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Carter County health administrator warns of federal funding upheaval; legislative bills on immunization reporting and isolation examined

3308611 · April 15, 2025
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Summary

Public Health Administrator Stephanie told the Carter County board that a DPHHS notice terminating certain contract funding, effective March 24, followed federal reorganization and has created uncertainty; the board also reviewed state bills on immunization reporting, homeschooling records and isolation/quarantine.

At the meeting, Stephanie, Carter County’s public health administrator, told the board she and other local health directors had received a notice from the Montana Department of Public Health and Human Services (DPHHS) dated April 9 that terminated certain contract funding effective March 24. She said the notice arrived with little prior communication from the state and that local health jurisdictions are seeking clarification about impacts and next steps.

Stephanie said the state‑level uncertainty stems from federal reorganization and litigation over federal funding decisions begun in January; she said Montana was not participating in the national lawsuit referenced by some states and that the state’s contracts were adjusted accordingly. She described peer‑to‑peer calls through the Montana Association of Public Health Officials and said local officials have expressed disappointment about the lack of timely information from DPHHS.

On legislation, Stephanie briefed the board on bills she said “made it through transmittal” or were active in committee. She described House Bill 364 as proposed changes to immunization reporting that would have removed reporting to local health jurisdictions and centralized reporting to schools or the state; she said that bill had been tabled in a Senate committee. She said House Bill 778 would remove homeschoolers from a code section that currently requires maintaining records of disease immunization and making them available to the county superintendent; she said HB778 had passed the House and cleared Senate committee and was pending floor debate. Stephanie also summarized House Bill 88, which would change statutory language to prohibit requiring medication or treatment as a condition of isolation or quarantine (she said tuberculosis remains an explicit exception under its own statute), and noted other proposals related to vaccine ingredients and restrictions that were at various stages.

Stephanie cautioned that legislative outcomes are not final until bills reach the governor and are signed into law. She said local health departments are monitoring language in HB2 (the state budget bill) and other statutes that affect local public‑health responsibilities.

Board members asked clarifying questions about the meaning of “aggregate” immunization reporting (Stephanie explained it means non‑identifiable, grouped counts) and whether the public health office investigates child‑welfare issues (she said it does not). Stephanie said local planning and budgeting will continue amid uncertainty and that staff are tracking communications from the state and federal levels.