Healthcare

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

Sub-Topics Insurance

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signed · Montana · House Apr 17, 2025

HB 198: Revise laws that prohibit contracts that restrict practice of health care providers

HB 198 revises laws that prohibit contracts restricting the practice of specific healthcare providers. The bill prevents employment or professional relationship contracts from limiting a healthcare provider's right to practice their licensed profession in any area or for any period after their relationship ends. It also prohibits contracts from restricting their ability to treat or solicit current patients of their former employer or partner. This applies to a range of providers, including psychiatrists, psychologists, various counselors, nurses, and physician assistants, but does not apply to contracts for the sale of a practice.

Topics ✓ HealthcareSupports HealthcarePrevents restrictive contracts limiting provider practice or patient access post-employment, aligning with improved access and provider rights in healthcare services.90% confidence

Sub-Topics Medical Licensing

died · Montana · House May 20, 2025

HB 885: Generally revise Medicaid laws to improve customer service

HB 885 aims to improve customer service for Medicaid applicants and recipients in Montana. It requires the Department of Public Health and Human Services (DPHHS) to implement mobile-first technology for online applications and renewals, utilize text and email for communications, and ensure written notices are in plain language and translated. The bill also mandates the DPHHS to provide expected wait times and callback options for hotline callers and to reopen 10 local public assistance offices by June 30, 2026. Additionally, it establishes quarterly reporting requirements to the legislature on various Medicaid client service metrics.

Topics ✓ HealthcareSupports HealthcareImproves Medicaid access via mobile tech, plain language notices, and reopened offices, enhancing service for recipients as per bill's explicit purpose.95% confidence ✓ TechnologySupports TechnologyBill mandates mobile-first technology and digital communications (text/email) for Medicaid services, promoting tech use to improve public service access and customer experience.80% confidence

Sub-Topics Public Health

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died · Montana · House May 20, 2025

HB 371: Ban mRNA vaccinations in Montana for humans

House Bill 371 aimed to prohibit the administration of gene-based vaccines, including those using messenger RNA (mRNA) or deoxyribonucleic acid (DNA) technology, to humans within the state of Montana. The bill proposed that anyone providing or administering such a vaccine would be guilty of a misdemeanor, facing a $500 fine for each incident. It also required the relevant licensure board to review the license of any professional who violated this prohibition. This legislation would directly affect healthcare providers and individuals seeking these specific types of vaccines in Montana.

Topics ✗ HealthcareOpposes HealthcareBans mRNA vaccines, restricting access to a key public health measure and healthcare service, directly limiting medical treatment options.95% confidence

Sub-Topics Medical Licensing

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died · Montana · House Feb 14, 2025

HB 459: Increasing the number of physician assistants on the board of medical examiners

HB 459 would amend Montana law to increase the number of physician assistants on the Board of Medical Examiners from one to two. This change directly affects the composition of the 13-member board, which oversees medical licensing and regulation in Montana. The bill specifically revises Section 2-15-1731 of the Montana Code to add a second physician assistant position to the existing board structure. The bill was introduced in the 2025 legislative session but was withdrawn on February 14, 2025.

Topics ✓ HealthcareSupports HealthcareAdds PA representation to medical board, potentially expanding provider roles and improving healthcare access through regulatory influence.85% confidence

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died · Montana · House May 20, 2025

HB 556: Generally revise usage of artificial intelligence in certain health insurance

House Bill 556 regulates how health insurance issuers use artificial intelligence (AI) for reviewing and managing healthcare services. It prohibits AI, algorithms, or other software tools from solely determining medical necessity or denying, delaying, or modifying healthcare services. Instead, medical necessity determinations must be made by licensed healthcare professionals, considering individual patient history and circumstances, not just group data. The bill also requires AI tools to be applied fairly, avoid discrimination, and be open to audit, making non-compliance an unfair claim settlement practice.

Topics ✓ HealthcareSupports HealthcareProhibits AI from solely determining medical necessity, requiring licensed professionals to make decisions based on individual patient history, protecting patient rights.92% confidence ✓ TechnologySupports TechnologyRegulates AI in health insurance to prevent algorithmic decisions without human oversight, aligning with consumer protection indicators by requiring licensed professionals for medical necessity determinations.92% confidence

Sub-Topics Artificial Intelligence

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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 · Senate May 23, 2025

SB 334: Providing medicaid expansion to able-bodied adults who comply with community engagement requirements

SB 334 would have expanded Montana Medicaid eligibility to able-bodied adults under 65 with incomes at or below 100% of the federal poverty level, but only if they met community engagement requirements. Key provisions include mandating participation in workforce development programs (like job training in healthcare or cybersecurity) and requiring the state to seek federal waiver approval by December 2025. The bill also included measures like biannual eligibility reviews and lifetime benefit limits for this group. However, the bill died in process on May 23, 2025, after failing to advance beyond committee review.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid eligibility to low-income adults with community engagement requirements, directly advancing health coverage access.95% confidence

Sub-Topics Medicaid

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died · Montana · House May 20, 2025

HB 526: Adopt the Advanced Practice Registered Nurse license compact

HB 526 proposes that the state join the Advanced Practice Registered Nurse (APRN) compact. This initiative allows Advanced Practice Registered Nurses licensed in one member state to practice in other compact states without needing to obtain a separate license for each. The bill establishes a framework for uniform licensure requirements and facilitates the exchange of information between states for regulatory and enforcement purposes. Its aim is to streamline the licensing process for APRNs and enhance their ability to provide care across state lines, potentially increasing access to healthcare services.

Topics ✓ HealthcareSupports HealthcareStreamlines APRN licensing across states, improving patient access to healthcare services by removing regulatory barriers.90% confidence

Sub-Topics Healthcare Workforce Medical Licensing

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signed · Montana · House May 5, 2025

HB 398: Generally revise insurance laws related to prior authorization of chronic conditions

HB 398 revises health insurance laws regarding utilization review, impacting patients and health insurance companies. The bill requires health plans to honor previously approved health care services for at least three months when a patient changes plans, ensuring continuity of care. It mandates that only licensed physicians, specializing in the relevant condition, can make or review decisions to deny or reduce health care services (adverse determinations). Additionally, it clarifies the definition of "adverse determination" and other related terms within insurance law.

Topics ✓ HealthcareSupports HealthcareRequires continuity of care for chronic conditions and mandates specialist review for denials, protecting patient access to approved treatments and reducing arbitrary insurance denials.85% confidence

Sub-Topics Insurance