Healthcare (Hospitals)

signed · Montana · Senate May 16, 2025

SB 260: Provide for alteration of service district boundaries

SB 260 establishes procedures for altering the boundaries of hospital and school service districts. It allows real property owners to petition for these changes if they have difficulty accessing public services or to improve public safety services like law enforcement, firefighting, or emergency medical services. The process involves petitions, public hearings, and election procedures to transfer property between existing districts or create new divisions. The bill also provides for sharing tax collections and making reconciliation payments between districts when boundaries are altered.

Topics ✓ HealthcareSupports HealthcareBill enables boundary changes to improve access to emergency medical services, directly enhancing healthcare access as part of public safety services.85% confidence

Sub-Topics Hospitals

died · Montana · House May 22, 2025

HB 851: Create department of health services

HB 851 proposes to create a new state agency called the Department of Health Services. This new department would take over specific human services functions currently managed by the Department of Public Health and Human Services. These transferred responsibilities include the administration of developmental disabilities services, mental health services (like the Montana State Hospital), chemical dependency services, and veterans' long-term care facilities. The bill also provides an appropriation for the new department, grants it rulemaking authority, and requires its contracts to include dispute resolution clauses.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill creates new department via appropriation, funding transferred health services functions (e.g., mental health, veterans care) as part of state budget allocation.90% confidence ✓ HealthcareSupports HealthcareCreates new department to manage mental health, developmental disabilities, and chemical dependency services with funding, advancing healthcare delivery95% confidence ✓ VeteransSupports VeteransBill explicitly transfers veterans' long-term care facilities to new department and includes funding appropriation for these services.85% confidence

Sub-Topics Hospitals Long-Term Care Public Health

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signed · Montana · House May 19, 2025

HB 936: Authorize transfers and other necessary measures to implement HB 2-Section B

HB 936 implements specific provisions of the state's General Appropriations Act, primarily affecting healthcare funding and operations. It reallocates a portion of the hospital utilization fee to provide incentive payments for hospital quality and efficiency, and to support independent critical access hospitals. The bill also expands the eligible uses of the Behavioral Health System for Future Generations Fund to include student loan repayment for certain healthcare professionals and funding for additional beds at the Montana State Hospital on a one-time basis. Finally, it establishes new reporting requirements for comprehensive school and community treatment services for children and for hiring efforts at the Montana State Hospital.

Topics ✓ HealthcareSupports HealthcareReallocates hospital fees for quality incentives and expands behavioral health fund to include mental health services and healthcare professional loan repayment.95% confidence

Sub-Topics Hospitals

signed · Montana · Senate May 16, 2025

SB 524: Revise laws relating to category D assisted living facilities

SB 524 revises laws concerning Category D assisted living facilities, which cater to residents who may pose a danger to themselves or others and require assistance with daily living activities. The bill allows these facilities to be independent or co-located with others, limiting them to 15 residents, and clarifies that while not required, prior authorization is needed for any use of seclusion or restraints. It mandates the Department of Public Health and Human Services to provide technical assistance and a specialized reimbursement model. Additionally, it establishes new processes for diverting individuals from the Montana State Hospital or committing them directly to Category D facilities.

Topics ✓ HealthcareSupports HealthcareClarifies safety protocols for vulnerable residents in assisted living facilities, protecting patient rights and improving care standards under healthcare services.85% confidence

Sub-Topics Hospitals Long-Term Care Public Health

signed · Montana · Senate May 19, 2025

SB 560: Provide for a hospital community benefit fee

SB 560 requires nonprofit hospitals to report their annual charity care and community benefit spending to the state. The bill mandates that a nonprofit hospital's total community benefit must exceed the amount of property taxes it would have paid if it were not tax-exempt. If a hospital's reported community benefit does not meet this threshold, a fee equal to the difference will be assessed. These collected fees are then deposited into a new Critical Access Health Care Special Revenue Account, which provides funding to critical access hospitals not affiliated with other hospitals.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates fees from tax-exempt hospitals to fund critical health care access, creating new state revenue for public services while ensuring proportional community benefit.95% confidence ✓ HealthcareSupports HealthcareBill mandates hospital community benefits funding via fees, directing collected funds to Critical Access Health Care Special Revenue Account, directly increasing healthcare program funding.95% confidence

