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MontanaHB 59069th Legislature, Regular Session (2025)House

Generally revise laws related to electronic health care records

Sponsored By: Greg Oblander (Republican)

Signed by Governor

Health Care ServicesHealthInsurancePrivacy

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Bill Overview

Analyzed Economic Effects

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

Dental and vision plans are exempt

Dental-only and vision-only plans do not have to build the new data-sharing tools. This saves those insurers money. People with only dental or only vision coverage do not get the new standard data access from this law.

New data-sharing rules for health insurers

The law requires Montana health insurers to run five data-sharing tools: patient access, provider directory, provider access, payer-to-payer exchange, and prior authorization. Insurers must follow CMS technical standards and the earliest CMS start dates for each tool. The insurance commissioner can extend a deadline if a carrier asks in writing and shows it is unduly burdensome, impracticable, or unfeasible and would cause economic harm; approved extensions are posted online. These tools improve patient and provider access to data but add insurer compliance costs.

Sponsors & Cosponsors

Sponsor

  • Greg Oblander

    Republican • House

Cosponsors

  • Brandon Ler

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 481 • No: 13

House vote • 4/17/2025

Do Concur

Yes: 99 • No: 0

House vote • 4/16/2025

Do Concur

Yes: 100 • No: 0

Senate vote • 4/7/2025

Do Concur

Yes: 43 • No: 6

Senate vote • 4/5/2025

Do Concur

Yes: 45 • 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 Senate Amendments

    4/17/2025House

  9. 2nd Reading Senate Amendments

    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

    4/7/2025Senate

  14. Revised Fiscal Note Requested

    4/7/2025House

  15. 2nd Reading

    4/5/2025Senate

  16. Committee Report

    4/3/2025Senate

  17. Committee Executive Action

    4/2/2025Senate

  18. Hearing

    3/24/2025Senate

  19. Referred to Committee

    3/14/2025Senate

  20. 1st Reading

    3/14/2025Senate

  21. Transmitted to Senate

    3/7/2025House

  22. 3rd Reading

    3/7/2025House

  23. 2nd Reading

    3/6/2025House

  24. Fiscal Note Printed

    3/3/2025House

  25. Committee Report

    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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