Overview
STATE BUDGET
Montana operates on a biennial budget cycle, beginning on July 1. Agencies submit budget requests to the Governor in June and September, and the Governor submits a proposed budget to the legislature by November 15. The legislature usually adopts a budget in April. There is a constitutional requirement that the budget be balanced.
STATE LEGISLATURE
The Montana Senate has 50 members serving four-year terms, and 100 members of the state House of Representatives, serving two-year terms. Montana has no regular session in even-numbered years, and only meets for 90 days in odd-numbered years.
KEY RESOURCES
2025 LEGISLATIVE SUMMARY
Montana passed several pieces of legislation aimed at improving healthcare accessibility. HB 198 expands noncompete protections for additional healthcare professionals while preserving enforcement in business transactions. Montana also passed HB398 which establishes a continuity of care provision requirement on insurers for three months after a patient changes healthcare plans, establishes more rigorous standards for adverse healthcare determinations, and redefines chronic conditions. HB399 prohibits insurers from requiring prior authorization for generic prescription drugs and preexisting prescriptions, and adverse prior authorization determinations to be made by a specialist.
Montana Laws
Mont. Code Ann. § 15-61-102. Definitions: Montana Medical Care Savings Account Act of 1995 – Montana
Introduced: Status: Enacted
Definitions for the Montana Medical Care Savings Account Act of 1995.
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Mont. Code Ann. § 15-61-201. Establishment of account: Montana Medical Care Savings Account Act of 1995 – Montana
Introduced: Status: Enacted
An employer, except as otherwise provided by statute, contract, or a collective bargaining agreement, may establish a medical care savings account for an employee of the employer or for a dependent of the employee.
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Mont. Code Ann. § 15-61-202. Tax exemption — conditions: Montana Medical Care Savings Account Act of 1995 – Montana
Introduced: Status: Enacted
Except as provided in this section, the amount of principal provided for in subsection (2) contributed annually by an employee or account holder to an account and all interest or other income on that principal […]
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Mont. Code Ann. § 20-26-1501. Incentive for physicians practicing in rural areas or medically underserved areas or for underserved populations state special revenue account: Health Care Provider Incentive Programs – Montana
Introduced: Status: Enacted
There is an incentive for physicians practicing in rural areas or medically underserved areas or for underserved populations state special revenue account. Money is payable into the account as provided in 17-1-511, 20-26-1502, and [section […]
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Mont. Code Ann. § 20-26-1503. Use of incentive for physicians practicing in rural areas or medically underserved areas or for underserved populations state special revenue account: Health Care Provider Incentive Programs – Montana
Introduced: Status: Enacted
The state special revenue account can be used to pay for the educational debts of physicians practicing in rural areas or medically underserved areas and the expense of administering the program.
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