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Montana Legislature mandates insurance coverage for dependent health benefits until age 26

March 06, 2025 | Introduced House Bills, 2025 House and Senate Bills, Montana Legislation Bills, Montana


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Montana Legislature mandates insurance coverage for dependent health benefits until age 26
Montana's House Bill 758, introduced on March 6, 2025, aims to enhance healthcare coverage for residents, particularly focusing on preventive care and chronic disease management. The bill proposes several key provisions that seek to address gaps in health insurance, particularly for young adults and those requiring specialized care.

One of the bill's significant measures mandates that insurance plans continue coverage for dependents until they reach 26 years of age, ensuring that young adults can maintain access to necessary healthcare services during a critical transition period. This provision aligns with similar federal regulations and aims to alleviate the financial burden on families.

Additionally, HB 758 emphasizes the importance of preventive care by requiring insurance contracts to provide clear information about cancer screening coverages before issuance. This transparency is expected to encourage early detection and treatment, ultimately improving health outcomes for Montanans.

The bill also addresses specific health conditions, mandating coverage for outpatient self-management training and education for diabetes treatment. This includes a minimum of 20 initial visits and 12 follow-up sessions, ensuring that individuals with diabetes receive the necessary support to manage their condition effectively.

Notably, the legislation includes provisions for coverage related to breast cancer treatment, requiring state employee and university system benefit plans to cover hospital inpatient care deemed medically necessary following surgeries like mastectomies and lumpectomies. This aspect of the bill underscores a commitment to comprehensive care for serious health issues.

While the bill has garnered support for its focus on preventive health and chronic disease management, it has also faced scrutiny regarding the potential financial implications for insurance providers and employers. Critics argue that the expanded coverage requirements could lead to increased premiums, impacting overall healthcare costs in the state.

As discussions around HB 758 continue, its passage could signify a pivotal shift in Montana's healthcare landscape, promoting better health outcomes and access to essential services for vulnerable populations. Stakeholders are closely monitoring the bill's progress, as its implications could resonate throughout the state's healthcare system for years to come.

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Scribe from Workplace AI
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