HB 398 revises health insurance laws regarding utilization review, impacting patients and health insurance companies. The bill requires health plans to honor previously approved health care services for at least three months when a patient changes plans, ensuring continuity of care. It mandates that only licensed physicians, specializing in the relevant condition, can make or review decisions to deny or reduce health care services (adverse determinations). Additionally, it clarifies the definition of "adverse determination" and other related terms within insurance law.
House Bill 475 restricts the use of physical restraints on inmates known to be pregnant during labor and delivery. It generally prohibits restraints unless there are extraordinary circumstances, such as an individualized determination that the inmate is a flight risk or poses a clear threat to themselves or others. Even in these cases, leg or waist restraints are strictly prohibited. The bill also requires that any applied restraints be the least restrictive necessary and removed when the risk is mitigated or at the request of a healthcare professional.
HB 544 revises health insurance laws, affecting health insurance issuers, covered individuals, and state employees/retirees. It prohibits health insurance issuers from retroactively denying coverage for services that received prior approval, with exceptions for fraud or misrepresentation. The bill also allows biologic therapies to be prescribed to minors under 18, even if FDA-approved only for adults, provided the treatment is medically necessary and supported by peer-reviewed medical literature. Furthermore, it amends provisions for state insurance contracts, detailing conditions under which certain state employees, retirees, and their families, as well as legislators and judges, can continue membership in state group health plans.
HB 476 establishes a grant program to fund the installation and maintenance of newborn safety devices. The Department of Public Health and Human Services will award competitive grants, up to $20,000 per applicant, to eligible fire departments, hospitals, and law enforcement agencies. The department is also responsible for creating rules for the application process and evaluation criteria. The bill appropriates $160,000 from the general fund for this program, which is effective July 1, 2025, and terminates on June 30, 2027.
SB 163 revises Montana's Genetic Information Privacy Act by expanding its scope to include neurotechnology data. The bill extends privacy protections to information concerning an individual's central or peripheral nervous system activity, such as brain data, collected by various devices. It adds new definitions for neurotechnology and neurotechnology data, and revises provisions related to privacy notices and exceptions. The intent is to safeguard consumers' sensitive neurotechnology data, particularly when collected by non-invasive devices outside of medical settings. This aims to provide similar privacy protections for neurotechnology data as currently exist for genetic data.
HB 218 revises the practice of optometry by expanding the scope of services licensed optometrists can provide. It permits optometrists to perform certain in-office surgical procedures and laser surgical procedures, specifically limited to the anterior segment of the eye and adnexa. However, the bill explicitly excludes penetrating intraocular surgery, intravitreal injection, and refractive surgery. To perform laser surgical procedures, optometrists must be certified by the board after completing required didactic and clinical training. This act takes effect on July 1, 2025.
SB 109 revises Montana's workers' compensation law by expanding the definition of "treating physician." This bill includes physical therapists within that definition, allowing them to serve as primary treating providers for injured workers. This change directly affects workers seeking care for injuries and physical therapists providing treatment under workers' compensation claims. The bill amends Section 39-71-116, MCA.
HB 143 revises the definition of "treating physician" within the state's Workers' Compensation Act. This bill expands the definition to explicitly include physician assistants (PAs). A key provision is the removal of any requirement for PAs to be in proximity to other medical providers to qualify as a treating physician for these purposes. This change affects how workers' compensation claims are managed and potentially broadens the types of healthcare providers recognized for injured workers.
HB 198 revises laws that prohibit contracts restricting the practice of specific healthcare providers. The bill prevents employment or professional relationship contracts from limiting a healthcare provider's right to practice their licensed profession in any area or for any period after their relationship ends. It also prohibits contracts from restricting their ability to treat or solicit current patients of their former employer or partner. This applies to a range of providers, including psychiatrists, psychologists, various counselors, nurses, and physician assistants, but does not apply to contracts for the sale of a practice.
SB 347 revises medical resident licensure laws in Montana, directly affecting individuals undergoing medical training in the state. The bill removes unlicensed trainees from existing licensing exemptions, meaning they will now be required to obtain a license. It also revises definitions, including adding "PGY" (post-graduate year) and defining a "Resident" as someone enrolled in an approved residency program who holds a valid resident license to practice medicine. These changes clarify and update the qualifications and licensing requirements for medical residents.
