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MontanaHB 95369th Legislature, Regular Session (2025)HouseWALLET

Revise medicaid laws related to direct primary care

Sponsored By: Ed Buttrey (Republican)

Became Law

Health Care ServicesProfessions and Occupations GenerallyAppropriations

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Bill Overview

Analyzed Economic Effects

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

Medicaid covers direct patient care agreements

Beginning July 1, 2025, Montana Medicaid covers services under a qualifying direct patient care agreement defined in 50-4-107. If you have such an agreement, the state cannot require you to join a primary care case management program. The law defines which agreements qualify and lets participating providers bill Medicaid for covered services, as allowed.

Small funds to implement Medicaid changes

For the two-year budget period that begins July 1, 2025, the state provides $5,000 to the health department to carry out this law. This funds agency work, not direct payments to people.

Sponsors & Cosponsors

Sponsor

  • Ed Buttrey

    Republican • House

Cosponsors

  • Jason Ellsworth

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 207 • No: 87

House vote • 4/24/2025

Do Concur

Yes: 28 • No: 22

House vote • 4/23/2025

Do Concur

Yes: 31 • No: 19

House vote • 4/8/2025

Do Pass

Yes: 73 • No: 24

House vote • 4/7/2025

Do Pass

Yes: 75 • No: 22

Actions Timeline

  1. Chapter Number Assigned

    5/16/2025House

  2. Signed by Governor

    5/13/2025House

  3. Transmitted to Governor

    5/5/2025House

  4. Signed by President

    5/2/2025Senate

  5. Signed by Speaker

    5/1/2025House

  6. Returned from Enrolling

    4/28/2025House

  7. Sent to Enrolling

    4/24/2025House

  8. 3rd Reading Concurred

    4/24/2025Senate

  9. 2nd Reading Concurred

    4/23/2025Senate

  10. Taken from Committee; Placed on 2nd Reading

    4/22/2025Senate

  11. Rereferred to Committee

    4/18/2025Senate

  12. Tabled in Committee

    4/16/2025Senate

  13. Hearing

    4/15/2025Senate

  14. Referred to Committee

    4/10/2025Senate

  15. Fiscal Note Printed

    4/9/2025House

  16. Fiscal Note Signed

    4/8/2025House

  17. Transmitted to Senate

    4/8/2025House

  18. 3rd Reading Passed

    4/8/2025House

  19. Fiscal Note Received

    4/8/2025House

  20. 2nd Reading Passed

    4/7/2025House

  21. Committee Report--Bill Passed as Amended

    4/3/2025House

  22. Committee Executive Action--Bill Passed as Amended

    4/3/2025House

  23. Hearing

    4/3/2025House

  24. First Reading

    4/1/2025House

  25. Referred to Committee

    4/1/2025House

Bill Text

  • Enrolled

    4/25/2025

    PDF

  • As Amended (Version 2)

    4/3/2025

    PDF

  • Introduced

    3/31/2025

    PDF

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