Healthcare

died · Montana · House May 20, 2025

HB 386: Revising laws related to continuous medicaid eligibility

HB 386 directs the Department of Public Health and Human Services to apply for the reinstatement of 12-month continuous Medicaid eligibility for specific groups. This would affect parents, caretaker relatives, and adults covered under Medicaid expansion. The department is required to submit amendments to existing federal waivers by September 30, 2025, to restore this continuous eligibility, which was previously allowed before certain waiver changes in 2021 and 2022. The bill would take effect immediately upon passage and approval.

Topics ✓ HealthcareSupports HealthcareRestores 12-month continuous Medicaid eligibility for parents, caretakers, and expansion adults, ensuring uninterrupted health coverage and access to services.95% confidence

Sub-Topics Medicaid Public Health

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died · Montana · House May 20, 2025

HB 237: Prohibit placement of sentenced defendants in the state forensic mental health facility

HB 237 would prohibit the placement of certain sentenced defendants in the state forensic mental health facility at Galen. The bill amends existing law to specify that individuals found to have a mental disease, disorder, or developmental disability at the time of their offense, and who are committed for treatment, cannot be placed at the Galen facility. Instead, these defendants could be placed in other appropriate correctional, mental health, residential, or developmental disabilities facilities for their custody, care, and treatment. The director of the department would retain the authority to transfer individuals between these alternative facilities.

Topics ✓ Criminal JusticeSupports Criminal JusticeRedirects mentally ill defendants from forensic facility to appropriate care, promoting rehabilitation over incarceration - aligns with criminal justice reform goals.90% confidence ✓ HealthcareSupports HealthcareBill mandates placement in mental health facilities for eligible defendants, ensuring appropriate care under Health Care Services subject.85% confidence

Sub-Topics Corrections Mental Health

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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

Sub-Topics Medicaid

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

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died · Montana · House May 20, 2025

HB 565: Require health insurance companies doing business in Montana to cover IVF treatment

House Bill 565, also known as the "Building Families Act," would have required certain health insurance policies in Montana to cover the diagnosis and treatment of infertility, including in vitro fertilization (IVF). This mandate would have applied to small group, large group, and individual health insurance policies issued or renewed in the state. The bill defined infertility based on factors like age and time trying to conceive, or a physician's findings. It set a lifetime coverage minimum of at least $40,000 for fertilization services and aimed to ensure fertility coverage was not subject to different limitations than other medical benefits.

Topics ✓ HealthcareSupports HealthcareHB 565 mandates insurance coverage for IVF treatment, expanding access to fertility care under Montana health insurance policies, directly advancing healthcare coverage for reproductive services.95% confidence

Sub-Topics Insurance

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signed · Montana · House May 19, 2025

HB 590: Generally revise laws related to electronic health care records

HB 590 revises laws related to electronic health records, affecting health carriers, healthcare providers, and patients. It requires health carriers to establish and maintain specific application programming interfaces (APIs) for patient and provider access to health information, adhering to federal standards. Additionally, the bill prohibits healthcare providers from "information blocking" and mandates the disclosure of certain sensitive test results, such as those indicating malignancy or genetic markers, to a patient's electronic health record within 72 hours of finalization.

Topics ✓ HealthcareSupports HealthcareRequires health carriers to provide API access for patient/provider data, prohibits information blocking, and mandates disclosure of sensitive results - improving patient access and transparency per healthcare support indicators.95% confidence

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

Sub-Topics Workers' Compensation

died · Montana · Senate May 23, 2025

SB 372: Establish nurse safe staffing standards

SB 372 establishes minimum nurse-to-patient ratios for Montana hospitals, requiring specific limits in key units (e.g., 1 nurse per critical ER patient, 2 per ICU patient, 4 per medical-surgical unit). It mandates hospitals to create annual staffing plans with input from direct-care nurses, form committees where at least half the members are frontline nurses, and publicly post these plans. Hospitals must track and report actual nurse-to-patient ratios for each shift and unit, ensuring transparency for staff, patients, and the public. The bill directly affects all Montana hospitals licensed by the Department of Public Health, requiring concrete changes to staffing practices and reporting.

Topics ✓ HealthcareSupports HealthcareMandates nurse-to-patient ratios for patient safety, requires hospital staffing transparency, and involves frontline nurses in planning - directly strengthening healthcare delivery standards.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates nurse-to-patient ratios and nurse input to improve workplace safety, directly advancing worker protections in healthcare staffing standards.95% confidence

Sub-Topics Healthcare Workforce Public Health

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died · Montana · House May 20, 2025

HB 273: Provide for limitations on collection of medical debt

HB 273, the "Montana Medical Debt Patient Protection Act," aimed to limit how health care providers and third-party collectors pursue medical debt from patients in Montana. The bill would have prohibited certain collection actions, including wage garnishment, placing liens on a patient's primary residence, and reporting adverse information to credit agencies. It also mandated a 180-day waiting period after the first bill before "extraordinary collection actions," such as filing lawsuits or selling debt, could begin, along with requiring a 30-day notice to the patient. Additionally, it sought to provide patients with an opportunity to appeal insurance decisions before a bill went to collections.

Topics ✓ HealthcareSupports HealthcareBill protects patients from aggressive debt collection (wage garnishment, liens, credit reporting), directly improving healthcare access and patient rights as a core healthcare policy indicator.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentProhibits wage garnishment for medical debt, protecting workers' earnings from debt collection actions that directly impact income.95% confidence

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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

Sub-Topics Hospitals Long-Term Care Medicare

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