House Bill No. [insert bill number] seeks to mandate insurance coverage for continuous glucose monitors and related supplies for individuals diagnosed with type I or type II diabetes in Montana. The bill requires that all individual disability policies, certificates of insurance, and membership contracts provide coverage for these monitors when deemed medically necessary by a healthcare provider. Importantly, the coverage cannot be restricted based on the stage of the insured's diabetes or their need for insulin. While standard deductibles, coinsurance, and copayment provisions may apply, no additional limitations specific to continuous glucose monitors can be imposed that are not applicable to other medical services.

The bill amends existing sections of the Montana Code Annotated (MCA) to include these coverage requirements and clarifies that certain types of insurance policies, such as disability income or long-term care policies, are exempt from these provisions. It also specifies that employee group insurance programs providing equivalent or greater coverage as of January 1, 2002, are exempt unless they reduce coverage after that date. The legislation includes a codification instruction for integration into existing law, sets an effective date of January 1, 2026, and allocates $25,000 from the general fund for the administration of the state employee health plan. Overall, this bill aims to improve access to essential diabetes management tools for Montanans living with diabetes.

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: 2-18-704, 33-22-129