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

died · Montana · House May 22, 2025

HB 851: Create department of health services

HB 851 proposes to create a new state agency called the Department of Health Services. This new department would take over specific human services functions currently managed by the Department of Public Health and Human Services. These transferred responsibilities include the administration of developmental disabilities services, mental health services (like the Montana State Hospital), chemical dependency services, and veterans' long-term care facilities. The bill also provides an appropriation for the new department, grants it rulemaking authority, and requires its contracts to include dispute resolution clauses.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill creates new department via appropriation, funding transferred health services functions (e.g., mental health, veterans care) as part of state budget allocation.90% confidence ✓ HealthcareSupports HealthcareCreates new department to manage mental health, developmental disabilities, and chemical dependency services with funding, advancing healthcare delivery95% confidence ✓ VeteransSupports VeteransBill explicitly transfers veterans' long-term care facilities to new department and includes funding appropriation for these services.85% confidence

Sub-Topics Hospitals Long-Term Care Public Health

Track

signed · Montana · House Jun 12, 2025

HB 832: Establish PTSD nonmedication therapy training grant program

HB 832 creates a Montana state grant program to fund training for healthcare providers in nonmedication therapies for treating posttraumatic stress disorder (PTSD). The program, administered by the Department of Labor and Industry, awards grants to entities developing 2-year projects that train licensed providers (including Veterans Affairs-certified professionals) in these therapies, develop treatment protocols, and engage in community planning. It appropriates $600,000 from the state general fund for the 2025-2027 biennium as a one-time allocation, requiring grantees to report outcomes like providers trained, patients served, and treatment impact by 2026. The law takes effect July 1, 2025.

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates $600,000 from state general fund for PTSD therapy training program, directly funding a public health service under budget allocation.95% confidence ✓ HealthcareSupports HealthcareFunds mental health provider training for nonmedication PTSD therapies, advancing access to alternative treatments under healthcare services.95% confidence ✓ VeteransSupports VeteransFunds PTSD therapy training for VA-certified providers, directly improving veterans' access to nonmedication treatment options and healthcare services.95% confidence

Sub-Topics Veteran Mental Health

died · Montana · House May 20, 2025

HB 555: Generally revise laws related to chemical abortion

HB 555 aimed to revise laws related to chemical abortion, primarily by establishing new conditions for health care providers and responsibilities for drug manufacturers. It would have required health care providers to physically examine patients, be present during a chemical abortion, schedule a follow-up visit, and provide a "catch kit" and "medical waste bag" for proper disposal. The bill also sought to make manufacturers of abortion drugs responsible for the proper disposal of discarded drugs and for mitigating environmental effects of chemical byproducts entering public waste systems. Violations by providers could lead to felony charges, while manufacturers could face fines.

Topics ✗ HealthcareOpposes HealthcareBill imposes restrictive requirements on chemical abortion providers (physical exams, presence during procedure), limiting access to a healthcare service under 'Health Care Services' subject category.92% confidence

Sub-Topics Women's Health

Track

vetoed · Montana · House Jul 15, 2025

HB 585: Revise provider rate laws for physical therapists, speech-language pathologists, and occupational therapists

HB 585 would have revised Montana's Medicaid reimbursement rates for physical therapists, speech-language pathologists, and occupational therapists. It set a 2026 Medicaid payment rate of $39.56 per service unit and required annual rate increases tied to the medical care component of the U.S. Consumer Price Index. This directly affected these healthcare providers who bill Medicaid for services, ensuring their payments adjusted with inflation. The bill was introduced in 2025 but was vetoed by the governor and later failed to override in the legislature.

Topics ✓ HealthcareSupports HealthcareBill increases Medicaid reimbursement rates for therapists with inflation-linked annual adjustments, ensuring stable provider payments and maintaining access to services.95% confidence

Sub-Topics Medicaid

Track

signed · Montana · House May 19, 2025

HB 936: Authorize transfers and other necessary measures to implement HB 2-Section B

HB 936 implements specific provisions of the state's General Appropriations Act, primarily affecting healthcare funding and operations. It reallocates a portion of the hospital utilization fee to provide incentive payments for hospital quality and efficiency, and to support independent critical access hospitals. The bill also expands the eligible uses of the Behavioral Health System for Future Generations Fund to include student loan repayment for certain healthcare professionals and funding for additional beds at the Montana State Hospital on a one-time basis. Finally, it establishes new reporting requirements for comprehensive school and community treatment services for children and for hiring efforts at the Montana State Hospital.

Topics ✓ HealthcareSupports HealthcareReallocates hospital fees for quality incentives and expands behavioral health fund to include mental health services and healthcare professional loan repayment.95% confidence

Sub-Topics Hospitals

died · Montana · House May 22, 2025

HB 274: Provide medicaid coverage for medical respite care for homeless people

HB 274 sought to establish a medical respite care program in Montana for homeless individuals who are eligible for Medicaid. This program would have provided short-term housing in residential facilities with supportive medical services for those recovering from illness or injury but not requiring hospitalization. Services would have included treatment plan monitoring, medication management, immunizations, discharge planning, and transportation for medical appointments. The bill directed the Department of Public Health and Human Services to seek federal approval for the program and to report annually on its costs and the number of individuals served.

Topics ✓ HealthcareSupports HealthcareBill explicitly expands Medicaid coverage for medical respite care, providing health services to homeless individuals and improving access to recovery support.95% confidence ✓ HousingSupports HousingBill provides short-term housing via medical respite care for homeless individuals, directly addressing homelessness and advancing housing access for vulnerable populations.95% confidence

Sub-Topics Public Health Homelessness

Track

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

Sub-Topics Student Health

died · Montana · House May 20, 2025

HB 500: Generally revise laws related to chiropractic practitioners

HB 500 aimed to revise laws related to chiropractic practitioners in Montana. The bill sought to establish a new license endorsement, allowing chiropractors who obtain it to prescribe certain noncontrolled, nonscheduled drugs like muscle relaxants and NSAIDs for diagnostic and therapeutic purposes. The Board of Chiropractors would have been responsible for setting the educational qualifications and protocols for this prescriptive authority. Additionally, the bill proposed that chiropractic services be included as part of the Montana Medicaid program.

Topics ✓ HealthcareSupports HealthcareExpands chiropractors' prescriptive authority for noncontrolled drugs, improving patient access to treatment options within healthcare services.95% confidence

Sub-Topics Medicaid

Track

signed · Montana · House May 19, 2025

HB 620: Revise laws prohibiting contracts that restrict practice to include physicians of all specialties

House Bill 620 revises state law concerning contracts that restrict a healthcare provider's ability to practice after leaving an employer or partnership. It expands existing protections, previously applicable to specific behavioral health professionals, to now include licensed physicians of all specialties. The bill amends Section 28-2-724, MCA, ensuring that contracts cannot prevent these medical professionals from practicing, providing services, or establishing patient relationships in any geographic area after their professional relationship ends.

Topics ✓ HealthcareSupports HealthcareExpands protections for physicians to practice freely after employment changes, preventing restrictive contracts that could limit patient access to care and strengthen healthcare provider mobility.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands employment protections for physicians by prohibiting restrictive practice contracts, advancing workers' right to practice freely post-employment.95% confidence

Sub-Topics Mental Health