Healthcare

vetoed · Montana · House Jul 15, 2025

HB 585: Revise provider rate laws for physical therapists, speech-language pathologists, and occupational therapists

HB 585 would have revised Montana's Medicaid reimbursement rates for physical therapists, speech-language pathologists, and occupational therapists. It set a 2026 Medicaid payment rate of $39.56 per service unit and required annual rate increases tied to the medical care component of the U.S. Consumer Price Index. This directly affected these healthcare providers who bill Medicaid for services, ensuring their payments adjusted with inflation. The bill was introduced in 2025 but was vetoed by the governor and later failed to override in the legislature.

Topics ✓ HealthcareSupports HealthcareBill increases Medicaid reimbursement rates for therapists with inflation-linked annual adjustments, ensuring stable provider payments and maintaining access to services.95% confidence | Rep's Stance Voted absent

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vetoed · Montana · Senate Jul 14, 2025

SB 422: Generally revise laws relating to insurance coverage relating to cancer

SB 422 requires Montana health insurers to cover FDA-approved drugs for advanced or metastatic cancer without forcing patients to first fail other treatments. It prohibits insurers from demanding that patients prove they've tried and failed alternative drugs before approving coverage for new treatments that align with national cancer guidelines. This directly affects patients diagnosed with advanced or metastatic cancer in Montana, ensuring faster access to potentially life-saving medications without unnecessary bureaucratic hurdles. The law applies only to drugs approved by the FDA and consistent with evidence-based cancer treatment protocols.

Topics ✓ HealthcareSupports HealthcareMandates insurers cover FDA-approved cancer drugs without prior treatment failure requirements, improving patient access to life-saving treatments per national guidelines.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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vetoed · Montana · Senate Jul 11, 2025

SB 537: Generally revise marijuana tax laws

SB 537 revises Montana's marijuana tax revenue distribution, directing funds from the marijuana state special revenue account to new and existing state accounts. It requires transferring excess funds annually to specific accounts, including 12% to the HEART account for addiction treatment and mental health programs, 20% to wildlife habitat projects, and 14% to behavioral health initiatives. The bill also allocates funds for law enforcement canine training, sexual assault evidence kits, and homeless shelter support, while modifying existing transfer rules for agencies like the Department of Fish, Wildlife, and Parks. These changes apply to all state agencies receiving marijuana tax revenue under Montana law.

Topics ✓ Budget & TaxesSupports Budget & TaxesDirects marijuana tax revenue to specific public service accounts (12% to addiction treatment, 20% to wildlife, 14% to behavioral health), increasing funding for state programs.95% confidence ✓ Criminal JusticeSupports Criminal JusticeAllocates 12% to HEART account for addiction treatment and 14% to behavioral health initiatives, directly supporting rehabilitation programs aligned with criminal justice reform goals.85% confidence ✓ EnvironmentSupports EnvironmentAllocates 20% of marijuana tax revenue to wildlife habitat projects, directly funding environmental conservation as specified in bill summary.90% confidence ✓ HealthcareSupports HealthcareAllocates 12% to HEART for addiction/mental health and 14% to behavioral health, directly funding healthcare programs under healthcare topic indicators.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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vetoed · Montana · Senate Jun 18, 2025

SB 72: Provide presumptive eligibility for Medicaid coverage of home and community-based services

SB 72 creates a "presumptive eligibility" process for Montana Medicaid, allowing people with physical disabilities or who are elderly to immediately access home and community-based services like personal care, meal delivery, medical equipment, and emergency response systems while awaiting full Medicaid approval. It requires a screening process by trained staff (including tribal entities, hospitals, or aging agencies) to verify income, residency, and need, with applicants having 30 days to apply for ongoing Medicaid coverage. The program aims to prevent hospitalizations or institutional care by providing temporary coverage during the application period, ending after 30 days or when full eligibility is determined. The bill requires state approval from CMS before implementation and was vetoed by the governor in May 2025, with a legislative override attempt failing.

Topics ✓ HealthcareSupports HealthcareCreates immediate Medicaid access to home/community services for disabled/elderly, expanding coverage without full approval process95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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vetoed · Montana · Senate Jun 18, 2025

SB 244: Revise laws related to health insurance coverage of behavioral health screening

SB 244 requires all health insurance plans sold in Montana to cover behavioral health screenings and assessments at no cost to the insured. This applies to state employee health plans, disability insurance, health maintenance organizations (HMOs), and self-funded workplace plans. Screenings must use standardized, evidence-based tools, but are optional - insured individuals must actively request them. The bill amends Montana insurance codes to include these coverage requirements, ensuring people can access mental health screenings without out-of-pocket costs when they choose to participate.

