Healthcare

died · Montana · Senate May 23, 2025

SB 62: Provide for phaseout of Medicaid expansion program

SB 62 would end Montana's Medicaid expansion program for able-bodied adults by prohibiting new enrollments after August 31, 2025, while requiring the Department of Public Health and Human Services to seek a federal waiver to maintain funding for current participants. The bill directly affects individuals enrolled in Montana's Medicaid expansion program who are able-bodied adults, preventing them from joining after the 2025 deadline. Key mechanisms include a strict enrollment cutoff date, a requirement for the department to apply for federal funding continuity, and authorization to implement program integrity measures like biannual eligibility reviews. The bill does not change coverage for individuals with specific health needs or those already enrolled continuously before September 1, 2025.

Topics ✗ HealthcareOpposes HealthcarePhases out Medicaid expansion for able-bodied adults, restricting access to health coverage and ending new enrollments after 2025.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 563: Creating the Montana Bridge to Medical Residency Act

SB 563 would create a temporary "provisional resident license" for recent medical school graduates in Montana who have passed initial licensing exams but haven't yet secured a residency position. This license allows them to provide supervised patient care under a licensed physician's direct oversight through a formal collaborative agreement, with a maximum duration of two years total. The bill directly affects new physicians seeking their first clinical roles while awaiting residency placements. It amends Montana's medical licensing laws to establish specific qualifications, fees, and supervision requirements for this temporary license.

Topics ✓ HealthcareSupports HealthcareEnables provisional medical licensure for new grads awaiting residency, expanding access to healthcare services under supervision.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 199: Revise the Medicaid expansion program

SB 199 revises Montana's Medicaid expansion program (the Montana HELP Act) by introducing monthly "taxpayer integrity fees" for participants meeting specific asset thresholds. It requires fees based on excess real estate value ($5,000+ above homestead limits), vehicle equity ($20,000+ combined value), or agricultural land taxable value ($1,500+ annually), with a base fee of $100 plus $4 per $1,000 over limits. The bill also updates community engagement rules, mandating 80 monthly hours of work-related activities for 19-55-year-olds (with exemptions for medical conditions, caregivers, students, and others). These changes directly affect Medicaid expansion participants owning significant assets or required to meet work participation standards.

Topics ✗ HealthcareOpposes HealthcareAdds asset-based fees to Medicaid, restricting access for participants with property/vehicle equity, effectively limiting program eligibility and coverage.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 354: Prohibit purchase of soft drinks and candy with SNAP benefits

SB 354, the "Montana Healthy SNAP Act," would require Montana's Department of Public Health to request a federal waiver prohibiting the use of SNAP benefits (formerly food stamps) to buy soft drinks and candy. The bill directly affects SNAP recipients in Montana by restricting purchases of these items, which the legislature states are the most commonly bought non-nutritious items with SNAP funds. Key provisions include mandating a federal waiver request with a public health justification, an implementation plan for retailers, and annual reporting on spending patterns and health impacts. The bill defines "candy" as non-refrigerated sweet items and "soft drinks" as nonalcoholic sweetened beverages (excluding milk-based drinks or juices with >50% fruit/veg content).

Topics ✓ HealthcareSupports HealthcareRestricts SNAP use for unhealthy items to improve public health outcomes, aligning with public health program goals through nutrition policy.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 112: Revise laws related to state purchase of opioid antagonists

SB 112 would prohibit Montana state funds (including federal funds) from purchasing opioid reversal drugs after June 30, 2025, from companies involved in opioid settlement agreements. It allows existing contracts for these drugs to continue until fulfillment but bans renewal after the deadline, and requires continued supply under settlement agreements signed before September 1, 2024. The bill directly affects state agencies purchasing opioid reversal medications and pharmaceutical companies that settled opioid-related lawsuits. The bill died in committee in May 2025 and did not become law.

Topics ✗ HealthcareOpposes HealthcareBill prohibits state funds from purchasing opioid reversal drugs after 2025 from settlement-participating companies, restricting access to life-saving overdose treatment and weakening public health response to opioid crisis.90% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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died · Montana · House May 22, 2025

HB 364: Generally revise laws related to immunizations

HB 364 proposes to update laws concerning student immunizations and exemptions in K-12 schools. It would require school governing authorities to submit written reports on student immunization and exemption data to state and local health departments. These reports must only contain deidentified or aggregate information, ensuring student privacy. The Department of Public Health and Human Services would determine the specific form and schedule for these reports.

Topics ✓ HealthcareSupports HealthcareRequires school immunization data reporting for public health oversight, strengthening disease prevention efforts under healthcare policy.90% confidence ✓ TechnologySupports TechnologyRequires deidentified health data reporting to protect student privacy, aligning with tech policy data protection standards.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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signed · Montana · House May 19, 2025

HB 888: Revise local board of health rules for isolation and quarantine

HB 888 revises the powers of local boards of health concerning isolation and quarantine orders. This bill prohibits local boards of health from requiring individuals to receive a vaccination or other medication as a condition for release from an isolation or quarantine order. It amends existing state law (Section 50-2-116, MCA) that outlines the duties of these boards. The legislation also includes an appropriation.

Topics ✓ HealthcareSupports HealthcareProhibits mandatory vaccinations/meds during quarantine, protecting patient autonomy in health decisions per bill's core provision.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes 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

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

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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