Montana Legislature introduces HB 218 to expand optometry practice scope

House Bill 218, introduced on April 1, 2025, by a bipartisan group of Montana legislators, aims to expand the scope of practice for optometrists in the state. The bill seeks to authorize certain in-office surgical procedures and laser surgical procedures, marking a significant shift in the optometry profession in Montana.

The primary provisions of House Bill 218 include amendments to existing definitions of the practice of optometry, specifically allowing optometrists to perform specific surgical procedures that were previously restricted. This change is intended to enhance patient care by enabling optometrists to provide a broader range of services, particularly in managing ocular conditions that may require surgical intervention.

Supporters of the bill argue that it will improve access to eye care, especially in rural areas where ophthalmologists may not be readily available. They contend that trained optometrists can effectively perform these procedures, thereby reducing wait times and improving patient outcomes. Proponents also highlight the potential for cost savings in the healthcare system, as patients may avoid more expensive referrals to specialists.

However, the bill has faced opposition from some ophthalmologists and medical associations, who express concerns about the adequacy of training and the potential risks associated with allowing optometrists to perform surgical procedures. Critics argue that the complexity of certain eye surgeries requires specialized training that optometrists may not possess, raising questions about patient safety.

The economic implications of House Bill 218 could be significant, as it may lead to increased competition in the eye care market and potentially lower costs for patients. Socially, the bill could enhance the availability of eye care services, particularly in underserved communities, thereby improving overall public health outcomes.

As the bill progresses through the legislative process, it is expected to spark further debate regarding the balance between expanding healthcare access and ensuring patient safety. If passed, House Bill 218 could reshape the landscape of optometry in Montana, paving the way for similar legislative efforts in other states. The bill's future will depend on ongoing discussions among stakeholders and the legislative body's willingness to address the concerns raised by its opponents.