HB 377 revises Montana law to ensure parents generally have access to their minor child's health care records. It requires health providers to give parents access to a child's health information within 3 days of a request (or provide contact details for the records' location), with exceptions for court-limited parental rights, child abuse investigations, or government guardianship. The bill also clarifies that minors who can consent to certain care (like mental health services) have exclusive control over information related to that specific care, removing a minor's ability to enforce privacy violations by non-HIPAA-covered providers. This primarily affects parents, minors seeking care without parental consent, and health care providers managing minors' records.
HB 947 requires most individual health insurance policies in Montana to cover continuous glucose monitors (CGMs) and their supplies for people diagnosed with type I or type II diabetes when medically necessary, as prescribed by a healthcare provider. The bill prohibits insurers from denying coverage based on diabetes severity or insulin dependence, and bans special deductibles or limits specifically for CGMs - though standard deductibles may still apply. This affects diabetes patients covered by individual disability, health, or membership insurance plans (excluding Medicare supplements, hospital indemnity, or long-term care policies). The law aims to ensure consistent access to these critical blood sugar monitoring tools without discriminatory coverage barriers.
HB 943 establishes the Montana Rare Disease Advisory Council within the Department of Public Health and Human Services. This 17-member council, composed of patients, caregivers, medical professionals, researchers, and other stakeholders, will provide guidance, education, and recommendations on the needs of individuals with rare diseases in Montana. Its duties include surveying patient needs, developing policy recommendations for improved access to care and treatment, publishing resources, and identifying research opportunities. The council is required to meet regularly and submit annual reports to the Governor and Legislature, and the bill includes an appropriation to cover initial costs.
HB 621 allows local first responder entities, including police departments, sheriff's offices, fire departments, and emergency medical service providers, to establish peer support programs. These programs must have a written policy that outlines qualifications for peer supporters, defines peer support sessions, and ensures confidentiality for participants. The bill prohibits qualified peer supporters from testifying about the content of peer support sessions, with exceptions if an employee has committed or plans a crime, or indicates intent to harm themselves or others.
HB 807 amends state law to prohibit individuals from being required to receive certain vaccines. Specifically, it mandates that vaccines whose use is allowed under an emergency use authorization (EUA) or those still undergoing safety trials cannot be a requirement. This applies to persons, governmental entities, employers, and public accommodations, preventing them from denying services, employment, or access based on non-receipt of such vaccines. The bill integrates this new prohibition into existing law concerning discrimination based on vaccination status.
HB 867 establishes a medical assistance program specifically for licensed chiropractors and veterinarians. This program provides support and monitors rehabilitation for these professionals who are impaired by substance abuse, mental illness, or chronic physical illness. To fund this initiative, the bill allows the respective boards to adjust the license renewal fees for chiropractors and veterinarians. It also updates existing laws concerning the confidentiality and auditing of professional medical assistance programs to include these new licensee groups.
HB 920 establishes a temporary property tax exemption for new senior care facilities and housing development projects. Tax-exempt non-profit organizations sponsoring these projects must first petition a local government, which determines if there is a "compelling need" for the project through a public hearing. If approved by the local government, the sponsor can then apply to the department of revenue for the exemption. This bill aims to encourage the development of various affordable housing and care options for seniors aged 55 or 62 and older.
HB 669 revises laws concerning educational programs for children receiving in-state inpatient treatment for serious emotional disturbances, directly affecting these children, their school districts, and qualifying treatment facilities. The bill authorizes the Superintendent of Public Instruction (SPI) to contract with facilities to deliver these educational programs, establishing a daily rate for services based on actual costs. Funding responsibility is shared, with the SPI paying the facility the daily rate minus a contribution from the child's school district of residence. It also clarifies the SPI's rulemaking authority for tuition calculations and outlines alternative methods for providing education if a facility fails to offer appropriate programs or contract with the state.
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.
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.