Healthcare

vetoed · Montana · House May 1, 2025

HB 607: Provide for the hearing aid coverage act

HB 607, known as the "Hearing Aid Coverage Act," proposes to expand health insurance coverage for hearing loss. The bill revises current law that mandates coverage only for children, extending this requirement to include individuals of all ages. It achieves this by amending sections 2-18-704 and 33-22-128 of the Montana Code Annotated, which govern mandatory provisions in insurance contracts. This change would require state insurance plans to cover treatment for hearing loss for both children and adults.

Topics ✓ HealthcareSupports HealthcareExpands mandatory hearing aid coverage from children to all ages, requiring state insurance plans to cover hearing loss treatment for all individuals.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track

signed · Montana · Senate Apr 18, 2025

SB 495: Eliminate the tobacco prevention advisory board

Senate Bill 495 eliminates the Tobacco Prevention Advisory Board. The bill repeals the specific section of law that established this board. It also amends existing statute to remove the board from the list of entities funded by state special revenue accounts, which are primarily used for tobacco disease prevention programs and the Children's Health Insurance Program. The direct effect is the dissolution of the advisory board, which previously provided guidance for these programs.

Topics ✗ Budget & TaxesOpposes Budget & TaxesDefunds tobacco prevention and CHIP programs by removing advisory board from state special revenue accounts, directly eliminating funding streams.95% confidence ✗ HealthcareOpposes HealthcareDissolves tobacco prevention advisory board, removing it from state funding lists for tobacco disease prevention programs, directly defunding public health initiatives.90% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes 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 · House Apr 17, 2025

HB 399: Revise prior authorization laws

HB 399 revises prior authorization laws for health insurance issuers, aiming to simplify access to certain prescription drugs for covered individuals. The bill prohibits prior authorization for oral and inhaled generic prescription drugs, inhaled medications for asthma or chronic lung diseases, and insulin for diabetes patients. It also restricts prior authorization for generic drugs used consistently for six months and for dosage adjustments within approved limits. If an insurer makes an adverse determination for a prescription drug, the decision must be made by a specialist physician, and the insurer must provide a list of covered therapeutic alternatives.

Topics ✓ HealthcareSupports HealthcareBill prohibits prior authorization for essential medications (insulin, asthma drugs, generics), directly improving patient access to prescribed treatments without unnecessary barriers.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

signed · Montana · Senate Apr 17, 2025

SB 211: Revise emergency use of epinephrine in school setting to include nasal spray

SB 211 revises the emergency use of epinephrine in school settings. The bill expands the definition of "medication" that students with asthma, severe allergies, or anaphylaxis can possess and self-administer to include epinephrine nasal spray. It also allows public and nonpublic schools to maintain a stock supply of epinephrine nasal spray, in addition to autoinjectable epinephrine, for emergency administration by school nurses or other authorized personnel. These changes provide schools with additional options for responding to severe allergic reactions.

Topics ✓ EducationSupports EducationExpands school emergency medical protocols for student health, enhancing safety and access to care within educational settings.85% confidence ✓ HealthcareSupports HealthcareExpands emergency epinephrine access in schools for allergic reactions, improving patient safety and access to critical healthcare services in educational settings.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Montana · Senate Apr 17, 2025

SB 279: Adopt the dietitian licensure compact

SB 279 enacts the Dietitian Licensure Compact, which allows licensed dietitians and nutritionists to practice in multiple participating states through a "compact privilege" without needing to obtain a separate license in each state. This bill aims to improve public access to dietetics services and reduce administrative burdens for practitioners and state licensing authorities. It establishes uniform requirements for licensure portability, including criminal background checks, and supports military members and their spouses. The compact also enhances cooperation among states in regulating the profession and protecting public health and safety.

Topics ✓ HealthcareSupports HealthcareEnables multi-state practice for dietitians, directly improving public access to dietetics services per bill's stated goal.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare