SB 394 would have expanded Montana's workers' compensation system to cover posttraumatic stress disorder (PTSD) for eligible first responders. It defines "first responder" to include firefighters, law enforcement officers, detention center/prison staff, and emergency care providers, requiring a diagnosis per the latest DSM-5 manual that links PTSD directly to work duties. The bill amended existing laws to allow PTSD claims under workers' compensation, subject to standard procedural requirements. However, this bill was vetoed by the Governor on June 9, 2025, so it did not become law.
SB 321 proposes three tax credits to support Montana families and child-care providers. It would provide a $1,200 annual credit per child under age 5 for eligible residents (with income limits of $40,000 single/$80,000 married filing jointly), a $1,000 credit for child-care workers employed at least 6 months (20+ hours weekly), and a $2,500 employer credit for businesses offering dependent care assistance. All credits adjust annually for inflation and require filing a Montana tax return. The bill directly affects low-to-moderate-income families, child-care workers, and employers who provide on-site or subsidized care. (Note: The bill died in committee on May 23, 2025, and did not become law.)
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.
HB 552 revises Montana's workers' compensation laws to include coverage for Posttraumatic Stress Disorder (PTSD). This bill directly affects first responders, such as firefighters, law enforcement officers, dispatchers, and employees of county detention centers or prisons. For a claim to be compensable, the PTSD must be diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders and be caused by events arising out of their employment, excluding personnel-related actions. This creates an exception for first responders' PTSD claims within the state's existing policy that generally excludes stress claims from workers' compensation.
HB 635 proposes to prohibit state and local government agencies from funding, establishing, or supporting Diversity, Equity, and Inclusion (DEI) programs. It would prevent these agencies from requiring employees to participate in DEI programs or spending public funds on related services or staff. The bill defines DEI programs as activities that focus on describing power structures, methods to dismantle them, or advancing theories like implicit bias or systemic oppression. However, it includes exceptions for complying with federal law, specific state human rights laws, court orders, and offering sexual harassment training. This legislation directly affects state and local government agencies and their employees in Montana.
HB 197 revises Montana's workers' compensation law to change when temporary disability payments end for injured workers. It directly affects employees receiving temporary total disability benefits who are cleared by a doctor to return to full work duties. The bill specifies that benefits must terminate on the exact date a worker is released for full duty - rather than continuing until medical treatment concludes (maximum medical improvement) - if the worker is cleared before or at that point. This change, effective immediately upon the governor's signature on April 7, 2025, streamlines benefit termination while requiring physician documentation of medical stability and job suitability before any benefit change.
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.
