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MT SB417
MT SB417Generally revise laws relating to insurance coverage relating to obesity prevention
summary
Introduced
02/21/2025
02/21/2025
In Committee
02/24/2025
02/24/2025
Crossed Over
Passed
Dead
05/23/2025
05/23/2025
Introduced Session
2025 Regular Session
Bill Summary
AN ACT ENTITLED: “AN ACT REVISING HEALTH INSURANCE LAW TO REQUIRE COVERAGE OF CERTAIN INJECTABLE MEDICINES TO IMPROVE GLUCOSE OR WEIGHT LOSS; PROVIDING REQUIREMENTS FOR COVERAGE; PROVIDING EXCEPTIONS; AND AMING SECTIONS 2-18-704, 33- 31-111, AND 33-35-306, MCA.”
AI Summary
This bill requires health insurance policies in Montana to provide coverage for injectable medicines prescribed to improve glucose levels or promote weight loss for adults diagnosed with prediabetes, gestational diabetes, or obesity. The coverage must be considered medically necessary and determined by a licensed physician, and can be prescribed either on-label or off-label. To continue receiving coverage, patients must participate in a lifestyle management plan administered by their health plan if given advance written notice. The bill specifically excludes individuals covered by Medicare Advantage prescription drug plans from these requirements. The legislation amends several existing state insurance laws to incorporate this new coverage mandate, ensuring that individual policies, group plans, health maintenance organizations, and self-funded multiple employer welfare arrangements must adhere to these new requirements. By mandating this coverage, the bill aims to improve access to medical treatments that can help manage and potentially prevent chronic health conditions related to glucose metabolism and weight.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
(S) Died in Process (on 05/23/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://bills.legmt.gov/#/laws/bill/2/LC1935 |
State Bill Page | https://bills.legmt.gov/#/lc/bill/2/LC1935 |
Fiscal Note SB0417_1 | https://docs.legmt.gov/download-ticket?ticketId=317c995c-77d3-45a3-88ac-477ecc299aee |
BillText | https://docs.legmt.gov/download-ticket?ticketId=a4f8e087-d152-4c19-b26d-7e0516ff31de |
BillText | https://api.legmt.gov/docs/v1/documents/getContent?documentId=284699 |
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