---
type: "Bill"
title: "Generally revise healthcare laws and permanently expand Medicaid"
description: "Generally revise healthcare laws and permanently expand Medicaid"
jurisdiction: "us/states/mt"
legislature: "Montana Legislature"
session: "2019"
identifier: "HB 658"
citation: "Montana HB 658 (2019)"
classification: ["bill"]
subjects: ["Appropriations (see also: State Finance)", "Health (see also: Health Care Services; Safety)", "Insurance", "Labor and Employment (see also: Unemployment Insurance; Workers' Comp)", "Revenue", "State", "Rule Making", "Social Services", "Torts (see also: Remedies; Liabilities)", "Workers' Compensation (see also: Labor and Employment)"]
status: "enacted"
primary_sponsors: ["Edward Buttrey"]
version_count: 6
action_count: 101
vote_count: 33
first_action: "2018-11-14"
last_action: "2019-05-20"
source: "openstates"
source_identifier: "ocd-bill/b1f8244f-9c0d-4ce4-9604-26bc81abb027"
source_url: "http://laws.leg.mt.gov/legprd/LAW0210W$BSIV.ActionQuery?P_BILL_NO1=658&P_BLTP_BILL_TYP_CD=HB&Z_ACTION=Find&P_SESS=20191"
source_hash: "eae28605eb025f575816c128d0df992c4180a9ba4445330cda6cf93d52435c0e"
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 HB 658 (2019) — Generally revise healthcare laws and permanently expand Medicaid

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **HB0658_1.pdf** (committee substitute) — [source](https://leg.mt.gov/bills/2019/HB0699//HB0658_1.pdf)
2. **HB0658_2.pdf** (committee substitute) — [source](https://leg.mt.gov/bills/2019/HB0699//HB0658_2.pdf)
3. **HB0658_3.pdf** (committee substitute) — [source](https://leg.mt.gov/bills/2019/HB0699//HB0658_3.pdf)
4. **HB0658_4.pdf** (committee substitute) — [source](https://leg.mt.gov/bills/2019/HB0699//HB0658_4.pdf)
5. **HB0658_x.pdf** (committee substitute) — [source](https://leg.mt.gov/bills/2019/HB0699//HB0658_x.pdf)
6. **Enrolled** (enrolled) — [source](http://leg.mt.gov/bills/2019/billpdf/HB0658.pdf)

## Votes

- AMD-005 Brown D/PASS — **28–22** (pass) · upper
- Do Concur As Amended — **25–25** (fail) · upper
- Place HB 658 on 2nd Reading Agenda Today — **24–26** (fail) · upper
- AMD-015 Thomas D/PASS — **26–24** (pass) · upper
- Do Pass — **61–39** (pass) · lower
- AMD-001 Skees D/PASS — **38–62** (fail) · lower
- Do Concur — **87–13** (pass) · lower
- AMD-007 Mr. Speaker D/PASS — **42–58** (fail) · lower
- Do Concur — **28–22** (pass) · upper
- AMD-0011 Small D/PASS — **28–22** (pass) · upper
- AMD-006 Beard D/PASS — **37–63** (fail) · lower
- Do Pass — **61–37** (pass) · lower
- Place on 2nd Reading Today — **26–24** (pass) · upper
- AMD-013 Cuffe D/PASS — **24–26** (fail) · upper
- AMD-012 Tschida D/PASS — **39–61** (fail) · lower
- DO PASS — **16–6** (pass) · lower
- AMD-003 Keenan D/PASS — **23–27** (fail) · upper
- AMD-004 Fuller D/PASS — **42–58** (fail) · lower
- AMD-002 Moore T D/PASS — **41–59** (fail) · lower
- DO PASS AS AMENDED — **11–8** (pass) · lower
- Do Concur — **26–24** (pass) · upper
- AMD-010 Tschida D/PASS — **38–62** (fail) · lower
- AMD-014 Brown D/PASS — **25–25** (fail) · upper
- Place on 2nd Reading Today — **24–26** (fail) · upper
- AMD-011 Noland D/PASS — **35–64** (fail) · lower
- BE CONCURRED IN AS AMENDED — **10–9** (pass) · upper
- AMD-003 Usher D/PASS — **35–64** (fail) · lower
- AMD-006 Sesso D/PASS — **28–22** (pass) · upper
- AMD-012 Thomas D/PASS — **26–24** (pass) · upper
- AMD-005 Brown D/PASS — **24–26** (fail) · upper
- AMD-008 Sesso D/PASS — **27–23** (pass) · upper
- Do Concur — **61–35** (pass) · lower
- AMD-013 Galt D/PASS — **36–64** (fail) · lower

