MontanaSB 36169th Legislature, Regular Session (2025)Senate

Revise laws relating to health insurance claims submitted to the department of public health and human insurances

Sponsored By: Mike Yakawich (Republican)

Signed by Governor

Health Care ServicesInsurance

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Bill Overview

Analyzed Economic Effects

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

Insurers must help Medicaid with claims

The law requires insurers and other payers to share Medicaid eligibility and coverage details with DPHHS when asked. They must answer DPHHS questions about claims for services sent within 3 years of the service date. They must honor DPHHS’s right to recover payments and any assignment from the Medicaid recipient. They cannot deny a DPHHS claim just for late filing, claim format, missing prior authorization, or missing point‑of‑sale paperwork if DPHHS files within 3 years and starts enforcement within 6 years of submission.

No payment beyond your plan coverage

The law does not make insurers pay for services your plan does not cover. It does not require third‑party administrators or contractors to pay from their own funds unless plan documents make them liable. It does not add new payer liability, and contractors keep their right to be repaid by the plan sponsor when the sponsor is ultimately responsible.

Sponsors & Cosponsors

Sponsor

  • Mike Yakawich

    Republican • Senate

Cosponsors

  • Curtis Schomer

    Republican • House

  • Josh Kassmier

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 297 • No: 0

House vote • 4/1/2025

Do Concur

Yes: 99 • No: 0

House vote • 3/31/2025

Do Concur

Yes: 99 • No: 0

Senate vote • 3/6/2025

Do Pass

Yes: 50 • No: 0

Senate vote • 3/5/2025

Do Pass

Yes: 49 • No: 0

Actions Timeline

  1. Chapter Number Assigned

    4/17/2025Senate
  2. Signed by Governor

    4/16/2025Senate
  3. Transmitted to Governor

    4/8/2025Senate
  4. Signed by Speaker

    4/8/2025House
  5. Signed by President

    4/7/2025Senate
  6. Returned from Enrolling

    4/2/2025Senate
  7. Sent to Enrolling

    4/1/2025Senate
  8. 3rd Reading

    4/1/2025House
  9. 2nd Reading

    3/31/2025House
  10. Committee Report

    3/25/2025House
  11. Committee Executive Action

    3/25/2025House
  12. Hearing

    3/21/2025House
  13. 1st Reading

    3/17/2025House
  14. Hearing

    3/13/2025House
  15. Referred to Committee

    3/7/2025House
  16. Transmitted to House

    3/6/2025Senate
  17. 3rd Reading

    3/6/2025Senate
  18. 2nd Reading

    3/5/2025Senate
  19. Committee Report

    3/4/2025Senate
  20. Committee Executive Action

    3/4/2025Senate
  21. Hearing

    2/28/2025Senate
  22. Fiscal Note Printed

    2/28/2025Senate
  23. Fiscal Note Unsigned

    2/27/2025Senate
  24. Fiscal Note Received

    2/27/2025Senate
  25. Referred to Committee

    2/21/2025Senate

Bill Text

  • Enrolled

    4/1/2025

  • Introduced

    2/19/2025

Related Bills

Back to State Legislation