All Roll Calls
Yes: 295 • No: 2
MontanaHB 47369th Legislature, Regular Session (2025)HouseWALLET
Allow for automatic CMS medicare fee schedule updates
Sponsored By: Jane Gillette (Republican)
Became Law
Health Care Services
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Medicaid rates follow Medicare updates
The health department may set Montana Medicaid payment rates using Medicare fee schedules from CMS. When it does, CMS changes during the year apply automatically. These automatic updates are exempt from some state notice-and-comment steps. This speeds provider payment changes and can affect which providers accept Medicaid.
More transparency in state rulemaking
Agencies must state in each proposal notice when and how they contacted the bill’s primary sponsor; without it, the filing is ineffective. Agencies must email the notice the same day to the rule review committee and send the published notice to the primary sponsor within 3 days. With a person’s consent, agencies may send an email link instead of a full copy of notices and must keep an interested-persons list. When a proposal changes fees, costs, or benefits, the notice must state the estimated total dollars affected and how many people are affected, if known. If an adopted rule does not use the sponsor’s earlier comments, the agency must explain why.
Sponsors & Cosponsors
Sponsor
Jane Gillette
Republican • House
Cosponsors
Emma Kerr-Carpenter
Democrat • Senate
Josh Kassmier
Republican • Senate
Roll Call Votes
House vote • 4/14/2025
Do Concur
Yes: 46 • No: 2
House vote • 4/12/2025
Do Concur
Yes: 49 • No: 0
House vote • 2/26/2025
Do Pass
Yes: 100 • No: 0
House vote • 2/25/2025
Do Pass
Yes: 100 • No: 0
Actions Timeline
Chapter Number Assigned
5/5/2025HouseSigned by Governor
5/1/2025HouseTransmitted to Governor
4/24/2025HouseSigned by President
4/24/2025SenateSigned by Speaker
4/23/2025HouseReturned from Enrolling
4/15/2025HouseSent to Enrolling
4/14/2025House3rd Reading Concurred
4/14/2025Senate2nd Reading Concurred
4/12/2025Senate2nd Reading Pass Consideration
4/11/2025SenateCommittee Report--Bill Concurred
3/31/2025SenateCommittee Executive Action--Bill Concurred
3/28/2025SenateHearing
3/20/2025SenateReferred to Committee
3/3/2025SenateFirst Reading
2/27/2025SenateTransmitted to Senate
2/26/2025House3rd Reading Passed
2/26/2025House2nd Reading Passed
2/25/2025HouseCommittee Report--Bill Passed
2/22/2025HouseCommittee Executive Action--Bill Passed
2/21/2025HouseCommittee Executive Action--Bill Passed
2/21/2025HouseFiscal Note Printed
2/20/2025HouseFiscal Note Signed
2/19/2025HouseFiscal Note Received
2/19/2025HouseHearing
2/17/2025House
Bill Text
Enrolled
4/15/2025
Introduced
2/12/2025