Montana Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.


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Date State Bill No. Title Outcome
April 14, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - Senate (30 - 18)
April 14, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - Senate (30 - 18)
April 11, 2025 MT SB 437 Amends and Defines Sex as Binary in Montana State Law Concurrence Vote Passed - House (55 - 44)
March 6, 2025 MT SB 437 Amends and Defines Sex as Binary in Montana State Law Bill Passed - Senate (31 - 18)
Feb. 24, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
Feb. 24, 2025 MT HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
Feb. 19, 2025 MT SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
Feb. 19, 2025 MT SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
Feb. 18, 2025 MT HB 291 Amends State Air Quality Standards Bill Passed - House (61 - 38)
Feb. 17, 2025 MT HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
Feb. 17, 2025 MT HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
Feb. 13, 2025 MT SB 221 Establishes Structured Guidance for Environmental Reviews Bill Passed - Senate (37 - 13)
Feb. 13, 2025 MT HB 342 Prohibits Juries from Calculating Malpractice Damages Based on Anything Other than the Standard of Care Bill Passed - House (57 - 42)
Feb. 13, 2025 MT HB 285 Amends the Montana Environmental Policy Act Bill Passed - House (57 - 42)
Jan. 28, 2025 MT HB 195 Increases the Non-Economic Damages Cap to $500,000 by 2029 Bill Passed - House (95 - 4)
May 2, 2023 MT HB 828 Authorizes Additional Financial Support for Montana Ambulance Providers Concurrence Vote Passed - House (80 - 15)
April 28, 2023 MT SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Concurrence Vote Passed - House (72 - 26)
April 28, 2023 MT SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Concurrence Vote Passed - House (72 - 26)
April 19, 2023 MT HB 828 Authorizes Additional Financial Support for Montana Ambulance Providers Bill Passed - Senate (37 - 13)
April 13, 2023 MT SB 275 Amends Definitions of Proposed Mixing Zones and Well Isolation Zones Concurrence Vote Passed - House (60 - 40)
April 13, 2023 MT SB 301 Amends Property Laws Related to Lakeshore Regulations Concurrence Vote Passed - House (65 - 35)
April 4, 2023 MT SB 557 Amends Environmental Policy Act Bill Passed - Senate (30 - 20)
April 4, 2023 MT SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Bill Passed - Senate (46 - 4)
April 4, 2023 MT SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Bill Passed - Senate (46 - 4)
March 2, 2023 MT SB 308 Establishes Patient Visitation Rights Bill Passed - Senate (40 - 10)
Date No. Title Outcome
4/14 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - Senate (30 - 18)
4/14 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - Senate (30 - 18)
4/11 SB 437 Amends and Defines Sex as Binary in Montana State Law Concurrence Vote Passed - House (55 - 44)
3/06 SB 437 Amends and Defines Sex as Binary in Montana State Law Bill Passed - Senate (31 - 18)
2/24 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
2/24 HB 442 Repeals the Mandate to Automatically Report Medical Malpractice Cases and Insurance Payouts to the State Licensure Board Bill Passed - House (97 - 2)
2/19 SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
2/19 SB 244 Requires Insurance Coverage for Standardized, Evidence-Based Behavioral and Mental Health Screenings and Assessments Bill Passed - Senate (40 - 8)
2/18 HB 291 Amends State Air Quality Standards Bill Passed - House (61 - 38)
2/17 HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
2/17 HB 245 Expands State Medicaid Programs Bill Passed - House (63 - 37)
2/13 SB 221 Establishes Structured Guidance for Environmental Reviews Bill Passed - Senate (37 - 13)
2/13 HB 342 Prohibits Juries from Calculating Malpractice Damages Based on Anything Other than the Standard of Care Bill Passed - House (57 - 42)
2/13 HB 285 Amends the Montana Environmental Policy Act Bill Passed - House (57 - 42)
1/28 HB 195 Increases the Non-Economic Damages Cap to $500,000 by 2029 Bill Passed - House (95 - 4)
5/02 HB 828 Authorizes Additional Financial Support for Montana Ambulance Providers Concurrence Vote Passed - House (80 - 15)
4/28 SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Concurrence Vote Passed - House (72 - 26)
4/28 SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Concurrence Vote Passed - House (72 - 26)
4/19 HB 828 Authorizes Additional Financial Support for Montana Ambulance Providers Bill Passed - Senate (37 - 13)
4/13 SB 275 Amends Definitions of Proposed Mixing Zones and Well Isolation Zones Concurrence Vote Passed - House (60 - 40)
4/13 SB 301 Amends Property Laws Related to Lakeshore Regulations Concurrence Vote Passed - House (65 - 35)
4/04 SB 557 Amends Environmental Policy Act Bill Passed - Senate (30 - 20)
4/04 SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Bill Passed - Senate (46 - 4)
4/04 SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Bill Passed - Senate (46 - 4)
3/02 SB 308 Establishes Patient Visitation Rights Bill Passed - Senate (40 - 10)

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