to minor's health records while protecting minors' privacy in mental health services, supporting patient rights in healthcare.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · House May 22, 2025

HB 947: Revise insurance laws relating to continuous glucose monitors and supplies

HB 947 requires most individual health insurance policies in Montana to cover continuous glucose monitors (CGMs) and their supplies for people diagnosed with type I or type II diabetes when medically necessary, as prescribed by a healthcare provider. The bill prohibits insurers from denying coverage based on diabetes severity or insulin dependence, and bans special deductibles or limits specifically for CGMs - though standard deductibles may still apply. This affects diabetes patients covered by individual disability, health, or membership insurance plans (excluding Medicare supplements, hospital indemnity, or long-term care policies). The law aims to ensure consistent access to these critical blood sugar monitoring tools without discriminatory coverage barriers.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for CGMs, prohibits denial based on diabetes severity, and bans special deductibles - expanding access to essential diabetes care.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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