House Bill No. introduced by S. Rosenzweig and J. Gillette mandates that group health insurance for state employees, including those in the Montana University System, must cover specific treatments and medications for Class 3 obesity and polycystic ovary syndrome. The bill requires coverage for glucagon-like peptide-1 receptor agonists, contingent upon medical necessity, while allowing for standard deductibles, coinsurance, and copayment provisions. However, it prohibits any special limitations on the coverage of these medications. Additionally, the bill establishes reporting requirements for the Department of Administration to evaluate the effectiveness and budget implications of this mandated coverage.

The bill also amends existing laws related to health maintenance organizations (HMOs) and self-funded multiple employer welfare arrangements, ensuring that HMOs comply with regulatory requirements and network adequacy standards. It specifies that self-funded arrangements must adhere to certain provisions of the insurance code. Furthermore, the bill includes a one-time appropriation of $1.5 million from the state general fund to the Department of Administration for the implementation costs associated with the act, effective for each fiscal year of the biennium beginning July 1, 2025. A codification instruction is included to integrate specific sections into Title 2, Chapter 18, Part 7 of the law.

Statutes affected:
LC Text: 2-18-704, 33-31-111, 33-35-306
HB0783_1(1): 2-18-704, 33-31-111, 33-35-306
HB0783_1(2): 2-18-704, 33-31-111, 33-35-306
HB0783_1(3): 2-18-704, 33-31-111, 33-35-306
HB0783_1(4): 2-18-704, 33-31-111, 33-35-306
HB0783_1(5): 2-18-704, 33-31-111, 33-35-306
HB0783_1: 2-18-704, 33-31-111, 33-35-306
HB0783_2(1): 2-18-704, 33-31-111, 33-35-306
HB0783_2(10): 2-18-704, 33-31-111, 33-35-306
HB0783_2(11): 2-18-704, 33-31-111, 33-35-306
HB0783_2(12): 2-18-704, 33-31-111, 33-35-306
HB0783_2(2): 2-18-704, 33-31-111, 33-35-306
HB0783_2(3): 2-18-704, 33-31-111, 33-35-306
HB0783_2(4): 2-18-704, 33-31-111, 33-35-306
HB0783_2(5): 2-18-704, 33-31-111, 33-35-306
HB0783_2(6): 2-18-704, 33-31-111, 33-35-306
HB0783_2(7): 2-18-704, 33-31-111, 33-35-306
HB0783_2(8): 2-18-704, 33-31-111, 33-35-306
HB0783_2(9): 2-18-704, 33-31-111, 33-35-306
HB0783_2: 2-18-704, 33-31-111, 33-35-306
HB0783_3(1): 2-18-704, 33-31-111, 33-35-306
HB0783_3(10): 2-18-704, 33-31-111, 33-35-306
HB0783_3(2): 2-18-704, 33-31-111, 33-35-306
HB0783_3(3): 2-18-704, 33-31-111, 33-35-306
HB0783_3(4): 2-18-704, 33-31-111, 33-35-306
HB0783_3(5): 2-18-704, 33-31-111, 33-35-306
HB0783_3(6): 2-18-704, 33-31-111, 33-35-306
HB0783_3(7): 2-18-704, 33-31-111, 33-35-306
HB0783_3(8): 2-18-704, 33-31-111, 33-35-306
HB0783_3(9): 2-18-704, 33-31-111, 33-35-306
HB0783_3: 2-18-704, 33-31-111, 33-35-306