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MontanaHB 59069th Legislature, Regular Session (2025)HouseWALLET

Generally revise laws related to electronic health care records

Sponsored By: Greg Oblander (Republican)

Became Law

Health Care ServicesHealthInsurancePrivacy

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Patients see critical test results faster

Providers who order your lab test cannot block your access to results, except where federal law allows. Your electronic health record must show certain results within 72 hours after they are final, or sooner if your provider releases them. These include: pathology or radiology reports likely to show new or recurring cancer; tests that could reveal genetic markers; a positive HIV diagnostic test; and antigens that indicate hepatitis infection. This applies starting July 1, 2026.

More digital access from health plans, with exceptions

Health carriers must provide five digital interfaces: patient access, provider directory, provider access, carrier-to-carrier exchange, and prior authorization. These must be live by the earliest dates CMS sets and follow CMS standards, including any delays or suspensions. Dental-only and vision-only plans are exempt. The insurance commissioner can grant written deadline extensions if meeting the dates is unduly burdensome or causes economic harm, and must post approvals online. These rules take effect July 1, 2026.

Sponsors & Cosponsors

Sponsor

  • Greg Oblander

    Republican • House

Cosponsors

  • Brandon Ler

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 475 • No: 13

House vote • 4/17/2025

Do Concur

Yes: 99 • No: 0

House vote • 4/16/2025

Do Concur

Yes: 98 • No: 0

House vote • 4/7/2025

Do Concur

Yes: 43 • No: 6

House vote • 4/5/2025

Do Concur

Yes: 41 • No: 5

House vote • 3/7/2025

Do Pass

Yes: 98 • No: 1

House vote • 3/6/2025

Do Pass

Yes: 96 • No: 1

Actions Timeline

  1. Chapter Number Assigned

    5/19/2025House

  2. Signed by Governor

    5/13/2025House

  3. Transmitted to Governor

    5/7/2025House

  4. Signed by President

    5/6/2025Senate

  5. Signed by Speaker

    5/2/2025House

  6. Returned from Enrolling

    4/23/2025House

  7. Sent to Enrolling

    4/18/2025House

  8. 3rd Reading Passed as Amended by Senate

    4/17/2025House

  9. 2nd Reading Senate Amendments Concurred

    4/16/2025House

  10. Revised Fiscal Note Printed

    4/11/2025House

  11. Revised Fiscal Note Received

    4/10/2025House

  12. Returned to House with Amendments

    4/7/2025Senate

  13. 3rd Reading Concurred

    4/7/2025Senate

  14. Revised Fiscal Note Requested

    4/7/2025House

  15. 2nd Reading Concurred

    4/5/2025Senate

  16. Committee Report--Bill Concurred as Amended

    4/3/2025Senate

  17. Committee Executive Action--Bill Concurred as Amended

    4/2/2025Senate

  18. Hearing

    3/24/2025Senate

  19. Referred to Committee

    3/14/2025Senate

  20. First Reading

    3/14/2025Senate

  21. Transmitted to Senate

    3/7/2025House

  22. 3rd Reading Passed

    3/7/2025House

  23. 2nd Reading Passed

    3/6/2025House

  24. Fiscal Note Printed

    3/3/2025House

  25. Committee Report--Bill Passed as Amended

    3/3/2025House

Bill Text

  • Enrolled

    4/22/2025

    PDF

  • As Amended (Version 3)

    4/3/2025

    PDF

  • As Amended (Version 2)

    3/3/2025

    PDF

  • Introduced

    2/19/2025

    PDF

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