HB 869, titled "Provide for the sudden cardiac arrest prevention in youth sports," establishes measures to prevent sudden cardiac arrest in youth athletes. It requires the Superintendent of Public Instruction to develop informational resources on cardiac arrest symptoms and risks. Beginning in the 2026-2027 school year, schools with athletic programs must implement cardiac emergency response plans, including accessible automated external defibrillators (AEDs) and staff training in CPR and AED use. Coaches will be required to be certified in CPR, first aid, and AED use, and hold informational meetings for parents and athletes. The bill also allows coaches or officials to remove athletes exhibiting cardiac arrest symptoms, who then require written medical clearance to return to play, and clarifies that AED purchases are an allowable expenditure for school safety.
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.
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.
SB 260 establishes procedures for altering the boundaries of hospital and school service districts. It allows real property owners to petition for these changes if they have difficulty accessing public services or to improve public safety services like law enforcement, firefighting, or emergency medical services. The process involves petitions, public hearings, and election procedures to transfer property between existing districts or create new divisions. The bill also provides for sharing tax collections and making reconciliation payments between districts when boundaries are altered.
SB 435 revises laws related to individuals experiencing mental illness by establishing a new 72-hour mental health hold. This provision allows a mental health professional to place an individual in a facility for up to 72 hours if, due to a mental disorder, they cannot meet basic needs, cause injury, or pose an imminent threat to themselves or others. During this hold, the individual receives an evaluation, and options upon release include further voluntary care or a petition for commitment. Additionally, the bill allows for the waiver of an individual's physical presence at mental health hearings under specific conditions, such as if their presence would seriously adversely affect their mental health condition.
SB 447 revises state laws related to prior authorization for health care services, affecting individuals with health insurance and health insurance issuers. The bill extends the length of a prior authorization certification. For treatment of chronic conditions, a prior authorization would be valid for the duration of that condition. Additionally, this bill prohibits prior authorization for certain prescriptions.
SB 446 revises laws related to health utilization review, affecting health insurance companies, utilization review organizations, and patients. It requires that only a physician licensed in the state, with a relevant specialty, can make adverse determinations (denials of coverage) or review grievances. The bill also restricts health insurance issuers from requiring prior authorization for certain prescription drugs, such as some generics, drugs for substance use disorder, and long-acting injectable antipsychotics. If an issuer or utilization review organization fails to comply with the requirements, the healthcare service under review will be automatically approved.
Senate Bill 335, known as the "Montana Dental Insurance Transparency and Accountability Act," establishes new regulations for dental insurance companies in Montana. It requires dental insurers to annually report their "dental loss ratio" (DLR), which measures the percentage of premium dollars spent on patient care, to the state's commissioner of securities and insurance. This reported DLR information, along with other plan details, will be made publicly available online for consumers to compare plans. The bill also mandates consumer rebates from dental insurers if their aggregated dental loss ratio falls below a certain threshold over a three-year period. This act applies to individual and group dental insurance plans, but excludes health plans with embedded dental benefits already subject to federal medical loss ratio requirements, as well as Medicaid and Healthy Montana Kids plans.
HB 732, the "Prompt Cost Report Reimbursement Act," revises how the Montana Department of Public Health and Human Services reimburses critical access hospitals participating in the state's Medicaid program. The bill requires the department to perform a tentative settlement and make interim payments to these hospitals within 240 days of a cost report being submitted to the Medicare administrative contractor. A final settlement and adjustment will occur after the Medicare administrative contractor completes its full review or audit. This process aims to align Montana Medicaid's reimbursement with Medicare's, ensuring more timely payments to critical access hospitals for services rendered.
HB 576 revises the funding for Medicaid and health and support services for children and adults who are aged, blind, or disabled. The bill allows a portion of the state's annual tobacco settlement proceeds to be used as matching funds for federal programs, including the Children's Health Insurance Program (CHIP), home visiting services, and specific Medicaid waivers. It also expands the uses of an existing state special revenue account, enabling its funds to similarly provide matching funds for these same services. These changes are designed to help secure federal funding for a range of health and support programs.
