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MontanaSB 19169th Legislature, Regular Session (2025)SenateWALLET

Provide for the licensure of residential treatment centers

Sponsored By: Mike Cuffe (Republican)

Became Law

Health Care ServicesRule Making

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Bill Overview

Analyzed Economic Effects

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

New licensing rules for youth treatment centers

The law requires the health department to license residential treatment centers for youth who need 24-hour mental health care. To keep a license, a center must be accredited by a CMS‑approved accreditor. Rules set staff-to-patient ratios, staff qualifications and training, suicide prevention, abuse reporting, insurance, and fingerprint background checks for anyone with regular access to patients. The department may issue a 6‑month provisional license and one more 6‑month license; total provisional time cannot exceed one year. A center is defined as a program for youth under 19 that provides counseling, assessment, nursing, medication management, and related behavioral health care under one set of state standards aligned with related child treatment laws.

School funding rules for kids in treatment

The Superintendent of Public Instruction sets rules for how tuition is calculated and funds are distributed when a child is placed in a qualifying treatment setting. The rules decide which school or facility is responsible for education costs and services. An eligible child is a Montana resident who is under 19 on September 10, has a serious emotional disturbance, and is placed in a qualifying facility in Montana. Qualifying facilities include children's psychiatric hospitals, residential treatment facilities or centers, and therapeutic group homes.

Sponsors & Cosponsors

Sponsor

  • Mike Cuffe

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 367 • No: 23

Senate vote • 4/8/2025

Do Pass

Yes: 48 • No: 0

Senate vote • 4/7/2025

Do Pass

Yes: 49 • No: 0

Senate vote • 4/2/2025

Do Concur

Yes: 90 • No: 4

Senate vote • 4/1/2025

Do Concur

Yes: 92 • No: 7

Senate vote • 2/12/2025

Do Pass

Yes: 46 • No: 4

Senate vote • 2/11/2025

Do Pass

Yes: 42 • No: 8

Actions Timeline

  1. Chapter Number Assigned

    5/8/2025Senate

  2. Signed by Governor

    5/5/2025Senate

  3. Transmitted to Governor

    4/25/2025Senate

  4. Signed by Speaker

    4/25/2025House

  5. Signed by President

    4/21/2025Senate

  6. Returned from Enrolling

    4/10/2025Senate

  7. Sent to Enrolling

    4/9/2025Senate

  8. 3rd Reading Passed as Amended by House

    4/8/2025Senate

  9. 2nd Reading Passed

    4/7/2025Senate

  10. Returned to Senate with Amendments

    4/3/2025House

  11. 3rd Reading Concurred

    4/2/2025House

  12. Revised Fiscal Note Printed

    4/1/2025Senate

  13. 2nd Reading Concurred

    4/1/2025House

  14. Revised Fiscal Note Signed

    4/1/2025Senate

  15. Revised Fiscal Note Received

    4/1/2025Senate

  16. Committee Report--Bill Concurred as Amended

    3/26/2025House

  17. Committee Executive Action--Bill Concurred as Amended

    3/25/2025House

  18. Hearing

    3/5/2025House

  19. First Reading

    2/13/2025House

  20. Referred to Committee

    2/13/2025House

  21. Transmitted to House

    2/13/2025Senate

  22. 3rd Reading Passed

    2/12/2025Senate

  23. 2nd Reading Passed

    2/11/2025Senate

  24. Committee Report--Bill Passed

    2/6/2025Senate

  25. Committee Executive Action--Bill Passed

    2/5/2025Senate

Bill Text

  • Enrolled

    4/15/2025

    PDF

  • As Amended (Version 2)

    3/26/2025

    PDF

  • Introduced

    1/21/2025

    PDF

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