---
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).