Healthcare

SB 233 enacts the Interstate Massage Compact, establishing a new multistate licensing program for massage therapists. This compact allows licensed massage therapists to practice in all participating member states with a single multistate license, increasing their professional mobility. It includes provisions for criminal background checks for multistate licensure and creates an interstate commission to administer the compact. The bill aims to improve public access to massage therapy services and enhance regulatory cooperation among states while ensuring public safety.

HB 241 enacts the Psychology Interjurisdictional Compact (PSYPACT), allowing licensed psychologists to provide services across state lines. This bill enables psychologists licensed in a compact state to offer telepsychology services or temporary in-person services (up to 30 days annually) in other compact states without needing separate licenses. It establishes a framework for mutual recognition of licenses, defines requirements for cross-state practice, and creates a system for sharing licensure and disciplinary information among member states. The compact aims to increase public access to psychological services while maintaining regulatory oversight and accountability for psychologists. It directly affects licensed psychologists and their clients across participating states.

HB 183 enacts Montana's participation in the Physician Assistant (PA) Licensure Compact, allowing PAs licensed in other participating states to practice in Montana without obtaining a separate Montana license. The bill establishes a "compact privilege" requiring PAs to hold an unrestricted license in good standing from a participating state, pass criminal background checks, and comply with Montana's medical practice laws during patient encounters. It directly affects PAs seeking cross-state practice opportunities and Montana patients receiving care from out-of-state PAs, while specifically benefiting military families by enabling easier licensure for active-duty personnel and spouses. The compact also requires participating states to share disciplinary information and implement standardized background checks.

This bill makes Montana's community health aide program permanent by removing its previously scheduled expiration date. It directs the Department of Public Health and Human Services to apply for Medicaid coverage for services provided by certified community health aides. The change directly affects community health aides and their patients, particularly in rural and tribal communities, ensuring continued access to essential healthcare services without future legislative renewal.

HB 41 adds gabapentin to Montana's Schedule V list of controlled substances under the "depressants" category. This change directly affects medical providers who prescribe gabapentin (used for nerve pain, seizures, and other conditions), pharmacists who dispense it, and patients using the medication. The bill amends Montana Code § 50-32-232 to explicitly include gabapentin - identified by its chemical name "1-(aminomethyl)cyclohexaneacetic acid" - in Schedule V depressants alongside drugs like pregabalin. This policy update standardizes gabapentin's regulatory classification without altering its medical use or prescribing rules.