# Montana SB 446: Revise laws related to healthcare utilization review Montana SB 446, Revise laws related to healthcare utilization review, is a 69th Legislature, Regular Session (2025) Senate bill sponsored by Vince Ricci (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-SB446-2025 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Montana SB 446 - State: Montana - Session: 69th Legislature, Regular Session (2025) - Title: Revise laws related to healthcare utilization review - Status: signed - Chamber: Senate - Introduced: 2025-02-24 - Last action: 2025-05-16, Chapter Number Assigned - Sponsor: Vince Ricci (Republican) - Cosponsors: 0 - Subjects: Health Care Services, Health, Insurance - Touches household money: yes - Roll calls: 11 (714 yes, 33 no in all) - Economic provisions PRIA read: 1 ## Summary No summary available. ## Bill overview: provisions PRIA read - Only doctors can deny or review coverage: benefit, low. A physician must make any denial during utilization review. That doctor must have a current, nonrestricted medical license and a specialty for your condition. A Montana-licensed medical director oversees the decision. Only a physician can review your grievance (appeal). The reviewer must match the… ## Sponsors and cosponsors - Sponsor: Vince Ricci (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-30 | House | Do Adopt | pass | 100 | 0 | | | 2025-04-30 | Senate | Do Adopt | pass | 50 | 0 | | | 2025-04-29 | House | Do Adopt | pass | 98 | 2 | | | 2025-04-29 | Senate | Do Adopt | pass | 48 | 1 | | | 2025-04-14 | Senate | Do Not Concur | pass | 34 | 16 | | | 2025-04-11 | House | Do Concur | pass | 99 | 0 | | | 2025-04-11 | House | Do Concur | pass | 100 | 0 | | | 2025-03-06 | Senate | Do Pass | pass | 46 | 3 | | | 2025-03-05 | Senate | Do Pass As Amended | pass | 43 | 7 | | | 2025-03-05 | Senate | AMD-SB0446.001.001 Ricci D/PASS | pass | 50 | 0 | | | 2025-03-04 | Senate | Take SB 446 from Comm-Ricci | pass | 46 | 4 | | ## Actions (33) - 2025-05-16: Chapter Number Assigned (Senate) - 2025-05-13: Signed by Governor (Senate) - 2025-05-06: Transmitted to Governor (Senate) - 2025-05-06: Signed by Speaker (House) - 2025-05-06: Signed by President (Senate) - 2025-05-02: Returned from Enrolling (Senate) - 2025-05-01: Sent to Enrolling (Senate) - 2025-04-30: 3rd Reading Free Conference Committee Report (Senate) - 2025-04-30: 3rd Reading Free Conference Committee Report (House) - 2025-04-29: 2nd Reading Free Conference Committee Report (House) - 2025-04-29: 2nd Reading Free Conference Committee Report (Senate) - 2025-04-25: Hearing (Senate) - 2025-04-25: Free Conference Committee Appointed (House) - 2025-04-18: Free Conference Committee Appointed (Senate) - 2025-04-14: 2nd Reading House Amendments (Senate) - 2025-04-11: Returned to Senate with Amendments (House) - 2025-04-11: 3rd Reading (House) - 2025-04-11: 2nd Reading (House) - 2025-04-09: Committee Report (House) - 2025-04-09: Committee Executive Action (House) - 2025-04-08: Hearing (House) - 2025-03-17: 1st Reading (House) - 2025-03-17: Referred to Committee (House) - 2025-03-07: Transmitted to House (Senate) - 2025-03-06: 3rd Reading (Senate) - 2025-03-05: 2nd Reading (Senate) - 2025-03-05: 2nd Reading Motion to Amend (Senate) - 2025-03-04: Take from Committee; Place on 2nd Reading (Senate) - 2025-03-04: Tabled in Committee (Senate) - 2025-02-27: Hearing (Senate) - 2025-02-25: 1st Reading (Senate) - 2025-02-24: Referred to Committee (Senate) - 2025-02-24: Introduced (Senate) ## Bill text - As Amended (Version 4), 2025-05-01: [PDF](https://docs.legmt.gov/download-ticket?ticketId=ccd9d045-17a1-4192-af2a-33fb4bc0bb41) - Enrolled, 2025-05-01: [PDF](https://docs.legmt.gov/download-ticket?ticketId=64a31ef0-bb84-457c-b865-c6ee9e1b5bb1) - As Amended (Version 3), 2025-04-09: [PDF](https://docs.legmt.gov/download-ticket?ticketId=092a3004-09a0-421e-82a7-79ef4a82c7b4) - As Amended (Version 2), 2025-03-05: [PDF](https://docs.legmt.gov/download-ticket?ticketId=59f3226f-4e7e-4d9a-a045-36830f6ffb23) - Introduced, 2025-02-24: [PDF](https://docs.legmt.gov/download-ticket?ticketId=92189074-79ea-404a-8708-a5f3d78d4eef) ## 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 - [As Amended (Version 4) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=ccd9d045-17a1-4192-af2a-33fb4bc0bb41) - [Enrolled (PDF)](https://docs.legmt.gov/download-ticket?ticketId=64a31ef0-bb84-457c-b865-c6ee9e1b5bb1) - [As Amended (Version 3) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=092a3004-09a0-421e-82a7-79ef4a82c7b4) - [As Amended (Version 2) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=59f3226f-4e7e-4d9a-a045-36830f6ffb23) - [Introduced (PDF)](https://docs.legmt.gov/download-ticket?ticketId=92189074-79ea-404a-8708-a5f3d78d4eef) ## 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-SB446-2025 (as of 2026-10-12).