HB 912 proposes creating a new secure forensic facility in Montana, overseen by the Department of Public Health and Human Services. This facility would provide care, treatment, and security for up to 70 individuals involved in the legal system due to mental illness, including those needing competency restoration or forensic evaluations. The bill allocates $60 million from the Behavioral Health System for Future Generations Fund to plan, construct, and equip this facility, while also expanding the fund's uses to support new behavioral health infrastructure.
HB 747 permits day-care centers that care for children under one year of age or those at higher risk of severe illness from communicable diseases to adopt a policy regarding whether they accept children with certain immunization exemptions. The bill requires these day-care centers to notify parents or guardians if such a policy is adopted. This allows specific day-care centers to determine their own stance on accepting children with exemptions from required immunizations, impacting both the centers and families seeking childcare.
HB 199 proposed to modify the composition of the Montana State Board of Medical Examiners. The bill aimed to reduce the number of doctor of medicine members on the board from five to four. Concurrently, it sought to increase the number of physician assistant members from one to two. This adjustment would directly affect the representation of these medical professionals on the 12-member board.
House Bill 556 regulates how health insurance issuers use artificial intelligence (AI) for reviewing and managing healthcare services. It prohibits AI, algorithms, or other software tools from solely determining medical necessity or denying, delaying, or modifying healthcare services. Instead, medical necessity determinations must be made by licensed healthcare professionals, considering individual patient history and circumstances, not just group data. The bill also requires AI tools to be applied fairly, avoid discrimination, and be open to audit, making non-compliance an unfair claim settlement practice.
HB 500 aimed to revise laws related to chiropractic practitioners in Montana. The bill sought to establish a new license endorsement, allowing chiropractors who obtain it to prescribe certain noncontrolled, nonscheduled drugs like muscle relaxants and NSAIDs for diagnostic and therapeutic purposes. The Board of Chiropractors would have been responsible for setting the educational qualifications and protocols for this prescriptive authority. Additionally, the bill proposed that chiropractic services be included as part of the Montana Medicaid program.
HB 797, also known as the "Expanding Physician Access Act," aims to revise occupational licensing laws to facilitate the licensure of international physicians. The bill establishes a process for the board to grant provisional licenses to international physicians who meet specific educational, examination, and experience requirements, and have an employment offer from a healthcare provider in the state. These provisional licenses automatically convert to full licenses after three years of continuous active practice in the state. This initiative seeks to remove barriers for internationally licensed physicians to fill vacancies, particularly in rural and primary care settings, while maintaining existing standards of care and licensing requirements.
HB 290 aimed to regulate products containing Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS) within the state. Starting January 1, 2028, it would prohibit the manufacture, sale, or offer for sale of cosmetics, juvenile products, and menstrual products that contain intentionally added PFAS. Manufacturers would be required to provide a certificate of compliance for these products. Additionally, the bill would prohibit the use of class B firefighting foam containing intentionally added PFAS for training purposes from January 1, 2028, and regulate its emergency use at terminals, requiring annual notice and justification to the state fire marshal.
HB 526 proposes that the state join the Advanced Practice Registered Nurse (APRN) compact. This initiative allows Advanced Practice Registered Nurses licensed in one member state to practice in other compact states without needing to obtain a separate license for each. The bill establishes a framework for uniform licensure requirements and facilitates the exchange of information between states for regulatory and enforcement purposes. Its aim is to streamline the licensing process for APRNs and enhance their ability to provide care across state lines, potentially increasing access to healthcare services.
HB 828, known as the "Powered Wheelchair Right to Repair Act," sought to revise consumer rights laws related to powered wheelchair repairs. The bill would have required original equipment manufacturers to provide powered wheelchair owners and independent repair businesses with access to documentation, parts, and tools needed for diagnosis, maintenance, and repair. These resources were to be made available on fair and reasonable terms, including free electronic documentation and tools, and parts at costs equivalent to those offered to authorized repair providers. Additionally, manufacturers would have been required to provide tools to access and reset electronic security locks for repair purposes. Violations of these provisions would have been considered an unlawful practice under state consumer protection laws.
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.
