All Roll Calls
Yes: 455 • No: 34
MontanaHB 73269th Legislature, Regular Session (2025)HouseWALLET
Establish prompt cost report reimbursement act
Sponsored By: David Bedey (Republican)
Became Law
Health Care ServicesState FinanceAppropriations
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Older hospital cost reports settled in 240 days
The law applies its timelines to cost reports filed before the effective date. DPHHS must settle all of those reports within 240 days after the law takes effect. This speeds up final payments or paybacks on older hospital reports.
Faster Medicaid settlements for critical access hospitals
Critical access hospitals file annual Medicaid cost reports. DPHHS makes a tentative adjustment when the Medicare contractor gets your report and accepts your costs unless there are obvious errors. DPHHS must make an interim settlement and any payment by the earlier of 240 days after the contractor gets your report or 30 days after DPHHS gets the contractor’s interim settlement. After the contractor’s final desk review or audit, DPHHS makes a final adjustment; if you are owed money, it pays within 90 days of notice. If an overpayment is found at either step, you must repay or set a plan within 60 days of notice. The law uses the federal definition of “Medicare administrative contractor,” including intermediaries.
Funds to process Medicaid hospital settlements
The law gives DPHHS $33,900 from the state Medicaid hospital account and $33,900 in federal funds for the year starting July 1, 2025. It also gives $7,500 from each fund for the year starting July 1, 2026. The legislature intends $15,000 from each fund over the biennium to be part of the ongoing base. This money supports processing and paying the hospital cost settlements.
Sponsors & Cosponsors
Sponsor
David Bedey
Republican • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/18/2025
Do Concur
Yes: 98 • No: 1
House vote • 4/17/2025
Do Concur
Yes: 69 • No: 30
House vote • 4/8/2025
Do Concur
Yes: 48 • No: 0
House vote • 4/5/2025
Do Concur
Yes: 43 • No: 3
House vote • 3/7/2025
Do Pass
Yes: 99 • No: 0
House vote • 3/5/2025
Do Pass
Yes: 98 • No: 0
Actions Timeline
Chapter Number Assigned
5/13/2025HouseSigned by Governor
5/8/2025HouseTransmitted to Governor
5/1/2025HouseSigned by President
5/1/2025SenateSigned by Speaker
4/29/2025HouseReturned from Enrolling
4/20/2025HouseSent to Enrolling
4/18/2025House3rd Reading Passed as Amended by Senate
4/18/2025House2nd Reading Senate Amendments Concurred
4/17/2025HouseReturned to House with Amendments
4/8/2025Senate3rd Reading Concurred
4/8/2025Senate2nd Reading Concurred
4/5/2025SenateCommittee Report--Bill Concurred as Amended
4/3/2025SenateCommittee Executive Action--Bill Concurred as Amended
4/2/2025SenateHearing
3/27/2025SenateHearing Canceled
3/20/2025SenateHearing
3/19/2025SenateReferred to Committee
3/18/2025SenateFirst Reading
3/14/2025SenateTransmitted to Senate
3/7/2025House3rd Reading Passed
3/7/2025House2nd Reading Passed
3/5/2025HouseCommittee Report--Bill Passed as Amended
3/3/2025HouseFiscal Note Printed
3/3/2025HouseFiscal Note Signed
3/3/2025House
Bill Text
Enrolled
4/18/2025
As Amended (Version 3)
4/3/2025
As Amended (Version 2)
3/3/2025
Introduced
2/25/2025