Topics ✓ HealthcareSupports HealthcareMandates no-cost behavioral health screenings in all insurance plans, expanding access to mental health services without cost-sharing.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Montana · House Jun 12, 2025

HB 832: Establish PTSD nonmedication therapy training grant program

HB 832 creates a Montana state grant program to fund training for healthcare providers in nonmedication therapies for treating posttraumatic stress disorder (PTSD). The program, administered by the Department of Labor and Industry, awards grants to entities developing 2-year projects that train licensed providers (including Veterans Affairs-certified professionals) in these therapies, develop treatment protocols, and engage in community planning. It appropriates $600,000 from the state general fund for the 2025-2027 biennium as a one-time allocation, requiring grantees to report outcomes like providers trained, patients served, and treatment impact by 2026. The law takes effect July 1, 2025.

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates $600,000 from state general fund for PTSD therapy training program, directly funding a public health service under budget allocation.95% confidence ✓ HealthcareSupports HealthcareFunds mental health provider training for nonmedication PTSD therapies, advancing access to alternative treatments under healthcare services.95% confidence ✓ VeteransSupports VeteransFunds PTSD therapy training for VA-certified providers, directly improving veterans' access to nonmedication treatment options and healthcare services.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

vetoed · Montana · Senate Jun 9, 2025

SB 394: Provide for workers' compensation coverage of PTSD for first responders

SB 394 would have expanded Montana's workers' compensation system to cover posttraumatic stress disorder (PTSD) for eligible first responders. It defines "first responder" to include firefighters, law enforcement officers, detention center/prison staff, and emergency care providers, requiring a diagnosis per the latest DSM-5 manual that links PTSD directly to work duties. The bill amended existing laws to allow PTSD claims under workers' compensation, subject to standard procedural requirements. However, this bill was vetoed by the Governor on June 9, 2025, so it did not become law.

Topics ✓ HealthcareSupports HealthcareExpands workers' comp coverage to include PTSD for first responders, directly enhancing mental health care access under healthcare services per bill's explicit coverage expansion.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands workers' compensation benefits for first responders by covering PTSD, directly strengthening workplace health protections under Labor & Employment.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Montana · House Jun 4, 2025

HB 610: Revise preauthorization laws relating to healthcare

HB 610 would have removed a requirement for prior approval (preauthorization) under Montana's Medicaid program for specific FDA-approved antipsychotic drugs. These drugs must be recognized in the latest DSM-5 as effective for certain mental health conditions. The bill would have directly affected Medicaid patients needing these medications and their healthcare providers, who would no longer need to seek pre-approval for covered antipsychotics. The law would have applied to claims for services provided after its effective date. (Note: The bill was vetoed by the governor and the veto override failed, so this policy change did not take effect.)

Topics ✓ HealthcareSupports HealthcareRemoves preauthorization for FDA-approved antipsychotics in mental health care, improving patient access to necessary medications without bureaucratic delays.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Montana · Senate May 23, 2025

SB 526: Establish the community health aide provider education grant program

SB 526 establishes a grant program to fund tribal colleges in Montana developing community health aide and dental health aide training programs. The program provides up to $3 million per institution, including a $1 million startup grant and $500,000 annually for four years, to expand or create education programs qualifying graduates for federal certification. Tribal colleges receiving grants must report annually on program outcomes, including graduates, provider certifications, patient access metrics, and cost-effectiveness. The bill directly affects tribal colleges and aims to address healthcare disparities in American Indian and Alaska Native communities by increasing local provider capacity. It allocates $1.5 million from the general fund for the 2025-2027 biennium to support this initiative.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates $3M+ in state funds to tribal colleges for health aide programs, increasing public service funding per grant program details.90% confidence ✓ EducationSupports EducationFunds tribal college vocational programs for health aides with $3M grants, expanding certified training access and workforce development in higher education.90% confidence ✓ HealthcareSupports HealthcareFunds tribal college training programs for community health aides, increasing certified providers and improving patient access in underserved communities.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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died · Montana · Senate May 23, 2025

SB 136: Prohibit consent as a defense for physician assisted suicide

SB 136 amends Montana's criminal code (Section 45-2-211, MCA) to state that a patient's consent to physician aid in dying is not a defense to a homicide charge against the physician. The bill defines "physician aid in dying" as a physician prescribing a lethal medication for the patient to self-administer, excluding standard comfort care or withholding life-sustaining treatment. This directly affects physicians who provide such aid, making their actions prosecutable as homicide if consent is claimed as a defense. The law takes effect July 1, 2025, and does not impact existing practices of comfort care or end-of-life treatment under Montana law.

Topics ✗ Criminal JusticeOpposes Criminal JusticeBill removes consent as a defense for physician-assisted suicide, making it prosecutable as homicide under criminal code, expanding criminalization of medical practices.95% confidence ✗ HealthcareOpposes HealthcareBill criminalizes physician-assisted suicide by removing consent as a defense, restricting access to a specific healthcare service under homicide laws.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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