Legislation: batch C — MO MS MT NC ND NE NH NJ NM NV

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/mt/2025/sb-446.md

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+---
+type: "Bill"
+title: "Revise laws related to healthcare utilization review"
+description: "Revise laws related to healthcare utilization review"
+jurisdiction: "us/states/mt"
+legislature: "Montana Legislature"
+session: "2025"
+identifier: "SB 446"
+citation: "Montana SB 446 (2025)"
+classification: ["bill"]
+subjects: ["Health", "Health Care Services", "Insurance"]
+status: "enacted"
+primary_sponsors: ["Vince Ricci"]
+version_count: 54
+action_count: 50
+vote_count: 13
+first_action: "2024-12-14T14:40:45+00:00"
+last_action: "2025-05-16T15:36:04+00:00"
+source: "openstates"
+source_identifier: "ocd-bill/1489a0a5-a082-406a-bcb1-5fb8ae3047f0"
+source_url: "https://bills.legmt.gov/#/laws/bill/2/LC3198?open_tab=sum"
+source_hash: "e49ca87b136021966f92dee88d9791ae99821841e5d3c4d7b317be6143bd68be"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-mt"]
+---
+
+# Montana SB 446 (2025) — Revise laws related to healthcare utilization review
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **LC3198.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=285889)
+2. **SB0446.001.001_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=292528)
+3. **SB0446.001.001_Amendments-in-Context_final-not condensed.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=292529)
+4. **SB0446.002.001_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=306920)
+5. **SB0446.002.002_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307016)
+6. **SB0446.002.003_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307307)
+7. **SB0446.002.003_combo_final-not condensed.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307317)
+8. **SB0446.003.001_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=318151)
+9. **SB0446.003.002_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=318150)
+10. **SB0446_1(1).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=287863)
+11. **SB0446_1(2).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293085)
+12. **SB0446_1(3).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293086)
+13. **SB0446_1(4).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293087)
+14. **SB0446_1(5).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293088)
+15. **SB0446_1.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=286778)
+16. **SB0446_2(1).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293090)
+17. **SB0446_2(10).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293723)
+18. **SB0446_2(11).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307237)
+19. **SB0446_2(12).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307510)
+20. **SB0446_2(13).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307511)
+21. **SB0446_2(14).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307513)
+22. **SB0446_2(15).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307514)
+23. **SB0446_2(2).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293091)
+24. **SB0446_2(3).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293092)
+25. **SB0446_2(4).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293093)
+26. **SB0446_2(5).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293094)
+27. **SB0446_2(6).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293095)
+28. **SB0446_2(7).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293096)
+29. **SB0446_2(8).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293097)
+30. **SB0446_2(9).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293525)
+31. **SB0446_2.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=293089)
+32. **SB0446_3(1).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307659)
+33. **SB0446_3(2).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=309030)
+34. **SB0446_3(3).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=309442)
+35. **SB0446_3(4).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319895)
+36. **SB0446_3(5).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319896)
+37. **SB0446_3(6).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319897)
+38. **SB0446_3(7).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319898)
+39. **SB0446_3.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=307651)
+40. **SB0446_4(1).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319910)
+41. **SB0446_4(2).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319911)
+42. **SB0446_4(3).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319914)
+43. **SB0446_4.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319907)
+44. **SB0446_X(1).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319916)
+45. **SB0446_X(10).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=326777)
+46. **SB0446_X(2).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319917)
+47. **SB0446_X(3).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=320001)
+48. **SB0446_X(4).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=320002)
+49. **SB0446_X(5).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=321081)
