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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.

results per page:
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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)
March 6, 2025 MT SB 437 Amends and Defines Sex as Binary in Montana State Law Bill Passed - Senate (31 - 18)
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. 13, 2025 MT SB 221 Establishes Structured Guidance for Environmental Reviews Bill Passed - Senate (37 - 13)
April 19, 2023 MT HB 828 Authorizes Additional Financial Support for Montana Ambulance Providers Bill Passed - Senate (37 - 13)
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 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)
March 2, 2023 MT SB 308 Establishes Patient Visitation Rights Bill Passed - Senate (40 - 10)
March 2, 2023 MT SB 301 Amends Property Laws Related to Lakeshore Regulations Bill Passed - Senate (32 - 18)
March 2, 2023 MT SB 450 Authorizes Religious or Conscience Exemptions for Certain Vaccines Bill Passed - Senate (30 - 20)
March 2, 2023 MT SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
March 2, 2023 MT SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
March 2, 2023 MT SB 382 Establishes the Montana Land Use Planning Act Bill Passed - Senate (44 - 6)
March 2, 2023 MT SB 450 Authorizes Religious or Conscience Exemptions for Certain Vaccines Bill Passed - Senate (30 - 20)
Feb. 24, 2023 MT SB 245 Amends municipal zoning to allow multifamily and mixed use development Bill Passed - Senate (40 - 10)
Feb. 24, 2023 MT SB 275 Amends Definitions of Proposed Mixing Zones and Well Isolation Zones Bill Passed - Senate (36 - 14)
Jan. 27, 2023 MT SB 85 Amends Law Regarding Grizzly Bear Population Management Bill Passed - Senate (37 - 12)
Jan. 16, 2023 MT SB 87 Rescinds Authority of Board of Public Assistance Bill Passed - Senate (34 - 16)
April 23, 2021 MT HB 701 Amends Marijuana Laws Bill Passed - Senate (34 - 16)
April 15, 2021 MT HB 632 Appropriates Funds as Part of COVID-19 Relief Bill Passed - Senate (33 - 17)
March 25, 2021 MT HB 121 Repeals the Ability for Health Boards to Implement Rules Surrounding Covid-19 Bill Passed - Senate (31 - 19)
March 19, 2021 MT SB 315 Establishes Protections for "Infants Born Alive" After Abortion Bill Passed - Senate (30 - 19)
Feb. 2, 2021 MT SB 132 Requires Employers to Offer Alternative Accommodations for Employees Who Do Not Receive the COVID-19 Vaccination Bill Passed - Senate (29 - 21)
April 18, 2019 MT HB 500 Prohibits Abortions After 20th Week of Pregnancy Bill Passed - Senate (31 - 19)
April 16, 2019 MT HB 658 Amends State Medicaid Program Bill Passed - Senate (28 - 22)
April 13, 2019 MT SB 160 Establishes Presumptive Health Care Coverage for Firefighters Concurrence Vote Passed - Senate (40 - 10)
Feb. 12, 2019 MT SB 100 Requires Abortion Providers Offer Patients an Ultrasound Bill Passed - Senate (31 - 19)
April 13, 2017 MT SB 299 Requires Public Disclosure of Fracking Chemicals Concurrence Vote Passed - Senate (34 - 16)
March 25, 2017 MT SB 329 Prohibits Abortion 20 Weeks After Fertilization Bill Passed - Senate (30 - 18)
March 25, 2017 MT SB 329 Prohibits Abortion 20 Weeks After Fertilization Bill Passed - Senate (30 - 18)
Feb. 24, 2017 MT SB 282 Prohibits Abortion After 24 Weeks of Pregnancy Bill Passed - Senate (32 - 18)
April 18, 2015 MT SB 405 Expands Health Care Coverage Concurrence Vote Passed - Senate (28 - 21)
March 30, 2015 MT SB 405 Expands Health Care Coverage Bill Passed - Senate (28 - 21)
Feb. 26, 2015 MT SB 262 Establishes Water Rights Compact Bill Passed - Senate (31 - 19)
April 18, 2013 MT HB 623 Expands Medicaid Eligibility Bill Passed - Senate (27 - 22)
April 5, 2011 MT SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Nonconcurrence Vote Passed - Senate (26 - 23)
April 5, 2011 MT SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Nonconcurrence Vote Passed - Senate (26 - 23)
Feb. 21, 2011 MT SB 228 Prohibits Creation of Health Insurance Exchange Bill Passed - Senate (28 - 22)
Jan. 27, 2011 MT SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Bill Passed - Senate (29 - 21)
Jan. 27, 2011 MT SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Bill Passed - Senate (29 - 21)
Jan. 27, 2011 MT SB 106 Lawsuit against Federal Health Care Law Bill Passed - Senate (28 - 22)
Feb. 24, 2009 MT SB 326 Medical Marijuana Law Amendments Bill Passed - Senate (28 - 22)
Feb. 24, 2009 MT SB 326 Medical Marijuana Law Amendments Bill Passed - Senate (28 - 22)
Feb. 21, 2009 MT SB 387 Restrictions on Appeals for Energy Project Permits Bill Passed - Senate (27 - 23)
Feb. 16, 2009 MT SB 142 Consideration of Gender for Insurance Coverage Bill Passed - Senate (27 - 23)
Feb. 2, 2009 MT SJ 7 Statement of Opposition to Expansion of EPA Jurisdiction (H.R. 2421) Joint Resolution Passed - Senate (32 - 18)
