HB 758 Montana House · 2025 Regular Session

Revise health care laws relating to out-of-network services

HB 758 aims to protect health benefit plan enrollees from balance billing for out-of-network ground ambulance services. It prohibits ambulance services from billing enrollees more than their in-network cost-sharing for covered transportation. The bill requires insurers to pay ambulance providers directly, caps out-of-pocket costs for these services at $100, and ensures these costs count towards deductibles. It also mandates that insurers reimburse ambulance services at established local rates or at least 400% of the Medicare rate if no contracted rate exists, and requires the state to create a public database of local ambulance rates.
Bill status died 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Mar 2025
Senate Passage
Governor
Introduced Feb 25, 2025 Last action May 22, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

HB0758_1(5).pdf HB0758_2.pdf · 3 edits
MINOR
The bill text was updated to include a new provision delaying the effective date of the legislation. Additionally, the bill's scope was expanded to include Medicare supplement insurance policies in the prohibition against balance billing for out-of-network emergency ambulance care, and the list of amended statutes was updated to reflect this new inclusion.
Scope change
The bill now explicitly applies to Medicare supplement insurance policies in addition to health benefit plans, state employee plans, and university system plans.
TIMELINE

Added a clause providing for a delayed effective date to the bill's summary.

SCOPE

Expanded the list of covered insurance types to include Medicare supplement insurance policies.

REQUIREMENT

Updated the list of amended statutes to include 33-35-306, which governs Medicare supplement insurance.

Floor votes · House Mar 7, 2025

How they voted

8118
Passed · 1 other
Total votes 100
Mar 7, 2025
D Democratic42
42 Yea
100% Yea
R Republican58
39 Yea 18 Nay 1
67% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
35
Key actions
3
Committee
4
Amendments
1
Apr 9, 2025
Amended
(S) Tabled in Committee - (S) Business, Labor and Economic Affairs
upper
Mar 18, 2025
Committee
(S) Referred to Committee - (S) Business, Labor and Economic Affairs
upper
Mar 7, 2025
House · Passed
House Vote: pass (81-18-1)
house
Mar 4, 2025
Lower · Passed
(H) Committee Report - (H) Business and Labor
lower
Mar 1, 2025
Lower · Passed
(H) Committee Executive Action - (H) Business and Labor
lower
Feb 26, 2025
Committee
(H) Referred to Committee - (H) Business and Labor
lower
Feb 25, 2025
Introduced
(H) Introduced
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Steve Gist
Steve Gist
RRepublican
MT
25