Sub-Topics Hospitals

died · Montana · House May 22, 2025

HB 947: Revise insurance laws relating to continuous glucose monitors and supplies

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.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for CGMs, prohibits denial based on diabetes severity, and bans special deductibles - expanding access to essential diabetes care.95% confidence

Sub-Topics Hospitals Long-Term Care Medicare

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died · Montana · House May 22, 2025

HB 758: Revise health care laws relating to out-of-network services

HB 758 aims to protect health benefit plan enrollees from balance billing for out-of-network ground ambulance services. It prohibits ambulance services from billing enrollees more than their in-network cost-sharing for covered transportation. The bill requires insurers to pay ambulance providers directly, caps out-of-pocket costs for these services at $100, and ensures these costs count towards deductibles. It also mandates that insurers reimburse ambulance services at established local rates or at least 400% of the Medicare rate if no contracted rate exists, and requires the state to create a public database of local ambulance rates.

Topics ✓ HealthcareSupports HealthcarePrevents balance billing for ambulance services, caps out-of-pocket costs at $100, and ensures costs count toward deductibles, strengthening patient access and financial protection in healthcare.95% confidence

Sub-Topics Hospitals Medicare

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died · Montana · House May 20, 2025

HB 689: Provide for pricing transparency requirements for hospitals

HB 689 aimed to increase pricing transparency for hospitals. It required hospitals to publish a comprehensive list of all their standard charges for medical items and services, including gross charges, negotiated rates with third-party payors, and discounted cash prices. This information was to be made available on hospital websites in both machine-readable and consumer-friendly formats. The bill also included provisions for reporting to state departments, prohibiting debt collection by non-compliant hospitals, and allowing for enforcement actions.

Topics ✓ HealthcareSupports HealthcareRequires hospitals to publish transparent pricing, improving patient access to cost information and aligning with consumer protection in healthcare services.90% confidence

Sub-Topics Hospitals

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signed · Montana · Senate May 13, 2025

SB 449: Generally revise health utilization review laws

SB 449 generally revises health utilization review laws, affecting health insurance enrollees, health insurance issuers, and healthcare providers. It requires health insurers to honor existing prior authorizations for at least 90 days when an enrollee changes health plans and prevents requiring repeat step therapy protocols if already completed. The bill prohibits prior authorization for certain prescriptions written at discharge from inpatient care for at least three days. Additionally, it generally prevents health insurers from retroactively denying covered services that received prior authorization and mandates that insurers accept and respond electronically to prior authorization requests from healthcare providers.

Topics ✓ HealthcareSupports HealthcarePrevents redundant prior authorizations and extends coverage during plan changes, improving patient access to care without added delays.95% confidence

Sub-Topics Hospitals

died · Montana · Senate May 23, 2025

SB 554: Generally revise laws related to hospitals operating as nonprofit care facilities

SB 554 (Montana) limits nonprofit hospitals (excluding critical access/rural emergency hospitals) to charging no more than 300% of the Medicare reimbursement rate for Medicare-eligible services. Hospitals exceeding this rate face an escalating excise tax (starting at 25% in 2027 and rising to 50% after 2030) and risk losing nonprofit status. The bill also requires hospitals to maintain written financial assistance and community benefit policies, submit annual reports including IRS Form 990, and comply with new reporting rules. This bill died in process in May 2025 and was never enacted.

Topics ✓ Budget & TaxesSupports Budget & TaxesImposes escalating excise tax (25-50%) on hospitals exceeding Medicare rate, generating state revenue through new tax mechanism.95% confidence ✓ HealthcareSupports HealthcareCaps hospital charges for Medicare services at 300% of Medicare rate, reducing patient costs and enforcing community benefit requirements to improve access.95% confidence

Sub-Topics Sales Tax Hospitals Medicare

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