Montana legislation · 2025 Regular Session
Montana SB446: Revise laws related to healthcare utilization review
Status: Signed into law, May 16, 2025
What the bill says
An act revising laws related to health utilization review; requiring a physician licensed in the state to make or review an adverse determination or review a grievance; and amending section 33-32-221, mca.
From the engrossed text:
AN ACT REVISING LAWS RELATED TO HEALTH UTILIZATION REVIEW; REQUIRING A PHYSICIAN LICENSED IN THE STATE TO MAKE OR REVIEW AN ADVERSE DETERMINATION OR REVIEW A GRIEVANCE; AND AMENDING SECTION 33-32-221, MCA. Section 1. Qualifications of individuals who make or review adverse determinations. (1) Only a physician may make an adverse determination pursuant to 33-32-211 or 33-32-212 for a utilization review organization. (2) A physician who makes an adverse (b) must have a specialty that focuses on the diagnosis and treatment of the condition being reviewed; and (c) shall make the adverse determination under the clinical direction of one of the utilization review organization's medical directors who is responsible for the oversight of the utilization review activities. A medical director used for this purpose must be a physician licensed in the state. Section 2. Qualifications of individuals who review grievance. (1) Only a physician may review a grievance as provided under 33-32-308 or 33-32-309 for a utilization review organization. (2) A physician who reviews a (b) must have the same specialty as a health care provider who typically manages the medical condition or disease or provides the health care service that is the subject of the grievance; (c) must have experience treating patients with the medical condition or disease that is the subject - 1 - Authorized Print Version - …
Sponsors
- Ricci, Vince (R, 27) · primary sponsor
Latest actions
- : Chapter Number Assigned
- : (S) Signed by Governor
- : (S) Transmitted to Governor
- : (H) Signed by Speaker
- : (S) Signed by President
- : (S) Returned from Enrolling
- : (S) Sent to Enrolling
- : (S) 3rd Reading Free Conference Committee Report Adopted
- : (H) 3rd Reading Free Conference Committee Report Adopted
- : (S) 3rd Reading Free Conference Committee Report
Votes
- Do Adopt (April 30, 2025): 100 yea, 0 nay, passed
- Do Adopt (April 30, 2025): 50 yea, 0 nay, passed
- Do Adopt (April 29, 2025): 96 yea, 2 nay, passed
- Do Adopt (April 29, 2025): 48 yea, 1 nay, passed
- Do Not Concur (April 14, 2025): 33 yea, 16 nay, failed
- Do Concur (April 11, 2025): 99 yea, 0 nay, passed
Subjects: Insurance, Health Care Services, Health
Common questions
- What is SB446?
- SB446 is a bill in the Montana Legislature (2025 Regular Session): Revise laws related to healthcare utilization review.
- What does SB446 do?
- In its own words: An act revising laws related to health utilization review; requiring a physician licensed in the state to make or review an adverse determination or review a grievance; and amending section 33-32-221, mca.
- What is the status of SB446?
- Signed into law as of May 16, 2025. Latest action: Chapter Number Assigned (May 16, 2025).
- Who sponsored SB446?
- Ricci, Vince (R, 27).
- Where is the official record for SB446?
- On the Montana Legislature website: https://bills.legmt.gov/#/laws/bill/2/LC3198
Source: official Montana record. Tracked by Delilah, AI for legislation across all 50 states and Congress.