Healthcare

vetoed · Montana · Senate Jul 14, 2025

SB 422: Generally revise laws relating to insurance coverage relating to cancer

SB 422 requires Montana health insurers to cover FDA-approved drugs for advanced or metastatic cancer without forcing patients to first fail other treatments. It prohibits insurers from demanding that patients prove they've tried and failed alternative drugs before approving coverage for new treatments that align with national cancer guidelines. This directly affects patients diagnosed with advanced or metastatic cancer in Montana, ensuring faster access to potentially life-saving medications without unnecessary bureaucratic hurdles. The law applies only to drugs approved by the FDA and consistent with evidence-based cancer treatment protocols.

Topics ✓ HealthcareSupports HealthcareMandates insurers cover FDA-approved cancer drugs without prior treatment failure requirements, improving patient access to life-saving treatments per national guidelines.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Montana · Senate Jun 9, 2025

SB 394: Provide for workers' compensation coverage of PTSD for first responders

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.

Topics ✓ HealthcareSupports HealthcareExpands workers' comp coverage to include PTSD for first responders, directly enhancing mental health care access under healthcare services per bill's explicit coverage expansion.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands workers' compensation benefits for first responders by covering PTSD, directly strengthening workplace health protections under Labor & Employment.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 136: Prohibit consent as a defense for physician assisted suicide

SB 136 amends Montana's criminal code (Section 45-2-211, MCA) to state that a patient's consent to physician aid in dying is not a defense to a homicide charge against the physician. The bill defines "physician aid in dying" as a physician prescribing a lethal medication for the patient to self-administer, excluding standard comfort care or withholding life-sustaining treatment. This directly affects physicians who provide such aid, making their actions prosecutable as homicide if consent is claimed as a defense. The law takes effect July 1, 2025, and does not impact existing practices of comfort care or end-of-life treatment under Montana law.

Topics ✗ Criminal JusticeOpposes Criminal JusticeBill removes consent as a defense for physician-assisted suicide, making it prosecutable as homicide under criminal code, expanding criminalization of medical practices.95% confidence ✗ HealthcareOpposes HealthcareBill criminalizes physician-assisted suicide by removing consent as a defense, restricting access to a specific healthcare service under homicide laws.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 474: Require acceptance of religious and personal medical exemptions to required immunizations

SB 474 would have expanded school immunization exemptions in Montana to include religious exemptions and a new "personal medical informed consent" exemption requiring only a notarized statement. This new exemption would allow students to decline vaccines after consulting a healthcare provider (without needing a provider's signature), distinct from the existing medical exemption requiring a healthcare provider's written statement. The bill also amended school immunization laws (20-5-405 and 49-2-312) to prevent schools from being sued for injuries related to exempt students and to block overly burdensome exemption forms. The bill died in committee on May 23, 2025, and never became law.

Topics ✗ HealthcareOpposes HealthcareExpands vaccine exemptions, weakening school immunization requirements and public health protections by replacing medical exemption standards with less stringent notarized consent.92% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 164: Revise offense of endangering the welfare of children

SB 164 amends Montana's endangering the welfare of children law to prohibit specific medical treatments for children under 16. The bill bans surgical procedures, puberty blockers, and hormone therapies (like estrogen or testosterone) when used to alter a child's appearance or affirm a gender identity inconsistent with their biological sex. Violating this prohibition is classified as a felony, carrying up to five years in prison and a $10,000 fine, with harsher penalties if the child suffers serious injury. The law would take effect on January 1, 2026, directly affecting medical providers, caregivers, and children under 16 who might receive these treatments.

Topics ✗ Criminal JusticeOpposes Criminal JusticeBill expands criminalization by classifying medical treatments as felony offenses, increasing penalties for specific acts. Aligns with OPPOSE indicators: expands criminalization.95% confidence ✗ HealthcareOpposes HealthcareBill bans gender-affirming medical treatments (surgery, puberty blockers, hormone therapy) for minors, restricting access to healthcare services under the guise of child welfare.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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died · Montana · House May 22, 2025

HB 185: Provide for continuous healthy Montana kids plan eligibility for children under 6

HB 185 directs the Department of Public Health and Human Services (DPHHS) to implement continuous eligibility for children under six years old in the Healthy Montana Kids plan. This means eligible children would remain enrolled in the program until their sixth birthday, regardless of changes in family income or other circumstances that might otherwise make them ineligible. DPHHS is required to apply for the necessary federal waivers and state plan amendments by July 1, 2025, and implement the continuous eligibility within six months of federal approval. The bill aims to provide consistent health coverage for young children enrolled in Medicaid and the Children's Health Insurance Program.

Topics ✓ HealthcareSupports HealthcareEnsures continuous health coverage for children under six without income-based interruptions, expanding access to healthcare services95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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died · Montana · House May 20, 2025

HB 783: Generally revise health insurance laws relating to certain conditions

HB 783 aimed to revise health insurance laws by requiring coverage for specific conditions and treatments. It would have mandated individual health insurance policies to cover glucagon-like peptide-1 receptor agonists and treatments for polycystic ovary syndrome when medically necessary, including for diagnoses of diabetes or class 3 obesity. While allowing standard cost-sharing and cost containment measures, the bill prohibited special limitations on glucagon-like peptide-1 receptor agonists. Additionally, it sought to add other mandatory coverages, such as fertility preservation services and therapies for Down syndrome, to state group health plans. The bill would have affected individuals with these conditions and those covered by applicable health insurance policies in the state.

Topics ✓ HealthcareSupports HealthcareMandates coverage for specific treatments (GLP-1 agonists, PCOS) when medically necessary, prohibiting special limitations and expanding access to essential healthcare services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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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 | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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died · Montana · House May 20, 2025

HB 385: Establishing the school mental health promotion pilot program

HB 385 proposed establishing the School Mental Health Promotion Pilot Program, administered by the Office of Public Instruction. This program would have provided grants to Montana school districts to implement innovative, student-led, and locally determined initiatives aimed at improving student mental health. Districts applying for grants would have needed to demonstrate specific needs, broad community support in their application development, and plans for mental health promotion activities and program evaluation. The bill proposed annual grants ranging from $10,000 to $50,000 for a two-year period, with $250,000 appropriated annually from the general fund. The program was set to terminate on June 30, 2029.

Topics ✓ Budget & TaxesSupports Budget & TaxesFunds school mental health pilot program through grants, directly addressing appropriations in state budget allocation.90% confidence ✓ EducationSupports EducationProvides grants for school mental health programs, enhancing student well-being and support services within K-12 education.95% confidence ✓ HealthcareSupports HealthcareBill allocates grants to school districts for student mental health promotion initiatives, directly advancing mental health services through funding and program implementation.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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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 | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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