LC 3198 Legislature · 2025 Regular Session

Revise laws related to healthcare utilization review

This bill updates Montana laws governing healthcare utilization review to ensure decisions about medical services are made by qualified physicians. It requires that only licensed Montana physicians with relevant specialties can approve or deny healthcare services, and those reviewing patient grievances must have specific experience and cannot have conflicts of interest. The legislation also establishes an automatic approval process where healthcare services are deemed authorized if insurance companies or review organizations fail to follow legal requirements. These changes directly affect healthcare providers, insurance companies, and patients seeking coverage decisions in Montana.
Bill status introduced 1 of 4 stages cleared
Introduction
Dec 2024
Committee Review
Floor Vote
Governor
Introduced Dec 14, 2024 Last action Feb 23, 2025
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