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.
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.
Senate Bill 191 establishes a new licensing system for residential treatment centers in Montana. It grants the Department of Public Health and Human Services the authority to create administrative rules for these centers, covering areas such as staff qualifications, treatment services, insurance, and background checks. The bill requires these centers to obtain accreditation from an entity approved by the U.S. Centers for Medicare and Medicaid Services, with provisional licenses available during the accreditation process. Finally, it extends eligibility for appropriate educational opportunities to children placed in these newly defined residential treatment centers.
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.
SJ 49 requests an interim study of youth and family behavioral health prevention programs across Montana. An interim committee will be designated to comprehensively review these programs, focusing on their funding, workforce, and delivery settings for youth under 18. The study aims to identify gaps in the state's behavioral health system and assess how prevention efforts divert youth and families from crises, with findings to be reported to the 70th Legislature.
HB 447 enacts the Respiratory Care Interstate Compact, allowing licensed respiratory therapists to practice in multiple member states without needing a full license in each. This aims to increase public access to respiratory therapy services and improve workforce mobility, including for military members and their spouses. The compact establishes a "compact privilege" for therapists to practice in other member states while preserving each state's regulatory authority. It also includes provisions for criminal background checks for license applicants.
HB 454 revises the required frequency of patient visits by a licensed physical therapist when supervising a physical therapy assistant. This bill directly affects licensed physical therapists, physical therapy assistants, and the patients they serve. It changes the supervisory requirement, allowing a physical therapist to make an onsite or telehealth visit once for every eight visits made by an assistant, rather than six. Additionally, the time-based supervisory visit is extended from every two weeks to every 30 days, whichever occurs first.
HB 473 grants the Department of Public Health and Human Services (DPHHS) the authority to adopt Medicare fee schedules issued by the Centers for Medicare and Medicaid Services (CMS) through administrative rule. A key provision allows for the automatic incorporation of future updates to these federal fee schedules. This streamlines the process for DPHHS to align state reimbursement rates with federal Medicare standards. The bill affects the DPHHS's rulemaking procedures and indirectly impacts healthcare providers and beneficiaries whose services are reimbursed based on these schedules.
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.
HB 458 revises laws concerning physician assistants and medical malpractice claims. The bill expands the definition of "health care provider" to include physician assistants, affecting their liability in malpractice cases. It also increases the limit on noneconomic damages in medical malpractice claims, raising the initial cap from $250,000 to $300,000. This new limit will then progressively increase each year, reaching $500,000 by 2029 and adjusting annually by 2% thereafter. These changes apply to both future and existing medical malpractice claims.
