Montana legislation · 2025 Regular Session
Montana HB758: Revise health care laws relating to out-of-network services
Status: Failed, May 22, 2025
What the bill says
A bill for an act entitled: "an act revising insurance law to prohibit balance billing for out-of-network emergencies; applying to health insurance plans; requiring ambulance ground transportation services to be paid by the insurer at certain innetwork rates; establishing rates; providing rulemaking authority; requiring reporting to the commissioner of insurance; providing definitions; and amending sections 2-18-704, 30-14-2602, 33-31-111, and 33-35-306, mca; and providing a delayed effective date.".
From the engrossed text:
A BILL FOR AN ACT ENTITLED: "AN ACT REVISING INSURANCE LAW TO PROHIBIT BALANCE BILLING FOR OUT-OF-NETWORK EMERGENCIES; APPLYING TO HEALTH INSURANCE PLANS; REQUIRING AMBULANCE GROUND TRANSPORTATION SERVICES TO BE PAID BY THE INSURER AT CERTAIN INNETWORK RATES; ESTABLISHING RATES; PROVIDING RULEMAKING AUTHORITY; REQUIRING REPORTING TO THE COMMISSIONER OF INSURANCE; PROVIDING DEFINITIONS; AND AMENDING SECTIONS 2-18-704, 30-14-2602, 33-31-111, AND 33-35-306, MCA; AND PROVIDING A DELAYED EFFECTIVE DATE." BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MONTANA: NEW SECTION. Section 1. Balance billing prohibited -- out-of-network emergency -- rulemaking. (1) With respect to a health benefit plan, the state employee group benefits plan, the Montana university system group benefits plan, or a medicare supplement insurance policy that provides coverage for ambulance care and transportation, the insurer shall indemnify directly the provider of the ambulance care and transportation. (2) An ambulance service may not bill an enrollee for covered ground transportation services, including nonemergency transportation between health care facilities, if the enrollee has paid the in-network cost-sharing amount specified in the enrollee's health benefit plan. (3) For ambulance ground transportation services covered by a health benefit plan, the insurer: (a) may not impose an out-of-pocket maximum that exceeds $100 for in-network or out-of-network providers; (b) shall apply any out-of-pocket costs toward an applicable deductible; (c) may not impose a deductible, …
Sponsors
- Gist, Steve (R, 25) · primary sponsor
Latest actions
- : (S) Died in Committee
- : (S) Tabled in Committee
- : (S) Hearing
- : (S) Hearing
- : (S) Referred to Committee
- : (H) Revised Fiscal Note Printed
- : (H) Revised Fiscal Note Signed
- : (H) Revised Fiscal Note Received
- : (S) 1st Reading
- : (H) Transmitted to Senate
Votes
- Do Pass (March 7, 2025): 81 yea, 18 nay, passed
- Do Pass (March 6, 2025): 83 yea, 16 nay, passed
Subjects: Rule Making, Health Care Services
Common questions
- What is HB758?
- HB758 is a bill in the Montana Legislature (2025 Regular Session): Revise health care laws relating to out-of-network services.
- What does HB758 do?
- In its own words: A bill for an act entitled: "an act revising insurance law to prohibit balance billing for out-of-network emergencies; applying to health insurance plans; requiring ambulance ground transportation services to be paid by the insurer at certain innetwork rates; establishing rates; providing rulemaking authority; requiring reporting to the commissioner of insurance; providing definitions; and amending sections 2-18-704, 30-14-2602, 33-31-111, and 33-35-306, mca; and providing a delayed effective date.".
- What is the status of HB758?
- Failed as of May 22, 2025. Latest action: (S) Died in Committee (May 22, 2025).
- Who sponsored HB758?
- Gist, Steve (R, 25).
- Where is the official record for HB758?
- On the Montana Legislature website: https://bills.legmt.gov/#/laws/bill/2/LC2288
Source: official Montana record. Tracked by Delilah, AI for legislation across all 50 states and Congress.