Healthcare

died · Montana · Senate May 23, 2025

SB 475: Ban aluminum in vaccines

SB 475, introduced in Montana, proposes to ban vaccines containing aluminum as an ingredient for use or administration within the state. It requires vaccine manufacturers and distributors to submit implementation plans within one year, including timelines for removing aluminum-containing vaccines and distributing aluminum-free alternatives. The ban would take effect only after the health department certifies aluminum-free vaccines are available. The bill died in committee in May 2025 and was never enacted into law. It directly affects vaccine providers, manufacturers, and distributors operating in Montana.

Topics ✗ HealthcareOpposes HealthcareBill bans aluminum in vaccines, restricting vaccine composition as a safety measure, directly limiting current vaccine options under healthcare services.90% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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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 372: Establish nurse safe staffing standards

SB 372 establishes minimum nurse-to-patient ratios for Montana hospitals, requiring specific limits in key units (e.g., 1 nurse per critical ER patient, 2 per ICU patient, 4 per medical-surgical unit). It mandates hospitals to create annual staffing plans with input from direct-care nurses, form committees where at least half the members are frontline nurses, and publicly post these plans. Hospitals must track and report actual nurse-to-patient ratios for each shift and unit, ensuring transparency for staff, patients, and the public. The bill directly affects all Montana hospitals licensed by the Department of Public Health, requiring concrete changes to staffing practices and reporting.

Topics ✓ HealthcareSupports HealthcareMandates nurse-to-patient ratios for patient safety, requires hospital staffing transparency, and involves frontline nurses in planning - directly strengthening healthcare delivery standards.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates nurse-to-patient ratios and nurse input to improve workplace safety, directly advancing worker protections in healthcare staffing standards.95% confidence | Rep's Stance ✗ Voted No ✗ 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 274: Provide medicaid coverage for medical respite care for homeless people

HB 274 sought to establish a medical respite care program in Montana for homeless individuals who are eligible for Medicaid. This program would have provided short-term housing in residential facilities with supportive medical services for those recovering from illness or injury but not requiring hospitalization. Services would have included treatment plan monitoring, medication management, immunizations, discharge planning, and transportation for medical appointments. The bill directed the Department of Public Health and Human Services to seek federal approval for the program and to report annually on its costs and the number of individuals served.

Topics ✓ HealthcareSupports HealthcareBill explicitly expands Medicaid coverage for medical respite care, providing health services to homeless individuals and improving access to recovery support.95% confidence ✓ HousingSupports HousingBill provides short-term housing via medical respite care for homeless individuals, directly addressing homelessness and advancing housing access for vulnerable populations.95% 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