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MontanaSB 36169th Legislature, Regular Session (2025)SenateWALLET

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

Sponsored By: Mike Yakawich (Republican)

Became Law

Health Care ServicesInsurance

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Bill Overview

Analyzed Economic Effects

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

Insurers must cooperate on Medicaid claims

The law requires insurers and similar payers to share Medicaid eligibility and coverage details with the health department when asked. They must answer the department’s questions about a claim if the claim was filed within 3 years of the service date. Insurers must accept the department’s right to recover payments when Medicaid already paid and the recipient assigned their payment rights. If the department submits a claim within 3 years and starts enforcement within 6 years after submission, payers cannot deny it just for late filing, form type, missing prior authorization, or missing point‑of‑sale paperwork.

Plans only pay covered claims

The law does not make a plan pay for services it does not cover. Administrators or contractors do not have to use their own money unless the plan makes them financially responsible. It does not add new liability for entities that are not on the hook under the plan. Administrators keep their right to seek repayment from the party that is ultimately liable.

Sponsors & Cosponsors

Sponsor

  • Mike Yakawich

    Republican • Senate

Cosponsors

  • Curtis Schomer

    Republican • House

  • Josh Kassmier

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 295 • No: 0

Senate vote • 4/1/2025

Do Concur

Yes: 99 • No: 0

Senate vote • 3/31/2025

Do Concur

Yes: 98 • No: 0

Senate vote • 3/6/2025

Do Pass

Yes: 50 • No: 0

Senate vote • 3/5/2025

Do Pass

Yes: 48 • 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 Concurred

    4/1/2025House

  9. 2nd Reading Concurred

    3/31/2025House

  10. Committee Report--Bill Concurred

    3/25/2025House

  11. Committee Executive Action--Bill Concurred

    3/25/2025House

  12. Hearing

    3/21/2025House

  13. First 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 Passed

    3/6/2025Senate

  18. 2nd Reading Passed

    3/5/2025Senate

  19. Committee Report--Bill Passed

    3/4/2025Senate

  20. Committee Executive Action--Bill Passed

    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

    PDF

  • Introduced

    2/19/2025

    PDF

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