Montana legislation · 2025 Regular Session
Montana HB953: Revise medicaid laws related to direct primary care
Status: Signed into law, May 16, 2025
What the bill says
An act generally revising medicaid laws related to direct primary care; allowing for coverage of direct primary care contracts under the montana medicaid program; prohibiting the department of public health and human services from requiring a medicaid enrollee to participate in a primary care case management service if the enrollee enters into a direct primary care contract; providing a definition of direct primary care contract; providing an appropriation; amending sections 53-6-101, 53-6-116, and 53-6-124, mca; and providing an effective date.
From the engrossed text:
AN ACT GENERALLY REVISING MEDICAID LAWS RELATED TO DIRECT PRIMARY CARE; ALLOWING FOR COVERAGE OF DIRECT PRIMARY CARE CONTRACTS UNDER THE MONTANA MEDICAID PROGRAM; PROHIBITING THE DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES FROM REQUIRING A MEDICAID ENROLLEE TO PARTICIPATE IN A PRIMARY CARE CASE MANAGEMENT SERVICE IF THE ENROLLEE ENTERS INTO A DIRECT PRIMARY CARE CONTRACT; PROVIDING A DEFINITION OF DIRECT PRIMARY CARE CONTRACT; PROVIDING AN APPROPRIATION; AMENDING SECTIONS 53-6-101, 53-6-116, AND 53-6-124, MCA; AND PROVIDING AN EFFECTIVE DATE. Section 1. Section 53-6-101, MCA, is amended to read: "53-6-101. Montana medicaid program -- authorization of services. (1) There is a Montana medicaid program established for the purpose of providing necessary medical services to eligible persons who have need for medical assistance. The Montana medicaid program is a joint federal-state program administered under this chapter and in accordance with Title XIX of the Social Security Act, 42 U.S.C. 1396, et seq. The department shall administer the Montana medicaid program. (2) The department and the legislature shall consider the following funding principles when considering changes in medicaid policy that either increase or reduce services: (a) protecting those persons who are most vulnerable and most in need, as defined by a combination of economic, social, and medical circumstances; (b) giving preference to the elimination or restoration of an entire medicaid program or …