Sen. Vince Ricci

Maddy summarySB 448, a health insurance payment reform bill, requires Montana health carriers (insurance companies) to pay "clean claims" from healthcare providers within 14 days for electronic submissions or 30 days for paper submissions. It defines a "clean claim" as one with all required documentation and no errors, and mandates that carriers notify providers of missing information within 10 days if a claim is incomplete. The bill also establishes penalties for late payments due to carrier errors and allows providers to pursue legal action if payments are delayed unlawfully. This directly affects healthcare providers (hospitals, doctors, labs), health carriers, and enrollees by streamlining payment processes and reducing billing delays.

Maddy summarySB 555 generally revises gambling laws, updating the definition of "internet gambling" to include online casinos and cryptocurrency. It provides an exception for online casinos that do not use any form of currency. The bill also revises how fines are disposed of, directing them to the Department of Justice, and establishes new criminal penalties, including both misdemeanor and felony crimes, for violations.

Maddy summarySB 447 revises state laws related to prior authorization for health care services, affecting individuals with health insurance and health insurance issuers. The bill extends the length of a prior authorization certification. For treatment of chronic conditions, a prior authorization would be valid for the duration of that condition. Additionally, this bill prohibits prior authorization for certain prescriptions.

Maddy summarySB 446 revises laws related to health utilization review, affecting health insurance companies, utilization review organizations, and patients. It requires that only a physician licensed in the state, with a relevant specialty, can make adverse determinations (denials of coverage) or review grievances. The bill also restricts health insurance issuers from requiring prior authorization for certain prescription drugs, such as some generics, drugs for substance use disorder, and long-acting injectable antipsychotics. If an issuer or utilization review organization fails to comply with the requirements, the healthcare service under review will be automatically approved.

Maddy summarySB 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.

Maddy summarySB 201 revises cleanup laws for properties contaminated with methamphetamine or fentanyl residues. It requires individuals and companies assessing or cleaning these properties to be certified by the state department, with penalties for non-compliance. The bill establishes decontamination standards for fentanyl and updates standards for methamphetamine, including contamination from drug use smoke. It also creates a process for property owners to voluntarily decontaminate properties, ensuring they are not publicly listed by the department.

Maddy summarySB 426 generally revises the state's Uniform Commercial Code to update it for the digital age. The bill modernizes terminology and establishes rules for commercial transactions involving certain digital assets, including cryptocurrency. It also explicitly prohibits the support, endorsement, creation, or implementation of a central bank digital currency within the state. This legislation affects businesses, financial institutions, and individuals engaged in commercial activities, particularly those involving digital records and assets.