SB 497 establishes laws for professional wellness programs aimed at addressing career fatigue in healthcare providers, including physicians, nurses, and dentists. The bill grants civil immunity to members and consultants of these wellness programs for actions performed within their duties. It revises reporting requirements, stating that participation in a wellness program alone does not obligate reporting a healthcare provider to their licensing board, unless there is a good faith determination of incompetence or danger. Additionally, the bill provides an evidentiary privilege, generally protecting the proceedings and records of these programs from discovery in civil actions or admission in licensing actions.
HB 881 proposed to revise the existing Medicaid buy-in program to include children with disabilities. This would expand eligibility for the program, allowing more children with disabilities to access Medicaid services. The bill also included an appropriation and extended rulemaking authority for the relevant department to implement these changes. It aimed to amend specific sections of Montana law concerning Medicaid administration and eligibility requirements.
HB 880 establishes the Medicaid Stabilization Reserve Account, a state special revenue fund designed to help maintain Medicaid benefits during state revenue shortfalls. The account would be primarily funded by transferring any unused state general fund appropriations for Medicaid at the end of a fiscal year. Funds from this account could only be appropriated by the legislature for state Medicaid matching funds after the budget director certifies a projected general fund deficit. This mechanism aims to mitigate expenditure reductions in the Medicaid program, directly affecting the stability of services for beneficiaries. The bill also includes an initial appropriation of $50,000 for state Medicaid matching funds.
SB 218 establishes a private right of action, allowing minors, their legal guardians, or estates to file civil lawsuits against healthcare professionals and physicians. These lawsuits can be brought for injuries caused by specific medical interventions, including certain surgeries, hormone therapies, and puberty blockers, when provided to minors to treat gender dysphoria. Liability may arise if the injury is proximately caused by a deviation from the applicable medical standard of care. The bill sets a statute of limitations for these actions and clarifies that it does not apply to treatments for medically verifiable disorders of sex development or complications from prior medical treatments.
HB 687 revises the age range for expanded Medicaid participants who are required to engage in community engagement activities. Previously, participants aged 19 to 55 were subject to this requirement. This bill extends that upper age limit, now requiring individuals from 19 to 62 years old to participate. Affected participants must complete 80 hours per month in activities such as employment, education, work training, or community service, unless they qualify for an exemption. This change directly impacts expanded Medicaid recipients between the ages of 56 and 62.
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.
HB 607, known as the "Hearing Aid Coverage Act," proposes to expand health insurance coverage for hearing loss. The bill revises current law that mandates coverage only for children, extending this requirement to include individuals of all ages. It achieves this by amending sections 2-18-704 and 33-22-128 of the Montana Code Annotated, which govern mandatory provisions in insurance contracts. This change would require state insurance plans to cover treatment for hearing loss for both children and adults.
Senate Bill 495 eliminates the Tobacco Prevention Advisory Board. The bill repeals the specific section of law that established this board. It also amends existing statute to remove the board from the list of entities funded by state special revenue accounts, which are primarily used for tobacco disease prevention programs and the Children's Health Insurance Program. The direct effect is the dissolution of the advisory board, which previously provided guidance for these programs.
SB 211 revises the emergency use of epinephrine in school settings. The bill expands the definition of "medication" that students with asthma, severe allergies, or anaphylaxis can possess and self-administer to include epinephrine nasal spray. It also allows public and nonpublic schools to maintain a stock supply of epinephrine nasal spray, in addition to autoinjectable epinephrine, for emergency administration by school nurses or other authorized personnel. These changes provide schools with additional options for responding to severe allergic reactions.
This bill makes Montana's community health aide program permanent by removing its previously scheduled expiration date. It directs the Department of Public Health and Human Services to apply for Medicaid coverage for services provided by certified community health aides. The change directly affects community health aides and their patients, particularly in rural and tribal communities, ensuring continued access to essential healthcare services without future legislative renewal.