HB 797, also known as the "Expanding Physician Access Act," aims to revise occupational licensing laws to facilitate the licensure of international physicians. The bill establishes a process for the board to grant provisional licenses to international physicians who meet specific educational, examination, and experience requirements, and have an employment offer from a healthcare provider in the state. These provisional licenses automatically convert to full licenses after three years of continuous active practice in the state. This initiative seeks to remove barriers for internationally licensed physicians to fill vacancies, particularly in rural and primary care settings, while maintaining existing standards of care and licensing requirements.
HB 806 generally revises the laws governing dietitians and nutritionists in Montana. The bill updates definitions related to the practice of nutrition and dietetics, and establishes new licensure requirements, including mandatory criminal background checks. It also outlines provisions for qualified supervisors, permits, and transitional licensure for these professionals. Additionally, the bill integrates licensed dietitians and nutritionists into the state's "quality educator" payment framework, affecting their recognition in public schools, special education cooperatives, and correctional facilities.
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.
LC 2872 proposed allowing physician assistants, nurse practitioners, and CRNAs (Certified Registered Nurse Anesthetists) to serve as medical directors at any medical facility. If enacted, this would directly affect these healthcare providers by expanding their scope of practice to include a leadership role currently restricted to physicians. The bill aimed to change existing regulations that limited medical director positions to physicians. However, the bill died in the legislative process on May 27, 2025, and was never enacted into law.
This bill (LC 2878) proposed allowing physician assistants, nurse practitioners, and certified registered nurse anesthetists (CRNAs) to serve as medical directors in healthcare facilities - currently a role restricted to physicians. If passed, it would directly affect these healthcare providers and the facilities employing them by expanding who can hold this leadership position overseeing clinical operations. The bill died in committee on May 27, 2025, and was never enacted into law. It did not advance beyond the drafting stage.
This bill establishes a state licensure system for doulas, defining them as nonmedical professionals who provide continuous physical, emotional, and informational support during pregnancy and up to one year postpartum. Beginning January 1, 2027, individuals wishing to practice as state-licensed doulas must obtain a license from the Department of Labor and Industry. Licensure requires paying fees, completing specific competencies, and adhering to professional conduct standards. Additionally, the bill allows the Department of Public Health and Human Services to provide Medicaid coverage for services offered by state-licensed doulas.
This bill (LC 451) would revise Montana Medicaid laws to allow coverage for direct primary care contracts. It directly affects Medicaid enrollees who choose direct primary care - where patients pay a flat fee directly to a doctor instead of traditional insurance. The key provision adds "direct primary care contracts" as a covered service under Medicaid, prohibits the Department from requiring enrollees to participate in case management if they have such a contract, and defines the term. This change would expand access to an alternative primary care model for Montana Medicaid beneficiaries.
This bill creates a temporary "supervised medical graduate" license for Montana medical school graduates who did not secure a residency position. It allows these individuals to practice under direct supervision of a licensed physician for up to two years (with one renewal), requiring them to have passed parts 1 and 2 of the U.S. medical licensing exam and hold an accredited medical degree. The license permits specific duties delegated by a supervising physician - such as patient care in the same facility, with the physician personally treating the patient and being immediately available - while explicitly prohibiting supervision by medical residents. This license does not grant full medical licensure or allow independent practice.
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.
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.