+50. **SB0446_X(6).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=323015)
+51. **SB0446_X(7).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=323016)
+52. **SB0446_X(8).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=323017)
+53. **SB0446_X(9).pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=324996)
+54. **SB0446_X.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=319915)
+
+## Votes
+
+- Do Adopt — **98–2** (pass) · lower
+- Do Adopt — **100–0** (pass) · lower
+- AMD-SB0446.001.001 Ricci D/PASS — **50–0** (pass) · upper
+- Do Concur — **100–0** (pass) · lower
+- to_table — **11–1** (pass) · upper
+- Do Concur — **99–0** (pass) · lower
+- Take SB 446 from Comm-Ricci — **46–4** (pass) · upper
+- be_concurred_in_as_amended — **20–0** (pass) · lower
+- Do Pass — **46–3** (pass) · upper
+- Do Adopt — **50–0** (pass) · upper
+- Do Adopt — **48–1** (pass) · upper
+- Do Pass As Amended — **43–7** (pass) · upper
+- Do Not Concur — **34–16** (pass) · upper
+
+## Sponsors
+
+- Vince Ricci — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2024-12-14T14:40:45+00:00** (LC) Drafter Assigned
+- **2025-02-18T15:44:21+00:00** (LC) Draft in Legal Review
+- **2025-02-18T23:07:31+00:00** (LC) Draft in Edit
+- **2025-02-21T23:05:09+00:00** (LC) Draft in Input/Proofing
+- **2025-02-23T01:15:45+00:00** (LC) Draft in Final Drafter Review
+- **2025-02-23T01:30:37+00:00** (LC) Draft in Assembly
+- **2025-02-23T20:04:08+00:00** (LC) Draft Ready for Delivery
+- **2025-02-24T19:03:03+00:00** (LC) Draft Delivered to Requester
+- **2025-02-24T22:10:40+00:00** (S) Introduced
+- **2025-02-25T00:24:25+00:00** (S) Referred to Committee - (S) Business, Labor and Economic Affairs `referral-committee`
+- **2025-02-25T20:06:54+00:00** (S) First Reading `reading-1`
+- **2025-02-27T18:26:59+00:00** (S) Hearing - (S) Business, Labor and Economic Affairs
+- **2025-03-04T18:57:36+00:00** (S) Tabled in Committee - (S) Business, Labor and Economic Affairs `amendment-deferral`
+- **2025-03-04T23:11:00+00:00** (S) Taken from Committee; Placed on 2nd Reading - (S) Business, Labor and Economic Affairs `reading-2, reading-2`
+- **2025-03-05T07:19:00+00:00** (S) Scheduled for 2nd Reading `reading-2`
+- **2025-03-06T02:03:00+00:00** (S) 2nd Reading Motion to Amend Carried `reading-2`
+- **2025-03-06T02:06:00+00:00** (S) 2nd Reading Passed as Amended `reading-2, reading-2`
+- **2025-03-06T07:19:00+00:00** (S) Scheduled for 3rd Reading `reading-3`
+- **2025-03-07T01:47:00+00:00** (S) 3rd Reading Passed `passage, reading-3`
+- **2025-03-07T16:18:42+00:00** (S) Transmitted to House
+- **2025-03-17T15:22:47+00:00** (H) Referred to Committee - (H) Business and Labor `referral-committee`
+- **2025-03-17T19:15:00+00:00** (H) First Reading `reading-1`
+- **2025-04-08T22:25:29+00:00** (H) Hearing - (H) Business and Labor
+- **2025-04-09T19:08:21+00:00** (H) Committee Executive Action--Bill Concurred as Amended - (H) Business and Labor
+- **2025-04-09T21:59:00+00:00** (H) Committee Report--Bill Concurred as Amended - (H) Business and Labor
+- **2025-04-11T16:58:00+00:00** (H) 2nd Reading Concurred `reading-2, reading-2`
+- **2025-04-11T23:58:00+00:00** (H) 3rd Reading Concurred `passage, reading-3`
+- **2025-04-12T01:02:48+00:00** (H) Returned to Senate with Amendments
+- **2025-04-14T19:00:00+00:00** (S) Scheduled for 2nd Reading `reading-2`
+- **2025-04-14T19:17:00+00:00** (S) 2nd Reading House Amendments Not Concurred `amendment-failure, reading-2`
+- **2025-04-18T22:48:00+00:00** (S) Free Conference Committee Appointed
+- **2025-04-25T16:24:50+00:00** (H) Free Conference Committee Appointed
+- **2025-04-25T18:05:01+00:00** (S) Hearing - Free Conference Committee on SB 446
+- **2025-04-28T15:44:38+00:00** (H) Free Conference Committee Report Received `receipt`
+- **2025-04-28T20:51:00+00:00** (S) Free Conference Committee Report Received `receipt`
+- **2025-04-29T16:00:00+00:00** (S) Scheduled for 2nd Reading `reading-2`
+- **2025-04-29T17:55:00+00:00** (S) 2nd Reading Free Conference Committee Report Adopted `reading-2`
+- **2025-04-29T19:30:00+00:00** (H) Scheduled for 2nd Reading `reading-2`
+- **2025-04-29T20:25:00+00:00** (H) 2nd Reading Free Conference Committee Report Adopted `reading-2`
+- **2025-04-30T15:00:00+00:00** (H) Scheduled for 3rd Reading `reading-3`
+- **2025-04-30T16:00:00+00:00** (S) Scheduled for 3rd Reading `reading-3`
+- **2025-04-30T17:09:00+00:00** (H) 3rd Reading Free Conference Committee Report Adopted
+- **2025-04-30T20:17:00+00:00** (S) 3rd Reading Free Conference Committee Report Adopted
+- **2025-05-01T17:33:03+00:00** (S) Sent to Enrolling
+- **2025-05-02T13:50:17+00:00** (S) Returned from Enrolling
+- **2025-05-06T18:30:00+00:00** (S) Signed by President `passage`
+- **2025-05-06T19:30:00+00:00** (H) Signed by Speaker `passage`
+- **2025-05-06T21:30:54+00:00** (S) Transmitted to Governor `executive-receipt`
+- **2025-05-13T16:34:00+00:00** (S) Signed by Governor `executive-signature`
+- **2025-05-16T15:36:04+00:00** Chapter Number Assigned `became-law`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1489a0a5-a082-406a-bcb1-5fb8ae3047f0`. Confidence: reported (aggregated from official Montana legislature records).
+