The bill directs the Department of Public Health and Human Services to implement a policy of continuous eligibility for children under 6 years of age enrolled in the Healthy Montana Kids Plan. It establishes that children will remain continuously enrolled for 3 years from the date of initial enrollment or subsequent reenrollment, regardless of changes in family circumstances that would typically affect eligibility. This continuous coverage aims to provide consistent access to healthcare during critical early childhood development, improve health outcomes, reduce healthcare costs, and enhance school readiness by ensuring children receive necessary preventive care.

Additionally, the bill requires the department to apply for necessary waivers and amendments from the Centers for Medicare and Medicaid Services to facilitate this continuous eligibility. It mandates that the department submit these requests by July 1, 2025, and implement the continuous eligibility policy within six months of receiving approval. The legislation emphasizes the importance of ongoing enrollment in reducing administrative costs and improving access to healthcare services for young children. The act is set to take effect immediately upon passage and approval.