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.
SB 331 requires all state-owned or state-operated buildings in Montana to install automatic fire sprinkler systems or equivalent fire suppression systems. This bill amends the state building code to mandate this safety feature for government buildings, including offices, schools, and facilities managed by state agencies. The key provision adds a specific requirement to the building code rules, ensuring all state buildings meet this fire safety standard. It directly affects every Montana state building, enhancing fire protection without applying to private or non-state properties.
SB 94 prohibits Montana public employers from using public funds or resources for labor organization activities, directly affecting public sector workers like teachers and school staff. It bans contributions of public money to unions or paid leave for union work, but allows unpaid time off for such activities and permits using accrued personal leave under specific conditions. The bill requires unions to cover costs for paid leave used in union activities through annual invoices to public employers and mandates reporting on time spent on union-related work. These changes aim to limit public funding for union operations while establishing clear administrative procedures.
SB 454 proposes significant revisions to Montana's commercial tow truck regulations. It establishes new classification standards for tow trucks (Classes A-E) based on equipment capacity and chassis requirements, replacing previous ratings. The bill also mandates certification for operators (75% of employees for companies, or 1 year of experience for individuals), requires equipment to meet updated safety standards, and clarifies requirements for participating in the law enforcement rotation system. These changes directly affect tow truck operators, companies, and the Montana Highway Patrol, which oversees inspections and classification. The bill was introduced in 2025 but died in committee without becoming law.
SB 295 would restore Montana injured workers' right to choose their own treating physician for initial treatment and ongoing care under workers' compensation, without being forced to use a managed care organization (MCO) or preferred provider organization (PPO) without consent. The bill requires insurers to allow workers to select a physician from a designated list for initial treatment and to change physicians with the insurer's approval (with mediation available if approval is denied). It also mandates that insurers provide individual written notice (not workplace postings) before referring workers to an MCO or PPO. This directly affects injured workers seeking medical treatment for work-related injuries in Montana, giving them more control over their healthcare decisions.
HB 621 allows local first responder entities, including police departments, sheriff's offices, fire departments, and emergency medical service providers, to establish peer support programs. These programs must have a written policy that outlines qualifications for peer supporters, defines peer support sessions, and ensures confidentiality for participants. The bill prohibits qualified peer supporters from testifying about the content of peer support sessions, with exceptions if an employee has committed or plans a crime, or indicates intent to harm themselves or others.
HB 807 amends state law to prohibit individuals from being required to receive certain vaccines. Specifically, it mandates that vaccines whose use is allowed under an emergency use authorization (EUA) or those still undergoing safety trials cannot be a requirement. This applies to persons, governmental entities, employers, and public accommodations, preventing them from denying services, employment, or access based on non-receipt of such vaccines. The bill integrates this new prohibition into existing law concerning discrimination based on vaccination status.
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.
SB 316 revises disability retirement benefit provisions for members of the Municipal Police Officers' Retirement System (MPORS) and the Firefighters' Unified Retirement System (FURS). It specifies that disability retirement benefits for these members will remain disability benefits, rather than converting to service retirement, once they reach normal retirement age, and will no longer require medical examinations. The bill also clarifies the calculation of line-of-duty disability benefits based on years of service. These changes apply retroactively to MPORS and FURS members who became disabled in the line of duty on or before January 1, 2025.
HB 563 protects individuals who file or participate in investigations related to professional licensing complaints. The bill voids any contract provisions that prohibit or discourage someone from filing a complaint or cooperating with an investigation against a licensee. It also defines being party to such a prohibitive contract or retaliating against a complainant as "unprofessional conduct" for a licensee. This measure ensures that general waivers of claims cannot be interpreted to restrict these specific types of complaints.