Jan. 26, 2009 MT SB 131 Wildland-Urban Interface Bill Passed - Senate (29 - 21)
Sept. 5, 2007 MT SB 1 Extending Fire Related State of Emergencies Bill Passed - Senate (25 - 20)
Feb. 28, 2007 MT SB 500 CHIP Contraception Coverage Bill Failed - Senate (25 - 25)
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)
3/06 SB 437 Amends and Defines Sex as Binary in Montana State Law Bill Passed - Senate (31 - 18)
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)
2/13 SB 221 Establishes Structured Guidance for Environmental Reviews Bill Passed - Senate (37 - 13)
4/19 HB 828 Authorizes Additional Financial Support for Montana Ambulance Providers Bill Passed - Senate (37 - 13)
4/04 SB 516 Requires Health Insurance Cover Initial Cost of Fertility Preservation for Cancer Patients Bill Passed - Senate (46 - 4)
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)
3/02 SB 308 Establishes Patient Visitation Rights Bill Passed - Senate (40 - 10)
3/02 SB 301 Amends Property Laws Related to Lakeshore Regulations Bill Passed - Senate (32 - 18)
3/02 SB 450 Authorizes Religious or Conscience Exemptions for Certain Vaccines Bill Passed - Senate (30 - 20)
3/02 SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
3/02 SB 364 Limits Hospital Charges to No More than 250% the Reimbursement Rate for Medicare Bill Passed - Senate (29 - 21)
3/02 SB 382 Establishes the Montana Land Use Planning Act Bill Passed - Senate (44 - 6)
3/02 SB 450 Authorizes Religious or Conscience Exemptions for Certain Vaccines Bill Passed - Senate (30 - 20)
2/24 SB 245 Amends municipal zoning to allow multifamily and mixed use development Bill Passed - Senate (40 - 10)
2/24 SB 275 Amends Definitions of Proposed Mixing Zones and Well Isolation Zones Bill Passed - Senate (36 - 14)
1/27 SB 85 Amends Law Regarding Grizzly Bear Population Management Bill Passed - Senate (37 - 12)
1/16 SB 87 Rescinds Authority of Board of Public Assistance Bill Passed - Senate (34 - 16)
4/23 HB 701 Amends Marijuana Laws Bill Passed - Senate (34 - 16)
4/15 HB 632 Appropriates Funds as Part of COVID-19 Relief Bill Passed - Senate (33 - 17)
3/25 HB 121 Repeals the Ability for Health Boards to Implement Rules Surrounding Covid-19 Bill Passed - Senate (31 - 19)
3/19 SB 315 Establishes Protections for "Infants Born Alive" After Abortion Bill Passed - Senate (30 - 19)
2/02 SB 132 Requires Employers to Offer Alternative Accommodations for Employees Who Do Not Receive the COVID-19 Vaccination Bill Passed - Senate (29 - 21)
4/18 HB 500 Prohibits Abortions After 20th Week of Pregnancy Bill Passed - Senate (31 - 19)
4/16 HB 658 Amends State Medicaid Program Bill Passed - Senate (28 - 22)
4/13 SB 160 Establishes Presumptive Health Care Coverage for Firefighters Concurrence Vote Passed - Senate (40 - 10)
2/12 SB 100 Requires Abortion Providers Offer Patients an Ultrasound Bill Passed - Senate (31 - 19)
4/13 SB 299 Requires Public Disclosure of Fracking Chemicals Concurrence Vote Passed - Senate (34 - 16)
3/25 SB 329 Prohibits Abortion 20 Weeks After Fertilization Bill Passed - Senate (30 - 18)
3/25 SB 329 Prohibits Abortion 20 Weeks After Fertilization Bill Passed - Senate (30 - 18)
2/24 SB 282 Prohibits Abortion After 24 Weeks of Pregnancy Bill Passed - Senate (32 - 18)
4/18 SB 405 Expands Health Care Coverage Concurrence Vote Passed - Senate (28 - 21)
3/30 SB 405 Expands Health Care Coverage Bill Passed - Senate (28 - 21)
2/26 SB 262 Establishes Water Rights Compact Bill Passed - Senate (31 - 19)
4/18 HB 623 Expands Medicaid Eligibility Bill Passed - Senate (27 - 22)
4/05 SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Nonconcurrence Vote Passed - Senate (26 - 23)
4/05 SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Nonconcurrence Vote Passed - Senate (26 - 23)
2/21 SB 228 Prohibits Creation of Health Insurance Exchange Bill Passed - Senate (28 - 22)
1/27 SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Bill Passed - Senate (29 - 21)
1/27 SB 125 Prohibits State from Requiring Individuals to Purchase Health Insurance Bill Passed - Senate (29 - 21)
1/27 SB 106 Lawsuit against Federal Health Care Law Bill Passed - Senate (28 - 22)
2/24 SB 326 Medical Marijuana Law Amendments Bill Passed - Senate (28 - 22)
2/24 SB 326 Medical Marijuana Law Amendments Bill Passed - Senate (28 - 22)
2/21 SB 387 Restrictions on Appeals for Energy Project Permits Bill Passed - Senate (27 - 23)
2/16 SB 142 Consideration of Gender for Insurance Coverage Bill Passed - Senate (27 - 23)
2/02 SJ 7 Statement of Opposition to Expansion of EPA Jurisdiction (H.R. 2421) Joint Resolution Passed - Senate (32 - 18)
1/26 SB 131 Wildland-Urban Interface Bill Passed - Senate (29 - 21)
9/05 SB 1 Extending Fire Related State of Emergencies Bill Passed - Senate (25 - 20)
2/28 SB 500 CHIP Contraception Coverage Bill Failed - Senate (25 - 25)
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