## Sponsors

- Edward Buttrey — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2018-11-14** Draft Request Received
- **2019-03-01** Draft to Requester for Review
- **2019-03-11** Draft in Legal Review
- **2019-03-11** Draft in Edit
- **2019-03-11** Draft to Drafter - Edit Review [SMH]
- **2019-03-11** Draft in Input/Proofing
- **2019-03-12** Draft in Final Drafter Review
- **2019-03-12** Bill Draft Text Available Electronically
- **2019-03-12** Executive Director Review
- **2019-03-12** Draft in Assembly
- **2019-03-12** Executive Director Final Review
- **2019-03-12** Draft Ready for Delivery
- **2019-03-12** Draft Delivered to Requester
- **2019-03-12** Fiscal Note Requested
- **2019-03-12** Introduced `introduction`
- **2019-03-12** Referred to Committee `referral-committee`
- **2019-03-12** Introduced Bill Text Available Electronically
- **2019-03-13** First Reading `reading-1`
- **2019-03-16** Hearing
- **2019-03-21** Fiscal Note Received
- **2019-03-22** Fiscal Note Unsigned
- **2019-03-22** Fiscal Note Printed
- **2019-03-26** Committee Executive Action--Bill Passed as Amended `committee-passage`
- **2019-03-27** Revised Fiscal Note Requested
- **2019-03-28** Committee Report--Bill Passed as Amended `committee-passage`
- **2019-03-28** Printed - New Version Available
- **2019-03-29** Scheduled for 2nd Reading
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-03-29** Motion Carried
- **2019-03-29** 2nd Reading Passed `reading-2`
- **2019-03-29** Rereferred to Committee `referral-committee`
- **2019-03-29** Hearing
- **2019-03-29** Revised Fiscal Note Received
- **2019-03-29** Fiscal Note Unsigned
- **2019-03-29** Revised Fiscal Note Printed
- **2019-03-29** Committee Executive Action--Bill Passed `committee-passage`
- **2019-03-29** Committee Report--Bill Passed `committee-passage`
- **2019-03-30** Scheduled for 3rd Reading
- **2019-03-30** 3rd Reading Passed `passage, reading-3`
- **2019-03-30** Transmitted to Senate
- **2019-04-01** First Reading `reading-1`
- **2019-04-01** Referred to Committee `referral-committee`
- **2019-04-02** Hearing Canceled
- **2019-04-05** Hearing
- **2019-04-05** Tabled in Committee `amendment-deferral`
- **2019-04-05** Rereferred to Committee `referral-committee`
- **2019-04-08** Hearing
- **2019-04-08** Committee Executive Action--Bill Concurred as Amended
- **2019-04-08** Committee Report--Bill Concurred as Amended
- **2019-04-08** Printed - New Version Available
- **2019-04-08** Revised Fiscal Note Requested
- **2019-04-10** Revised Fiscal Note Received
- **2019-04-10** Fiscal Note Unsigned
- **2019-04-10** Scheduled for 2nd Reading
- **2019-04-10** 2nd Reading Pass Consideration
- **2019-04-11** Revised Fiscal Note Printed
- **2019-04-11** Scheduled for 2nd Reading
- **2019-04-11** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-04-11** 2nd Reading Motion to Amend Carried
- **2019-04-11** 2nd Reading Motion to Amend Carried
- **2019-04-11** 2nd Reading Motion to Amend Carried
- **2019-04-11** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-04-11** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-04-11** 2nd Reading Motion to Amend Carried
- **2019-04-11** 2nd Reading Motion to Amend Failed `amendment-failure`
- **2019-04-11** Motion Carried
- **2019-04-11** 2nd Reading Motion to Amend Carried
- **2019-04-11** 2nd Reading Motion to Amend Carried
- **2019-04-11** 2nd Reading Concur as Amended Motion Failed
- **2019-04-12** Motion Failed
- **2019-04-13** Motion Failed
- **2019-04-15** Motion Carried
- **2019-04-15** Scheduled for 2nd Reading
- **2019-04-15** 2nd Reading Concurred as Amended `reading-2`
- **2019-04-15** Printed - New Version Available
- **2019-04-16** Scheduled for 3rd Reading
- **2019-04-16** 3rd Reading Concurred `passage, reading-3`
- **2019-04-16** Returned to House with Amendments
- **2019-04-17** Scheduled for 2nd Reading
- **2019-04-17** 2nd Reading Pass Consideration
- **2019-04-18** Scheduled for 2nd Reading
- **2019-04-18** 2nd Reading Senate Amendments Concurred `amendment-passage, amendment-amendment, reading-2`
- **2019-04-18** Scheduled for 3rd Reading
- **2019-04-18** 3rd Reading Passed as Amended by Senate `passage, reading-3`
- **2019-04-18** Sent to Enrolling
- **2019-04-24** Returned from Enrolling
- **2019-04-25** Printed - Enrolled Version Available
- **2019-04-26** Signed by Speaker
- **2019-04-30** Signed by President
- **2019-05-01** Transmitted to Governor `executive-receipt`
- **2019-05-09** Signed by Governor `executive-signature`
- **2019-05-20** Chapter Number Assigned

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b1f8244f-9c0d-4ce4-9604-26bc81abb027`. Confidence: reported (aggregated from official Montana legislature records).