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)
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 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)
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)
Feb. 14, 2023 MT HB 29 Requires State to Transfer Patients out of MSH Based on Primary Diagnosis Bill Passed - House (91 - 6)
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)
Jan. 11, 2023 MT HB 71 Amends State Alcohol Laws Bill Passed - House (95 - 3)
Jan. 11, 2023 MT HB 71 Amends State Alcohol Laws Bill Passed - House (95 - 3)
April 27, 2021 MT HB 701 Amends Marijuana Laws Concurrence Vote Passed - House (67 - 32)
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)
April 1, 2021 MT HB 632 Appropriates Funds as Part of COVID-19 Relief Bill Passed - House (83 - 14)
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)
March 1, 2021 MT HB 121 Repeals the Ability for Health Boards to Implement Rules Surrounding Covid-19 Bill Passed - House (68 - 31)
Feb. 27, 2021 MT HB 334 Expands Which Healthcare Providers Can Grant COVID-19 Vaccine Exemptions Bill Passed - House (65 - 34)
Feb. 10, 2021 MT HB 226 Amends Alcohol Laws to Permit Curbside Pickup Bill Passed - House (80 - 19)
Feb. 5, 2021 MT HB 229 Prohibits Insurance Policies from Covering Abortion Services with Few Exceptions Bill Passed - House (70 - 28)
Feb. 5, 2021 MT HB 229 Prohibits Insurance Policies from Covering Abortion Services with Few Exceptions Bill Passed - House (70 - 28)
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)
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)
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 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)
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)
2/14 HB 29 Requires State to Transfer Patients out of MSH Based on Primary Diagnosis Bill Passed - House (91 - 6)
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)
1/11 HB 71 Amends State Alcohol Laws Bill Passed - House (95 - 3)
1/11 HB 71 Amends State Alcohol Laws Bill Passed - House (95 - 3)
4/27 HB 701 Amends Marijuana Laws Concurrence Vote Passed - House (67 - 32)
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)
4/01 HB 632 Appropriates Funds as Part of COVID-19 Relief Bill Passed - House (83 - 14)
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)
3/01 HB 121 Repeals the Ability for Health Boards to Implement Rules Surrounding Covid-19 Bill Passed - House (68 - 31)
2/27 HB 334 Expands Which Healthcare Providers Can Grant COVID-19 Vaccine Exemptions Bill Passed - House (65 - 34)
2/10 HB 226 Amends Alcohol Laws to Permit Curbside Pickup Bill Passed - House (80 - 19)
2/05 HB 229 Prohibits Insurance Policies from Covering Abortion Services with Few Exceptions Bill Passed - House (70 - 28)
2/05 HB 229 Prohibits Insurance Policies from Covering Abortion Services with Few Exceptions Bill Passed - House (70 - 28)
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)

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