Healthcare

signed · Montana · House May 19, 2025

HB 891: Provide subpoena powers to the office of inspector general

HB 891 grants the Office of Inspector General (OIG) within the Department of Public Health and Human Services (DPHHS) new authority. This bill allows the OIG to issue subpoenas to compel the production of financial records, documents, and data. These subpoenas are specifically for investigations into waste, fraud, or abuse within health care services and public assistance programs administered by the DPHHS. The measure specifies that both the DPHHS director and the inspector general must sign these subpoenas. It also appropriates $5,000 to the DPHHS for the biennium beginning July 1, 2025, to implement these provisions.

Topics ✓ HealthcareSupports HealthcareBill grants OIG subpoena authority to investigate fraud/waste in healthcare programs, protecting public funds and strengthening program integrity within DPHHS services.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · Senate May 19, 2025

SB 560: Provide for a hospital community benefit fee

SB 560 requires nonprofit hospitals to report their annual charity care and community benefit spending to the state. The bill mandates that a nonprofit hospital's total community benefit must exceed the amount of property taxes it would have paid if it were not tax-exempt. If a hospital's reported community benefit does not meet this threshold, a fee equal to the difference will be assessed. These collected fees are then deposited into a new Critical Access Health Care Special Revenue Account, which provides funding to critical access hospitals not affiliated with other hospitals.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates fees from tax-exempt hospitals to fund critical health care access, creating new state revenue for public services while ensuring proportional community benefit.95% confidence ✓ HealthcareSupports HealthcareBill mandates hospital community benefits funding via fees, directing collected funds to Critical Access Health Care Special Revenue Account, directly increasing healthcare program funding.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · House May 16, 2025

HB 953: Revise medicaid laws related to direct primary care

HB 953 revises Montana's Medicaid laws to allow for the coverage of direct primary care contracts under the state's Medicaid program. This bill directly affects Medicaid enrollees by providing them the option to use these services. It also prohibits the Department of Public Health and Human Services from requiring an enrollee to participate in primary care case management if they opt for a direct primary care contract. The bill provides a definition for "direct primary care contract" and includes an appropriation to support these changes.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage for direct primary care, improving patient access and removing case management requirements per bill text.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

passed both · Montana · House May 6, 2025

HJ 35: Joint resolution urging changes to federal wildfire policy

HJ 35 is a joint resolution from the Montana Legislature urging federal officials to modify current federal land management and wildfire policies. It calls for an aggressive initial attack on wildfires across all federal lands and for federal forest roads to remain open for access and fire suppression. The resolution also recommends that EPA air quality standards include wildfire smoke and that federal "let it burn" policies be reversed, ensuring NEPA processes are followed. Finally, it advocates for increased involvement of state and local governments and stakeholder groups in federal fire management decisions to protect Montana's communities.

Topics ✓ EnvironmentSupports EnvironmentAdvocates for EPA air quality standards including wildfire smoke and reversing 'let it burn' policies to protect natural resources and reduce pollution from wildfires.90% confidence ✓ HealthcareSupports HealthcareBill advocates including wildfire smoke in EPA air quality standards, a public health program, strengthening air quality measures affecting health.80% confidence ✓ TransportationSupports TransportationBill explicitly urges federal forest roads to remain open for fire suppression access, directly supporting transportation infrastructure maintenance and access.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

signed · Montana · House May 5, 2025

HB 476: Establish grant program for newborn safety devices

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.

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates $160,000 from general fund for newborn safety device grants, directly funding a public service program under budget authority.95% confidence ✓ HealthcareSupports HealthcareFunds newborn safety devices in hospitals via public health department, directly supporting infant healthcare services and public health programs.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · Senate Apr 18, 2025

SB 495: Eliminate the tobacco prevention advisory board

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.

Topics ✗ Budget & TaxesOpposes Budget & TaxesDefunds tobacco prevention and CHIP programs by removing advisory board from state special revenue accounts, directly eliminating funding streams.95% confidence ✗ HealthcareOpposes HealthcareDissolves tobacco prevention advisory board, removing it from state funding lists for tobacco disease prevention programs, directly defunding public health initiatives.90% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Montana · House Feb 28, 2025

HB 41: Generally revise dangerous drug schedule

HB 41 adds gabapentin to Montana's Schedule V list of controlled substances under the "depressants" category. This change directly affects medical providers who prescribe gabapentin (used for nerve pain, seizures, and other conditions), pharmacists who dispense it, and patients using the medication. The bill amends Montana Code § 50-32-232 to explicitly include gabapentin - identified by its chemical name "1-(aminomethyl)cyclohexaneacetic acid" - in Schedule V depressants alongside drugs like pregabalin. This policy update standardizes gabapentin's regulatory classification without altering its medical use or prescribing rules.

Topics ✗ HealthcareOpposes HealthcareBill restricts access to gabapentin (a medical treatment) by adding it to controlled substance schedule, limiting prescribing/dispensing for nerve pain/seizures without clear healthcare advancement.92% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare