House Bill No. [insert bill number] introduces new requirements for insurance coverage of continuous glucose monitors and related supplies for individuals with type I or type II diabetes in Montana. The bill mandates that all individual disability policies, certificates of insurance, and membership contracts must cover continuous glucose monitors deemed medically necessary by a healthcare provider, without imposing limitations based on the stage of diabetes or the individual's need for insulin. While coverage may be subject to standard deductibles, coinsurance, and copayment provisions, it prohibits any special limitations on continuous glucose monitor coverage that are not applicable to other medical services.

The bill amends existing sections of the Montana Code Annotated (MCA), specifically sections 2-18-704 and 33-22-129, to include these new coverage requirements, reinforcing the importance of diabetes management in insurance policies. It clarifies that the provisions do not apply to certain types of insurance policies, such as disability income or long-term care policies, and exempts employee group insurance programs of political subdivisions that provide equivalent or greater coverage as of January 1, 2002, unless they reduce or discontinue such coverage thereafter. The legislation will be codified into Title 33, chapter 22, part 3, and is set to take effect on January 1, 2026, with an appropriation of $25,000 from the general fund for the administration of the state employee health plan related to this act.

Statutes affected:
LC Text: 2-18-704, 33-22-129
HB0947_1(1): 2-18-704, 33-22-129
HB0947_1(2): 2-18-704, 33-22-129
HB0947_1(3): 2-18-704, 33-22-129
HB0947_1(4): 2-18-704, 33-22-129
HB0947_1(5): 2-18-704, 33-22-129
HB0947_1(6): 2-18-704, 33-22-129
HB0947_1: 2-18-704, 33-22-129