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

Track

vetoed · Montana · Senate Jul 11, 2025

SB 537: Generally revise marijuana tax laws

SB 537 revises Montana's marijuana tax revenue distribution, directing funds from the marijuana state special revenue account to new and existing state accounts. It requires transferring excess funds annually to specific accounts, including 12% to the HEART account for addiction treatment and mental health programs, 20% to wildlife habitat projects, and 14% to behavioral health initiatives. The bill also allocates funds for law enforcement canine training, sexual assault evidence kits, and homeless shelter support, while modifying existing transfer rules for agencies like the Department of Fish, Wildlife, and Parks. These changes apply to all state agencies receiving marijuana tax revenue under Montana law.

Topics ✓ Budget & TaxesSupports Budget & TaxesDirects marijuana tax revenue to specific public service accounts (12% to addiction treatment, 20% to wildlife, 14% to behavioral health), increasing funding for state programs.95% confidence ✓ Criminal JusticeSupports Criminal JusticeAllocates 12% to HEART account for addiction treatment and 14% to behavioral health initiatives, directly supporting rehabilitation programs aligned with criminal justice reform goals.85% confidence ✓ EnvironmentSupports EnvironmentAllocates 20% of marijuana tax revenue to wildlife habitat projects, directly funding environmental conservation as specified in bill summary.90% confidence ✓ HealthcareSupports HealthcareAllocates 12% to HEART for addiction/mental health and 14% to behavioral health, directly funding healthcare programs under healthcare topic indicators.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

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

Track

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

Track

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

Track

died · Montana · House May 20, 2025

HB 310: Establish grant program to increase community shelter capacity for homeless population

HB 310 proposed establishing a state matching grant program to increase community shelter capacity for the homeless population. Administered by the Department of Public Health and Human Services, these grants would help local governments and eligible nonprofit organizations. The funds would specifically target services for senior citizens, veterans, survivors of domestic violence, youth transitioning from foster care, and individuals with mental health or substance use disorders. Applicants would be required to provide matching funds and collaborate with existing homelessness service providers. The bill appropriated $2 million from the general fund for the program, which was set to operate from July 2025 to June 2027.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill establishes state matching grants (approp) for homeless shelter capacity, increasing public funding for essential social services targeting vulnerable populations.90% confidence ✓ HealthcareSupports HealthcareBill explicitly targets mental health services for homeless individuals with mental health disorders through state grant program.90% confidence ✓ HousingSupports HousingBill establishes state grants to increase homeless shelter capacity, directly funding housing services for vulnerable groups including seniors, veterans, and those with mental health needs, addressing homelessness.95% confidence ✓ VeteransSupports VeteransBill explicitly targets veterans as a primary beneficiary group for grant-funded shelter services under the community shelter program, directly advancing veteran support through funding.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

died · Montana · House May 20, 2025

HB 386: Revising laws related to continuous medicaid eligibility

HB 386 directs the Department of Public Health and Human Services to apply for the reinstatement of 12-month continuous Medicaid eligibility for specific groups. This would affect parents, caretaker relatives, and adults covered under Medicaid expansion. The department is required to submit amendments to existing federal waivers by September 30, 2025, to restore this continuous eligibility, which was previously allowed before certain waiver changes in 2021 and 2022. The bill would take effect immediately upon passage and approval.

Topics ✓ HealthcareSupports HealthcareRestores 12-month continuous Medicaid eligibility for parents, caretakers, and expansion adults, ensuring uninterrupted health coverage and access to services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

died · Montana · House May 20, 2025

HB 653: Provide for parental right to access child's health care information

HB 653 revises state law regarding parental access to a child's health care information and consent for medical care. The bill generally requires parental consent for most medical procedures, examinations, prescription drugs, and mental health services for children, with exceptions for emergencies. It also mandates that health care providers make a child's health information available to a parent within 10 days of a request. However, parental access to this information is not required if a government entity is the child's guardian, a court order limits parental rights, or the parent is under investigation for abuse or a crime against the child.

Topics ✗ HealthcareOpposes HealthcareRequires parental consent for most medical procedures, restricting minors' access to healthcare services without parental involvement, including mental health services.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

Track

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

Track

died · Montana · House May 20, 2025

HB 382: Establish the specie legal tender act

The provided bill text, identified as Senate Bill 382, focuses on revising laws related to immunization exemptions, which differs from the title "Establish the specie legal tender act" for HB 382. Based on the provided text, this bill mandates that various entities, including state agencies, schools, child care facilities, and licensed health care providers, must accept religious or informed consent exemptions for required immunizations, injections, or medications for employment or attendance. It establishes that denying such an exemption is an unlawful discriminatory practice. Non-compliant entities could face a loss of state funding, and individuals denied an exemption may file complaints and seek compensatory damages. The bill also clarifies and strengthens the existing provisions for religious, medical, and informed consent exemptions for school attendance.

Topics ✗ EducationOpposes EducationBill mandates acceptance of immunization exemptions for school attendance, weakening health standards required for educational environments.85% confidence ✗ HealthcareOpposes HealthcareBill mandates exemptions for immunizations in healthcare settings, weakening mandatory vaccination requirements and public health initiatives.85% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

Track