Healthcare

signed · Montana · Senate May 16, 2025

SB 319: Generally revise health care laws related to doulas

This bill establishes a state licensure system for doulas, defining them as nonmedical professionals who provide continuous physical, emotional, and informational support during pregnancy and up to one year postpartum. Beginning January 1, 2027, individuals wishing to practice as state-licensed doulas must obtain a license from the Department of Labor and Industry. Licensure requires paying fees, completing specific competencies, and adhering to professional conduct standards. Additionally, the bill allows the Department of Public Health and Human Services to provide Medicaid coverage for services offered by state-licensed doulas.

Topics ✓ HealthcareSupports HealthcareEstablishes licensure standards for doulas (nonmedical healthcare support), formalizing their role in pregnancy/postpartum care and improving professional standards within healthcare services.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · Senate May 13, 2025

SB 503: Allow use of expired opioid antagonists

SB 503 allows for the use of expired opioid antagonists, such as naloxone, to treat opioid-related drug overdoses. This bill grants partial immunity from liability to school employees, eligible recipients, medical practitioners, and pharmacists who administer or distribute these expired medications in good faith. It amends existing law to explicitly permit schools to stock and use expired opioid antagonists and extends immunity to school personnel, except in cases of gross negligence or intentional misconduct. The bill's purpose is to broaden access to life-saving opioid antagonist medication by permitting the use of expired doses.

Topics ✓ HealthcareSupports HealthcareAllows expired naloxone use for overdose treatment, expands emergency access to life-saving care, and grants liability protection to providers - directly improving healthcare access for opioid emergencies.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

vetoed · Montana · House May 13, 2025

HB 880: Establish a stabilization fund for medicaid

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.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates Medicaid Stabilization Reserve Account using unused general fund appropriations to maintain benefits during revenue shortfalls, protecting essential program funding through fiscal management.95% confidence ✓ HealthcareSupports HealthcareEstablishes Medicaid Stabilization Reserve to maintain benefits during revenue shortfalls, preventing cuts to healthcare coverage and ensuring continued funding for Medicaid services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

signed · Montana · House May 13, 2025

HB 825: Generally revise laws related to health care proxy decisionmakers

HB 825 revises laws related to healthcare decision-makers for adult patients. It allows patients to designate a "trusted decisionmaker" to make medical choices on their behalf if they lose the ability to make their own, with healthcare providers required to document this designation. The bill establishes a legal hierarchy for selecting a decision-maker for incapacitated patients, placing the patient-designated trusted decisionmaker high on that list. This ensures a patient's chosen individual has authority to make healthcare decisions if they cannot.

Topics ✓ HealthcareSupports HealthcareEnables patient designation of trusted decisionmakers, prioritizing patient autonomy in medical choices, protecting rights under healthcare decision-making laws.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · House May 13, 2025

HB 806: Generally revising laws related to dietitians and nutritionists

HB 806 generally revises the laws governing dietitians and nutritionists in Montana. The bill updates definitions related to the practice of nutrition and dietetics, and establishes new licensure requirements, including mandatory criminal background checks. It also outlines provisions for qualified supervisors, permits, and transitional licensure for these professionals. Additionally, the bill integrates licensed dietitians and nutritionists into the state's "quality educator" payment framework, affecting their recognition in public schools, special education cooperatives, and correctional facilities.

Topics ✓ HealthcareSupports HealthcareBill establishes licensure requirements and integrates dietitians/nutritionists into state payment framework, enhancing professional access to healthcare services.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · Senate May 13, 2025

SB 218: Provide for private right of action for injuries caused by certain medical interventions to treat gender dysphoria

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.

Topics ✗ HealthcareOpposes HealthcareBill creates legal liability for providers of gender dysphoria treatments (hormones, puberty blockers, surgeries) to minors, restricting access to these healthcare services through potential lawsuits.92% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Montana · Senate May 13, 2025

SB 317: Prohibit health insurers from performing prior authorization on psychiatric drugs in shortage or discontinued

SB 317 prohibits health insurance companies from requiring prior authorization for psychiatric prescription drugs that are officially designated as being in shortage. The list of these drugs will be updated quarterly, based on the U.S. Food and Drug Administration's official shortage list. This aims to ensure covered persons can access necessary psychiatric medications without delays due to prior authorization when supplies are limited. Additionally, the bill prevents manufacturers of these shortage drugs from engaging in predatory pricing or marketing practices.

Topics ✓ HealthcareSupports HealthcareRemoves prior authorization barriers for psychiatric drugs in shortage, improving patient access to mental health care per FDA shortage list.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · House May 8, 2025

HB 687: Revise age of expanded Medicaid participants required to engage in community engagement activities

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.

Topics ✗ HealthcareOpposes HealthcareExtends mandatory community engagement requirements for Medicaid participants, potentially restricting access to healthcare coverage by adding new compliance barriers for 19-62-year-olds.92% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Montana · House May 8, 2025

HB 56: Establish ambulance provider assessment fee program

HB 56 establishes an assessment fee program for ground ambulance providers licensed in the state. These providers will pay a uniform fee of 5.75% of their net operating revenues annually to the Department of Revenue. The revenues generated from this assessment are specifically designated to supplement Medicaid payments for ambulance services. The bill also outlines procedures for reporting, collection, auditing, and penalties for non-compliance.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates mandatory 5.75% fee on ambulance providers to generate revenue specifically designated for Medicaid ambulance payments, directly funding public healthcare services via new state revenue.92% confidence ✓ HealthcareSupports HealthcareBill establishes fee to fund ambulance services via Medicaid supplementation, directly supporting healthcare access and provider reimbursement.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Montana · House May 5, 2025

HB 600: Authorize emergency use of albuterol in a school setting

HB 600 authorizes public and nonpublic schools to maintain a supply of "stock albuterol," a quick-relief asthma medication, for emergency use. This medication can be administered by a school nurse or other authorized school personnel to any individual, student or non-student, experiencing respiratory distress on school grounds or at school-related activities. Schools choosing to keep stock albuterol must develop a protocol for staff training, medication maintenance, and post-administration follow-up, including determining when to make a 9-1-1 emergency call. The bill requires a prescription for the stock albuterol, with the school designated as the patient.

Topics ✓ HealthcareSupports HealthcareAuthorizes school access to emergency asthma medication, improving immediate healthcare access for respiratory distress in educational settings.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare