Montana legislation · 2025 Regular Session
Montana HB398: Generally revise insurance laws related to prior authorization of chronic conditions
Status: Signed into law, May 5, 2025
What the bill says
An act generally revising utilization review laws; establishing requirements for individuals making or reviewing adverse determinations; providing for qualifications of individuals making or reviewing adverse determinations; revising a definition; amending sections 33-32-102 and 33-32-107, mca; and providing a delayed effective date.
From the engrossed text:
AN ACT GENERALLY REVISING UTILIZATION REVIEW LAWS; ESTABLISHING REQUIREMENTS FOR INDIVIDUALS MAKING OR REVIEWING ADVERSE DETERMINATIONS; PROVIDING FOR QUALIFICATIONS OF INDIVIDUALS MAKING OR REVIEWING ADVERSE DETERMINATIONS; REVISING A DEFINITION; AMENDING SECTIONS 33-32-102 AND 33-32-107, MCA; AND PROVIDING A DELAYED EFFECTIVE DATE. Section 1. Exemption for continuity of care on change in health plans. (1) When a covered person changes health plans, a health insurance issuer or its utilization review organization shall honor a certification for health care services granted by a previous health insurance issuer or its utilization review organization for at least the first 3 months of the person's coverage under a new health plan on receiving information documenting the certification from the covered person or the person's health care provider, provided that the services are covered services under the new plan. (2) During the time period specified in subsection (1), a utilization review organization may perform its own review to grant certification. (3) If a change in coverage or approval criteria occurs for a previously certified health care service, the change in coverage or approval criteria does not affect a covered person who received certification for a health care service before the effective date of the change for the remainder of the authorization period or the covered person's plan year, whichever is shorter. (4) A utilization review organization …
Sponsors
- Karlen, Jonathan (D, 98) · primary sponsor
- Curdy, Willis (D, 49)
Latest actions
- : Chapter Number Assigned
- : (H) Signed by Governor
- : (H) Transmitted to Governor
- : (S) Signed by President
- : (H) Signed by Speaker
- : Chapter Number Assigned
- : (H) Returned from Enrolling
- : (H) Signed by Governor
- : (H) Sent to Enrolling
- : (H) 3rd Reading Passed as Amended by Senate
Votes
- Do Concur (April 10, 2025): 47 yea, 1 nay, passed
- Do Concur (April 9, 2025): 44 yea, 3 nay, passed
- Do Pass (March 20, 2025): 90 yea, 8 nay, passed
- Do Pass (March 19, 2025): 90 yea, 9 nay, passed
Subjects: Revenue, State, Insurance, Health Care Services, Professions and Occupations Generally
Common questions
- What is HB398?
- HB398 is a bill in the Montana Legislature (2025 Regular Session): Generally revise insurance laws related to prior authorization of chronic conditions.
- What does HB398 do?
- In its own words: An act generally revising utilization review laws; establishing requirements for individuals making or reviewing adverse determinations; providing for qualifications of individuals making or reviewing adverse determinations; revising a definition; amending sections 33-32-102 and 33-32-107, mca; and providing a delayed effective date.
- What is the status of HB398?
- Signed into law as of May 5, 2025. Latest action: Chapter Number Assigned (May 19, 2025).
- Who sponsored HB398?
- Karlen, Jonathan (D, 98), with 1 co-sponsor.
- Where is the official record for HB398?
- On the Montana Legislature website: https://bills.legmt.gov/#/laws/bill/2/LC1785
Source: official Montana record. Tracked by Delilah, AI for legislation across all 50 states and Congress.