---
type: "Bill"
title: "Provide for certified pediatric complex care assistant services"
description: "Provide for certified pediatric complex care assistant services"
jurisdiction: "us/states/mt"
legislature: "Montana Legislature"
session: "2023"
identifier: "HB 449"
citation: "Montana HB 449 (2023)"
classification: ["bill"]
subjects: ["Health Care Services (see also: Health)", "Revenue", "State", "Social Services"]
status: "enacted"
primary_sponsors: ["Alice Buckley"]
version_count: 17
action_count: 70
vote_count: 12
first_action: "2022-12-03T21:15:54+00:00"
last_action: "2023-05-22T20:45:25+00:00"
source: "openstates"
source_identifier: "ocd-bill/8f1396e7-005f-4db7-9fe2-5adad49908b4"
source_url: "https://bills.legmt.gov/#/bill/20231/LC2455"
source_hash: "f43727a02ed79f11358692a40f99b07c40ad46ded6338649989c01e67d5c57d5"
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 449 (2023) — Provide for certified pediatric complex care assistant services

## Version chain

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

1. **HB0449.001.001_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12736)
2. **HB0449.001.002_Amendments-in-Context_final-condensed.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12738)
3. **HB0449.001.002_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12739)
4. **HB0449.001.003_combo_final-condensed.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12745)
5. **HB0449.001.003_combo_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12737)
6. **HB0449.002.003_Amendments-in-Context_final-condensed.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12741)
7. **HB0449.002.003_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12742)
8. **HB0449.002.004.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12743)
9. **HB0449.002.004_Amendments-in-Context_final-condensed.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12740)
10. **HB0449.002.004_Amendments-in-Context_final-full.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12734)
11. **HB0449001SCH.hlc.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12746)
12. **HB0449001SCH18803.hlc.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12744)
13. **HB0449001SCH19681.hlc.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12735)
14. **HB0449_1.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12752)
15. **HB0449_2.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12751)
16. **HB0449_3.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12749)
17. **HB0449_X.pdf** (committee substitute) — [source](https://api.legmt.gov/docs/v1/documents/getContent?documentId=12750)

## Votes

- (S) Committee Executive Action--Bill Concurred — **18–1** (pass) · upper
- (H) 2nd Reading Passed — **77–23** (pass) · lower
- (S) 3rd Reading Concurred — **40–8** (pass) · upper
- (S) 2nd Reading Motion to Amend Carried — **49–1** (pass) · upper
- (S) Committee Executive Action--Bill Concurred — **10–0** (pass) · upper
- (H) Committee Executive Action--Bill Passed as Amended — **15–8** (pass) · lower
- (H) 2nd Reading Senate Amendments Concurred — **87–13** (pass) · lower
- (H) 3rd Reading Passed as Amended by Senate — **81–14** (pass) · lower
- (H) Committee Executive Action--Bill Passed — **21–0** (pass) · lower
- (H) 3rd Reading Passed — **74–20** (pass) · lower
- (H) 2nd Reading Passed — **99–1** (pass) · lower
- (S) 2nd Reading Concurred as Amended — **36–14** (pass) · upper

## Sponsors

- Alice Buckley — primary (person)

