# Montana HB 574: Authorizing implementation of the certified community behavioral health clinic model

Montana HB 574, Authorizing implementation of the certified community behavioral health clinic model, is a 69th Legislature, Regular Session (2025) House bill sponsored by Jane Gillette (Republican); status signed, last action 2025-05-13 (Chapter Number Assigned) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MT-HB574-2025
- 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 574
- State: Montana
- Session: 69th Legislature, Regular Session (2025)
- Title: Authorizing implementation of the certified community behavioral health clinic model
- Status: signed
- Chamber: House
- Introduced: 2025-02-19
- Last action: 2025-05-13, Chapter Number Assigned
- Sponsor: Jane Gillette (Republican)
- Cosponsors: 1
- Subjects: Health Care Services, Rule Making
- Touches household money: no
- Roll calls: 4 (289 yes, 8 no in all)
- Economic provisions PRIA read: 4

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Clinic pay tied to costs, quality: benefit, medium. The department sets clear rules for which costs count when paying clinics under Medicaid and Healthy Montana Kids. It analyzes clinic cost reports and rebases encounter rates at least every two years under federal guidance. The department also creates incentives that pay extra to clinics that show…
- Faster access and required services: benefit, medium. Clinics must directly provide targeted case management, peer and family supports, and outreach and education. If a screening shows urgent need, they give services and an initial evaluation within 1 business day of first contact. New patients get a full diagnostic and treatment plan within 30 days o…
- Montana creates clinic care program: benefit, medium. The law creates a certified community behavioral health clinic program at the state health department. Subject to available funding, the department establishes it no later than October 1, 2026, following federal rules. The department monitors services, outcomes, and fraud, waste, and abuse, and can…
- Sliding fees and insurance-first billing: benefit, medium. Clinics bill private insurance first; Medicaid pays last. They keep a public sliding fee scale based on income. Clinics do not deny care because you cannot pay.

## Sponsors and cosponsors

- Sponsor: Jane Gillette (Republican), House
- Cosponsor: Cora Neumann (Democrat), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-12 | Senate | Do Concur | pass | 48 | 2 |   |
| 2025-04-11 | Senate | Do Concur | pass | 44 | 6 |   |
| 2025-03-05 | House | Do Pass | pass | 98 | 0 |   |
| 2025-03-03 | House | Do Pass | pass | 99 | 0 |   |

## Actions (32)

- 2025-05-13: Chapter Number Assigned (House)
- 2025-05-08: Signed by Governor (House)
- 2025-05-01: Transmitted to Governor (House)
- 2025-05-01: Signed by President (Senate)
- 2025-04-29: Signed by Speaker (House)
- 2025-04-15: Returned from Enrolling (House)
- 2025-04-12: Sent to Enrolling (House)
- 2025-04-12: 3rd Reading (Senate)
- 2025-04-11: 2nd Reading (Senate)
- 2025-03-31: Committee Report (Senate)
- 2025-03-28: Committee Executive Action (Senate)
- 2025-03-20: Hearing (Senate)
- 2025-03-06: Referred to Committee (Senate)
- 2025-03-05: Transmitted to Senate (House)
- 2025-03-05: 3rd Reading (House)
- 2025-03-04: Committee Report (House)
- 2025-03-04: Committee Executive Action (House)
- 2025-03-03: Hearing (House)
- 2025-03-03: Rereferred to Committee (House)
- 2025-03-03: Hearing Canceled (House)
- 2025-03-03: Hearing (House)
- 2025-03-03: 2nd Reading (House)
- 2025-02-28: Committee Report (House)
- 2025-02-27: Committee Executive Action (House)
- 2025-02-27: Fiscal Note Printed (House)
- 2025-02-26: Fiscal Note Signed (House)
- 2025-02-25: Fiscal Note Received (House)
- 2025-02-21: Hearing (House)
- 2025-02-19: 1st Reading (House)
- 2025-02-19: Referred to Committee (House)
- 2025-02-19: Fiscal Note Requested (House)
- 2025-02-19: Introduced (House)

## Bill text

- Enrolled, 2025-04-15: [PDF](https://docs.legmt.gov/download-ticket?ticketId=d880d96e-aed4-45cf-a52b-e656ae532f40)
- Introduced, 2025-02-19: [PDF](https://docs.legmt.gov/download-ticket?ticketId=728645d9-d1e3-4f9a-8603-29e70b560a5a)

## 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=d880d96e-aed4-45cf-a52b-e656ae532f40)
- [Introduced (PDF)](https://docs.legmt.gov/download-ticket?ticketId=728645d9-d1e3-4f9a-8603-29e70b560a5a)

## 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-HB574-2025 (as of 2026-10-19).
