House Bill 475 restricts the use of physical restraints on inmates known to be pregnant during labor and delivery. It generally prohibits restraints unless there are extraordinary circumstances, such as an individualized determination that the inmate is a flight risk or poses a clear threat to themselves or others. Even in these cases, leg or waist restraints are strictly prohibited. The bill also requires that any applied restraints be the least restrictive necessary and removed when the risk is mitigated or at the request of a healthcare professional.
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.
HB 476 establishes a grant program to fund the installation and maintenance of newborn safety devices. The Department of Public Health and Human Services will award competitive grants, up to $20,000 per applicant, to eligible fire departments, hospitals, and law enforcement agencies. The department is also responsible for creating rules for the application process and evaluation criteria. The bill appropriates $160,000 from the general fund for this program, which is effective July 1, 2025, and terminates on June 30, 2027.
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.
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.
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.
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.
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.
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.
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.
