# Montana HB 953: Revise medicaid laws related to direct primary care

Montana HB 953, Revise medicaid laws related to direct primary care, is a 69th Legislature, Regular Session (2025) House bill sponsored by Ed Buttrey (Republican); status signed, last action 2025-05-16 (Chapter Number Assigned); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/MT-HB953-2025
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Montana HB 953
- State: Montana
- Session: 69th Legislature, Regular Session (2025)
- Title: Revise medicaid laws related to direct primary care
- Status: signed
- Chamber: House
- Introduced: 2025-03-31
- Last action: 2025-05-16, Chapter Number Assigned
- Sponsor: Ed Buttrey (Republican)
- Cosponsors: 1
- Subjects: Health Care Services, Professions and Occupations Generally, Appropriations
- Touches household money: yes
- Roll calls: 4 (210 yes, 87 no in all)
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Direct primary care for Medicaid enrollees: benefit, low. Beginning July 1, 2025, the law allows Montana Medicaid to cover direct primary care membership agreements if the health department adopts a rule. If you are on Medicaid and have a qualifying direct primary care agreement, the department cannot make you join primary care case management. The law al…
- Medicaid direct care law starts July 2025: benefit, low. This law takes effect July 1, 2025. The state provides $5,000 from the general fund to the health department for the two‑year budget that starts July 1, 2025 to put this law in place.

## Sponsors and cosponsors

- Sponsor: Ed Buttrey (Republican), House
- Cosponsor: Jason Ellsworth (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-24 | Senate | Do Concur | pass | 28 | 22 |   |
| 2025-04-23 | Senate | Do Concur | pass | 31 | 19 |   |
| 2025-04-08 | House | Do Pass | pass | 73 | 24 |   |
| 2025-04-07 | House | Do Pass | pass | 78 | 22 |   |

## Actions (27)

- 2025-05-16: Chapter Number Assigned (House)
- 2025-05-13: Signed by Governor (House)
- 2025-05-05: Transmitted to Governor (House)
- 2025-05-02: Signed by President (Senate)
- 2025-05-01: Signed by Speaker (House)
- 2025-04-28: Returned from Enrolling (House)
- 2025-04-24: Sent to Enrolling (House)
- 2025-04-24: 3rd Reading (Senate)
- 2025-04-23: 2nd Reading (Senate)
- 2025-04-22: Take from Committee; Place on 2nd Reading (Senate)
- 2025-04-18: Rereferred to Committee (Senate)
- 2025-04-16: Tabled in Committee (Senate)
- 2025-04-15: Hearing (Senate)
- 2025-04-10: Referred to Committee (Senate)
- 2025-04-09: Fiscal Note Printed (House)
- 2025-04-08: Fiscal Note Signed (House)
- 2025-04-08: Transmitted to Senate (House)
- 2025-04-08: 3rd Reading (House)
- 2025-04-08: Fiscal Note Received (House)
- 2025-04-07: 2nd Reading (House)
- 2025-04-03: Committee Report (House)
- 2025-04-03: Committee Executive Action (House)
- 2025-04-03: Hearing (House)
- 2025-04-01: 1st Reading (House)
- 2025-04-01: Referred to Committee (House)
- 2025-03-31: Fiscal Note Requested (House)
- 2025-03-31: Introduced (House)

## Bill text

- Enrolled, 2025-04-25: [PDF](https://docs.legmt.gov/download-ticket?ticketId=5df2e144-96ad-4c94-acbf-c27e2917ac67)
- As Amended (Version 2), 2025-04-03: [PDF](https://docs.legmt.gov/download-ticket?ticketId=628a3ca9-9872-47c1-a2f3-c23e9a0a4f4c)
- Introduced, 2025-03-31: [PDF](https://docs.legmt.gov/download-ticket?ticketId=ccdf9014-e8df-4600-9a9d-2ca793569be2)

## 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 422: Generally revise laws relating to insurance coverage relating to cancer (vetoed)
- SB 424: Revising the disabled veteran property tax assistance program (vetoed)

## Sources
- [Enrolled (PDF)](https://docs.legmt.gov/download-ticket?ticketId=5df2e144-96ad-4c94-acbf-c27e2917ac67)
- [As Amended (Version 2) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=628a3ca9-9872-47c1-a2f3-c23e9a0a4f4c)
- [Introduced (PDF)](https://docs.legmt.gov/download-ticket?ticketId=ccdf9014-e8df-4600-9a9d-2ca793569be2)

## 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 422: Generally revise laws relating to insurance coverage relating to cancer](https://policyrisk.com/state-bill/MT-SB422-2025)
- [SB 424: Revising the disabled veteran property tax assistance program](https://policyrisk.com/state-bill/MT-SB424-2025)
- [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-HB953-2025 (as of 2026-10-12).