The bill establishes annual reporting requirements for medical facilities regarding infants born alive following an abortion or attempted abortion. Each facility must submit a report by February 28 each year detailing the number of such infants born alive in the previous calendar year, including their gestational age, medical actions taken, outcomes, and medical conditions. Notably, if no infants are born alive during the reporting period, the facility is still required to file a report indicating this outcome. The Department of Public Health and Human Services is tasked with publishing an annual aggregate report on these cases by June 30, which will include data from previous years and ensure confidentiality for individuals providing information.

Additionally, the bill outlines civil penalties for facilities that fail to submit the required reports on time, with fines of up to $500 for initial delays and additional fines for continued non-compliance. The Department is also granted rulemaking authority to implement these reporting requirements and ensure that the necessary forms are distributed to medical facilities. The provisions of this bill are intended to be codified as part of Title 50, chapter 20, part 8 of the Montana Code.