# Montana HB 473: Allow for automatic CMS medicare fee schedule updates

Montana HB 473, Allow for automatic CMS medicare fee schedule updates, is a 69th Legislature, Regular Session (2025) House bill sponsored by Jane Gillette (Republican); status signed, last action 2025-05-05 (Chapter Number Assigned) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MT-HB473-2025
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Montana HB 473
- State: Montana
- Session: 69th Legislature, Regular Session (2025)
- Title: Allow for automatic CMS medicare fee schedule updates
- Status: signed
- Chamber: House
- Introduced: 2025-02-12
- Last action: 2025-05-05, Chapter Number Assigned
- Sponsor: Jane Gillette (Republican)
- Cosponsors: 2
- Subjects: Health Care Services
- Touches household money: no
- Roll calls: 4 (295 yes, 2 no in all)
- Economic provisions PRIA read: 1

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Automatic Medicare fee updates for Medicaid: mixed, low. The Department of Public Health and Human Services can adopt Medicare fee schedules for Montana Medicaid rates. When Medicare updates those schedules, Montana Medicaid updates automatically. The state does not run a new rulemaking or publish each update. Provider payment rates change sooner and may…

## Sponsors and cosponsors

- Sponsor: Jane Gillette (Republican), House
- Cosponsor: Emma Kerr-Carpenter (Democrat), Senate
- Cosponsor: Josh Kassmier (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-14 | Senate | Do Concur | pass | 46 | 2 |   |
| 2025-04-12 | Senate | Do Concur | pass | 49 | 0 |   |
| 2025-02-26 | House | Do Pass | pass | 100 | 0 |   |
| 2025-02-25 | House | Do Pass | pass | 100 | 0 |   |

## Actions (29)

- 2025-05-05: Chapter Number Assigned (House)
- 2025-05-01: Signed by Governor (House)
- 2025-04-24: Transmitted to Governor (House)
- 2025-04-24: Signed by President (Senate)
- 2025-04-23: Signed by Speaker (House)
- 2025-04-15: Returned from Enrolling (House)
- 2025-04-14: Sent to Enrolling (House)
- 2025-04-14: 3rd Reading (Senate)
- 2025-04-12: 2nd Reading (Senate)
- 2025-04-11: 2nd Reading Pass Consideration (Senate)
- 2025-03-31: Committee Report (Senate)
- 2025-03-28: Committee Executive Action (Senate)
- 2025-03-20: Hearing (Senate)
- 2025-03-03: Referred to Committee (Senate)
- 2025-02-27: 1st Reading (Senate)
- 2025-02-26: Transmitted to Senate (House)
- 2025-02-26: 3rd Reading (House)
- 2025-02-25: 2nd Reading (House)
- 2025-02-22: Committee Report (House)
- 2025-02-21: Committee Executive Action (House)
- 2025-02-21: Committee Executive Action (House)
- 2025-02-20: Fiscal Note Printed (House)
- 2025-02-19: Fiscal Note Signed (House)
- 2025-02-19: Fiscal Note Received (House)
- 2025-02-17: Hearing (House)
- 2025-02-13: 1st Reading (House)
- 2025-02-13: Referred to Committee (House)
- 2025-02-12: Fiscal Note Requested (House)
- 2025-02-12: Introduced (House)

## Bill text

- Enrolled, 2025-04-15: [PDF](https://docs.legmt.gov/download-ticket?ticketId=845ad0b4-061c-4cff-a96a-6d45293df3cc)
- Introduced, 2025-02-12: [PDF](https://docs.legmt.gov/download-ticket?ticketId=43687373-5310-4564-8450-45f16789f027)

## Related bills

- SB 437: Revise definition of sex in Montana law (signed)
- HB 831: Increase elderly homeowner and renter income tax credit (vetoed)
- HB 628: Revise early literacy targeted intervention laws (vetoed)
- SB 410: Provide for Montana genomic security act (vetoed)
- SB 424: Revising the disabled veteran property tax assistance program (vetoed)
- SB 422: Generally revise laws relating to insurance coverage relating to cancer (vetoed)

## Sources
- [Enrolled (PDF)](https://docs.legmt.gov/download-ticket?ticketId=845ad0b4-061c-4cff-a96a-6d45293df3cc)
- [Introduced (PDF)](https://docs.legmt.gov/download-ticket?ticketId=43687373-5310-4564-8450-45f16789f027)

## Related
- [SB 437: Revise definition of sex in Montana law](https://policyrisk.com/state-bill/MT-SB437-2025)
- [HB 831: Increase elderly homeowner and renter income tax credit](https://policyrisk.com/state-bill/MT-HB831-2025)
- [HB 628: Revise early literacy targeted intervention laws](https://policyrisk.com/state-bill/MT-HB628-2025)
- [SB 410: Provide for Montana genomic security act](https://policyrisk.com/state-bill/MT-SB410-2025)
- [SB 424: Revising the disabled veteran property tax assistance program](https://policyrisk.com/state-bill/MT-SB424-2025)
- [SB 422: Generally revise laws relating to insurance coverage relating to cancer](https://policyrisk.com/state-bill/MT-SB422-2025)
- [Montana bills](https://policyrisk.com/states/montana/bills)
- [Montana state hub](https://policyrisk.com/states/montana)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/MT-HB473-2025 (as of 2026-10-19).