Labor & Employment

SB 295 would restore Montana injured workers' right to choose their own treating physician for initial treatment and ongoing care under workers' compensation, without being forced to use a managed care organization (MCO) or preferred provider organization (PPO) without consent. The bill requires insurers to allow workers to select a physician from a designated list for initial treatment and to change physicians with the insurer's approval (with mediation available if approval is denied). It also mandates that insurers provide individual written notice (not workplace postings) before referring workers to an MCO or PPO. This directly affects injured workers seeking medical treatment for work-related injuries in Montana, giving them more control over their healthcare decisions.

SB 345 would change how medical evidence is evaluated in Montana workers' compensation cases. It removes automatic preference for treating physicians' opinions, requiring courts to weigh medical testimony based on the provider's qualifications, experience with the specific worker, and credibility. The bill also limits discovery about independent medical examiners (IMEs) to their training, exam volume, and payments from insurers, aiming to reduce bias concerns. These changes directly affect workers seeking compensation, insurers requesting medical evaluations, and medical providers involved in these cases. The bill was introduced in 2025 but died in committee before becoming law.

HB 197 revises Montana's workers' compensation law to change when temporary disability payments end for injured workers. It directly affects employees receiving temporary total disability benefits who are cleared by a doctor to return to full work duties. The bill specifies that benefits must terminate on the exact date a worker is released for full duty - rather than continuing until medical treatment concludes (maximum medical improvement) - if the worker is cleared before or at that point. This change, effective immediately upon the governor's signature on April 7, 2025, streamlines benefit termination while requiring physician documentation of medical stability and job suitability before any benefit change.