Montana legislation · 2025 Regular Session
Montana SB447: Revise laws related to prior authorization
Status: Signed into law, May 16, 2025
What the bill says
An act revising laws related to prior authorization; extending the length of a prior authorization certification; providing that a prior authorization for treatment of a chronic condition is valid for the duration of the condition; prohibiting prior authorization for certain prescriptions; providing definitions; and amending sections 33-32-102, 33-32-107, and 33-32-221, mca.
From the engrossed text:
AN ACT REVISING LAWS RELATED TO PRIOR AUTHORIZATION; EXTENDING THE LENGTH OF A PRIOR AUTHORIZATION CERTIFICATION; PROVIDING THAT A PRIOR AUTHORIZATION FOR TREATMENT OF A CHRONIC CONDITION IS VALID FOR THE DURATION OF THE CONDITION; PROHIBITING PRIOR AUTHORIZATION FOR CERTAIN PRESCRIPTIONS; PROVIDING DEFINITIONS; AND AMENDING SECTIONS 33-32-102, 33-32-107, AND 33-32-221, MCA. Section 1. Section 33-32-102, MCA, is amended to read: "33-32-102. Definitions. As used in this chapter, the following definitions apply: (1) "Adverse determination", except as provided in 33-32-402, means: (a) a determination by a health insurance issuer or its designated utilization review organization that, based on the provided information and after application of any utilization review technique, a requested benefit under the health insurance issuer's health plan is denied, reduced, or terminated or that payment is not made in whole or in part for the requested benefit because the requested benefit does not meet the health insurance issuer's requirement for medical necessity, appropriateness, health care setting, level of care, or level of effectiveness or is determined to be experimental or investigational; (b) a denial, reduction, termination, or failure to provide or make payment in whole or in part for a requested benefit based on a determination by a health insurance issuer or its designated utilization review organization of a person's eligibility to participate in the health insurance issuer's health …
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 House Amendments
- : (S) Scheduled for 3rd Reading
- : (S) 2nd Reading House Amendments
Votes
- Do Pass (April 18, 2025): 50 yea, 0 nay, passed
- Do Pass (April 17, 2025): 47 yea, 0 nay, passed
- Do Concur (April 11, 2025): 99 yea, 0 nay, passed
- Do Concur (April 11, 2025): 99 yea, 0 nay, passed
- Do Pass (March 6, 2025): 41 yea, 8 nay, passed
- Do Pass As Amended (March 5, 2025): 41 yea, 9 nay, passed
Subjects: Insurance, Health Care Services, Health
Common questions
- What is SB447?
- SB447 is a bill in the Montana Legislature (2025 Regular Session): Revise laws related to prior authorization.
- What does SB447 do?
- In its own words: An act revising laws related to prior authorization; extending the length of a prior authorization certification; providing that a prior authorization for treatment of a chronic condition is valid for the duration of the condition; prohibiting prior authorization for certain prescriptions; providing definitions; and amending sections 33-32-102, 33-32-107, and 33-32-221, mca.
- What is the status of SB447?
- Signed into law as of May 16, 2025. Latest action: Chapter Number Assigned (May 16, 2025).
- Who sponsored SB447?
- Ricci, Vince (R, 27).
- Where is the official record for SB447?
- On the Montana Legislature website: https://bills.legmt.gov/#/laws/bill/2/LC3199
Source: official Montana record. Tracked by Delilah, AI for legislation across all 50 states and Congress.