Senate Bill No. introduced by E. Boldman seeks to enhance health insurance coverage in Montana by mandating that all individual insurance policies include coverage for medically necessary injectable medications aimed at improving glucose levels or facilitating weight loss for adults diagnosed with prediabetes, gestational diabetes, or obesity. The bill requires patients to engage in a lifestyle management plan, provided they receive prior written notice, although this requirement does not apply to those covered by Medicare Advantage prescription drug plans. The legislation amends several sections of the Montana Code Annotated (MCA), specifically 2-18-704, 33-31-111, and 33-35-306, to incorporate these new coverage mandates while deleting certain existing provisions to ensure alignment with the bill's objectives.

Furthermore, the bill introduces a new section to Title 33 that specifically addresses self-funded multiple employer welfare arrangements, clarifying that other regulations within Title 33 do not apply to these arrangements as long as they possess a valid certificate of authority. It also includes a codification instruction to integrate this new section into Title 33, chapter 22, part 1, thereby streamlining the regulatory framework for self-funded multiple employer welfare arrangements. This comprehensive approach aims to improve healthcare access for individuals managing diabetes and obesity while ensuring that the regulatory environment remains clear and effective.

Statutes affected:
LC Text: 2-18-704, 33-31-111, 33-35-306
SB0417_1(1): 2-18-704, 33-31-111, 33-35-306
SB0417_1(2): 2-18-704, 33-31-111, 33-35-306
SB0417_1(3): 2-18-704, 33-31-111, 33-35-306
SB0417_1(4): 2-18-704, 33-31-111, 33-35-306
SB0417_1: 2-18-704, 33-31-111, 33-35-306