The bill establishes new requirements for insurance coverage of clinician-administered drugs in Montana. It prohibits health insurance issuers from denying authorization, imposing additional fees, or limiting coverage for these drugs when provided by participating providers. Specifically, it ensures that insured individuals can obtain clinician-administered drugs from their chosen providers without facing penalties or restrictions, and it defines "clinician-administered drug" to clarify which medications fall under this coverage. The bill also allows health insurance issuers to offer home infusion services but does not mandate them.

Additionally, the bill amends existing sections of the Montana Code Annotated (MCA) related to health maintenance organizations and self-funded multiple employer welfare arrangements, ensuring that they comply with the new coverage requirements. It includes a codification instruction for the new section and sets an effective date of January 1, 2024, for the implementation of these provisions. The amendments aim to enhance patient access to necessary medications while maintaining regulatory oversight of health insurance practices.

Statutes affected:
Introduced: 33-31-111, 33-35-306