Healthcare

signed · Montana · House May 8, 2025

HB 601: Create online portal for community assisters related to Medicaid

HB 601 establishes an online portal by May 1, 2026, to assist Medicaid applicants and enrollees. This portal allows designated "community assisters" to help individuals apply for Medicaid coverage and submit required documents. Key functions include enabling assisters to review application status, view department notices, report eligibility changes, and update contact information for their clients. The portal also allows, but does not require, assisters to submit initial applications or redeterminations and upload verification documents. This aims to streamline the application process for individuals seeking Medicaid assistance through community organizations.

Topics ✓ HealthcareSupports HealthcareStreamlines Medicaid application process via portal, improving access to healthcare coverage for low-income individuals by facilitating community assister support.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · House May 8, 2025

HB 687: Revise age of expanded Medicaid participants required to engage in community engagement activities

HB 687 revises the age range for expanded Medicaid participants who are required to engage in community engagement activities. Previously, participants aged 19 to 55 were subject to this requirement. This bill extends that upper age limit, now requiring individuals from 19 to 62 years old to participate. Affected participants must complete 80 hours per month in activities such as employment, education, work training, or community service, unless they qualify for an exemption. This change directly impacts expanded Medicaid recipients between the ages of 56 and 62.

Topics ✗ HealthcareOpposes HealthcareExtends mandatory community engagement requirements for Medicaid participants, potentially restricting access to healthcare coverage by adding new compliance barriers for 19-62-year-olds.92% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Montana · House May 8, 2025

HB 56: Establish ambulance provider assessment fee program

HB 56 establishes an assessment fee program for ground ambulance providers licensed in the state. These providers will pay a uniform fee of 5.75% of their net operating revenues annually to the Department of Revenue. The revenues generated from this assessment are specifically designated to supplement Medicaid payments for ambulance services. The bill also outlines procedures for reporting, collection, auditing, and penalties for non-compliance.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates mandatory 5.75% fee on ambulance providers to generate revenue specifically designated for Medicaid ambulance payments, directly funding public healthcare services via new state revenue.92% confidence ✓ HealthcareSupports HealthcareBill establishes fee to fund ambulance services via Medicaid supplementation, directly supporting healthcare access and provider reimbursement.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

passed both · Montana · Senate May 6, 2025

SJ 49: Interim study of youth and family behavioral health prevention

SJ 49 requests an interim study of youth and family behavioral health prevention programs across Montana. An interim committee will be designated to comprehensively review these programs, focusing on their funding, workforce, and delivery settings for youth under 18. The study aims to identify gaps in the state's behavioral health system and assess how prevention efforts divert youth and families from crises, with findings to be reported to the 70th Legislature.

Topics ✓ HealthcareSupports HealthcareBill initiates study to identify gaps in youth mental health prevention programs, aiming to strengthen system through comprehensive review of funding, workforce, and delivery settings.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

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 No ✗ Opposes 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 No ✗ Opposes 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 No ✗ Opposes 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 No ✗ Opposes Healthcare

signed · Montana · Senate Apr 4, 2025

SB 170: Eliminate termination date of community health aide program

This bill makes Montana's community health aide program permanent by removing its previously scheduled expiration date. It directs the Department of Public Health and Human Services to apply for Medicaid coverage for services provided by certified community health aides. The change directly affects community health aides and their patients, particularly in rural and tribal communities, ensuring continued access to essential healthcare services without future legislative renewal.

Topics ✓ HealthcareSupports HealthcareMakes community health aide program permanent, directs Medicaid coverage application, ensuring continued rural/tribal healthcare access without legislative renewal90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMakes community health aide program permanent, ensuring continued employment and Medicaid coverage for workers serving rural/tribal communities, aligning with worker protection.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare