On April 21, 2025, the Montana Legislature introduced House Bill 806, a significant piece of legislation aimed at reforming the practice of dietetics and nutrition within the state. The bill seeks to enhance access to medical nutrition therapy, particularly through telehealth services, while also establishing clearer licensing requirements for dietitians and nutritionists.

The primary purpose of House Bill 806 is to allow licensed practitioners to provide medical nutrition therapy via telehealth, ensuring that patients can receive necessary care even when temporarily present in Montana. This provision is particularly relevant in the context of increasing reliance on telehealth services, a trend accelerated by the COVID-19 pandemic. The bill stipulates that practitioners must maintain a current practitioner-patient relationship to offer these services, thereby ensuring continuity of care.

Key provisions of the bill include amendments to existing laws regarding the representation of dietitians and nutritionists. It prohibits individuals from using these titles unless they are licensed under the new regulations, thereby aiming to protect the public from unqualified practitioners. Additionally, the bill introduces provisional licenses for individuals who have completed the necessary educational and supervised practice requirements, allowing them to work under the supervision of licensed professionals for a year.

Debate surrounding House Bill 806 has focused on the implications of telehealth in dietetic practice and the potential for increased access to care. Supporters argue that the bill will improve patient outcomes by making nutrition services more accessible, particularly in rural areas where healthcare resources may be limited. However, some opposition has emerged regarding the adequacy of supervision for provisional licensees and concerns about the quality of care provided through telehealth.

The economic implications of the bill could be significant, as it may lead to increased demand for dietetic services and potentially lower healthcare costs by promoting preventive care through nutrition. Socially, the bill aims to address disparities in access to nutrition services, particularly for vulnerable populations.

As House Bill 806 progresses through the legislative process, its potential to reshape the landscape of dietetic practice in Montana remains a focal point of discussion. If passed, it could set a precedent for similar reforms in other states, reflecting a broader shift towards integrating telehealth into various healthcare disciplines. The next steps will involve further debates and potential amendments as lawmakers consider the bill's long-term impact on public health and professional standards in the field of nutrition.