## Timeline

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

- **2023-05-22T20:45:25+00:00** Chapter Number Assigned `became-law`
- **2023-05-19T20:24:29+00:00** (H) Signed by Governor `executive-signature`
- **2023-05-11T21:00:00+00:00** (H) Transmitted to Governor `executive-receipt`
- **2023-05-11T18:40:00+00:00** (S) Signed by President `passage`
- **2023-05-11T17:00:00+00:00** (H) Signed by Speaker `passage`
- **2023-05-03T20:34:21+00:00** (C) Printed - Enrolled Version Available `enrolled`
- **2023-05-03T20:34:20+00:00** (H) Returned from Enrolling
- **2023-05-02T00:04:55+00:00** (H) Sent to Enrolling
- **2023-05-01T22:19:00+00:00** (H) 3rd Reading Passed as Amended by Senate `passage, passage, reading-3, reading-3`
- **2023-05-01T20:30:00+00:00** (H) Scheduled for 3rd Reading `reading-3`
- **2023-04-28T20:36:00+00:00** (H) 2nd Reading Senate Amendments Concurred `amendment-amendment, amendment-passage, reading-2, reading-2`
- **2023-04-28T19:00:00+00:00** (H) Scheduled for 2nd Reading `reading-2`
- **2023-04-20T02:07:00+00:00** (S) Returned to House with Amendments
- **2023-04-20T01:39:00+00:00** (S) 3rd Reading Concurred `passage, reading-3`
- **2023-04-20T00:00:00+00:00** (S) Scheduled for 3rd Reading `reading-3`
- **2023-04-19T21:22:00+00:00** (S) Committee Report--Bill Concurred
- **2023-04-19T14:00:00+00:00** (S) Committee Executive Action--Bill Concurred
- **2023-04-18T21:54:12+00:00** (C) Printed - New Version Available
- **2023-04-18T21:00:00+00:00** (S) Hearing
- **2023-04-18T20:19:00+00:00** (S) Rereferred to Committee `referral-committee, referral-committee`
- **2023-04-18T19:54:00+00:00** (S) 2nd Reading Concurred as Amended `reading-2, reading-2`
- **2023-04-18T19:53:00+00:00** (S) 2nd Reading Motion to Amend Carried `reading-2`
- **2023-04-18T19:00:00+00:00** (S) Scheduled for 2nd Reading `reading-2`
- **2023-04-13T19:06:00+00:00** (S) Committee Report--Bill Concurred
- **2023-04-13T15:30:00+00:00** (S) Committee Executive Action--Bill Concurred
- **2023-04-07T14:00:00+00:00** (S) Hearing
- **2023-04-03T18:42:27+00:00** (S) Hearing Canceled
- **2023-03-30T20:06:00+00:00** (S) Rereferred to Committee `referral-committee, referral-committee`
- **2023-03-30T20:05:00+00:00** (S) First Reading `reading-1`
- **2023-03-30T12:17:28+00:00** (S) Referred to Committee `referral-committee`
- **2023-03-30T00:08:10+00:00** (H) Transmitted to Senate
- **2023-03-29T21:20:00+00:00** (H) 3rd Reading Passed `passage, reading-3`
- **2023-03-29T20:52:39+00:00** (H) Revised Fiscal Note Printed
- **2023-03-29T15:04:39+00:00** (H) Revised Fiscal Note Signed
- **2023-03-28T23:42:43+00:00** (H) Revised Fiscal Note Received `receipt`
- **2023-03-28T19:59:00+00:00** (H) 2nd Reading Passed `reading-2, reading-2`
- **2023-03-22T22:58:01+00:00** (H) Revised Fiscal Note Requested
- **2023-03-22T14:49:08+00:00** (C) Printed - New Version Available
- **2023-03-22T14:14:00+00:00** (H) Committee Report--Bill Passed as Amended `committee-passage`
- **2023-03-21T14:00:00+00:00** (H) Committee Executive Action--Bill Passed as Amended `committee-passage`
- **2023-03-21T13:28:41+00:00** (C) Amendments Available
- **2023-03-20T14:30:00+00:00** (H) Hearing
- **2023-03-11T15:44:00+00:00** (H) Rereferred to Committee `referral-committee, referral-committee`
- **2023-03-11T15:35:00+00:00** (H) 2nd Reading Passed `reading-2, reading-2`
- **2023-02-22T20:18:00+00:00** (H) Committee Report--Bill Passed `committee-passage`
- **2023-02-21T22:00:00+00:00** (H) Committee Executive Action--Bill Passed `committee-passage`
- **2023-02-17T22:00:39+00:00** (H) Hearing
- **2023-02-17T14:47:25+00:00** (H) Fiscal Note Printed
- **2023-02-17T00:38:00+00:00** (H) Fiscal Note Signed
- **2023-02-16T14:53:32+00:00** (H) Fiscal Note Received `receipt`
- **2023-02-10T23:13:13+00:00** (H) Hearing Canceled
- **2023-02-09T20:23:41+00:00** (C) Introduced Bill Text Available Electronically
- **2023-02-09T20:20:07+00:00** (H) First Reading `reading-1`
- **2023-02-09T19:15:11+00:00** (H) Referred to Committee `referral-committee`
- **2023-02-09T01:16:45+00:00** (H) Fiscal Note Requested
- **2023-02-08T17:06:35+00:00** (H) Introduced
- **2023-02-06T18:13:32+00:00** (C) Draft Delivered to Requester
- **2023-02-02T18:33:09+00:00** (C) Draft Ready for Delivery
- **2023-02-01T16:18:32+00:00** (C) Executive Director Final Review
- **2023-02-01T16:18:27+00:00** (C) Draft Ready for Delivery
- **2023-02-01T12:20:47+00:00** (C) Draft in Assembly
- **2023-01-31T23:42:03+00:00** (C) Executive Director Review
- **2023-01-31T17:23:53+00:00** (C) Bill Draft Text Available Electronically
- **2023-01-31T17:23:52+00:00** (C) Draft in Final Drafter Review
- **2023-01-31T01:24:25+00:00** (C) Draft in Input/Proofing
- **2023-01-31T00:33:07+00:00** (C) Draft to Drafter - Edit Review
- **2023-01-27T19:25:51+00:00** (C) Draft in Edit
- **2023-01-25T22:14:02+00:00** (C) Draft in Legal Review
- **2023-01-25T21:39:15+00:00** (C) Draft to Requester for Review
- **2022-12-03T21:15:54+00:00** (C) Draft Request Received `receipt`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8f1396e7-005f-4db7-9fe2-5adad49908b4`. Confidence: reported (aggregated from official Montana legislature records).