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---
type: "Bill"
title: "Require administrative rulemaking for substantive changes to HCBS programs"
description: "Require administrative rulemaking for substantive changes to HCBS programs"
jurisdiction: "us/states/mt"
legislature: "Montana Legislature"
session: "2021"
identifier: "SB 43"
citation: "Montana SB 43 (2021)"
classification: ["bill"]
subjects: ["Health (see also: Health Care Services; Safety)", "Rule Making", "Social Services"]
status: "enacted"
primary_sponsors: ["Diane Sands"]
version_count: 3
action_count: 46
vote_count: 6
first_action: "2020-08-31"
last_action: "2021-04-21"
source: "openstates"
source_identifier: "ocd-bill/929044ff-194d-4d47-a418-20c6358e7898"
source_url: "http://laws.leg.mt.gov/legprd/LAW0210W$BSIV.ActionQuery?P_BILL_NO1=43&P_BLTP_BILL_TYP_CD=SB&Z_ACTION=Find&P_SESS=20211"
source_hash: "faa7ad7f4c696afc3f38597906373e561a02860f7821447cc830b5321538d459"
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 43 (2021) — Require administrative rulemaking for substantive changes to HCBS programs
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **SB0043_1.pdf** (committee substitute) — [source](https://leg.mt.gov/bills/2021/SB0099//SB0043_1.pdf)
2. **SB0043_X.pdf** (committee substitute) — [source](https://leg.mt.gov/bills/2021/SB0099//SB0043_X.pdf)
3. **Enrolled** (enrolled) — [source](https://leg.mt.gov/bills/2021/billpdf/SB0043.pdf)
## Votes
- DO PASS — **90** (pass) · upper
- Do Pass — **455** (pass) · upper
- Do Concur — **8811** (pass) · lower
- Do Pass — **3911** (pass) · upper
- Do Concur — **8613** (pass) · lower
- BE CONCURRED IN — **190** (pass) · lower
## Sponsors
- Diane Sands — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2020-08-31** Draft Request Received
- **2020-10-08** Draft in Legal Review
- **2020-10-30** Draft in Edit
- **2020-11-18** Draft to Drafter - Edit Review
- **2020-11-18** Draft in Input/Proofing
- **2020-11-27** Draft in Final Drafter Review
- **2020-11-27** Bill Draft Text Available Electronically
- **2020-11-29** Executive Director Review
- **2020-11-30** Draft in Assembly
- **2020-11-30** Draft Ready for Delivery
- **2020-12-01** Executive Director Final Review
- **2020-12-02** Draft Ready for Delivery
- **2020-12-03** Draft Delivered to Requester
- **2020-12-15** Introduced `introduction`
- **2020-12-15** Introduced Bill Text Available Electronically
- **2020-12-23** Referred to Committee - (S) Public Health, Welfare and Safety `referral-committee`
- **2020-12-23** Fiscal Note Requested
- **2021-01-04** First Reading `reading-1`
- **2021-01-05** Fiscal Note Received
- **2021-01-08** Fiscal Note Printed
- **2021-01-13** Hearing - (S) Public Health, Welfare and Safety
- **2021-01-25** Committee Executive Action--Bill Passed - (S) Public Health, Welfare and Safety `committee-passage`
- **2021-01-26** Committee Report--Bill Passed - (S) Public Health, Welfare and Safety `committee-passage`
- **2021-02-03** Scheduled for 2nd Reading
- **2021-02-03** 2nd Reading Passed `reading-2`
- **2021-02-04** Scheduled for 3rd Reading
- **2021-02-04** 3rd Reading Passed `passage, reading-3`
- **2021-02-04** Transmitted to House
- **2021-02-08** Referred to Committee - (H) Human Services `referral-committee`
- **2021-02-08** First Reading `reading-1`
- **2021-03-11** Hearing - (H) Human Services
- **2021-03-18** Committee Executive Action--Bill Concurred - (H) Human Services
- **2021-03-19** Committee Report--Bill Concurred - (H) Human Services
- **2021-03-23** Scheduled for 2nd Reading
- **2021-03-23** 2nd Reading Concurred `reading-2`
- **2021-03-24** Scheduled for 3rd Reading
- **2021-03-24** 3rd Reading Concurred `passage, reading-3`
- **2021-03-24** Returned to Senate
- **2021-03-25** Sent to Enrolling
- **2021-03-29** Returned from Enrolling
- **2021-03-29** Printed - Enrolled Version Available
- **2021-04-07** Signed by President
- **2021-04-12** Signed by Speaker
- **2021-04-13** Transmitted to Governor `executive-receipt`
- **2021-04-20** Signed by Governor `executive-signature`
- **2021-04-21** 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/929044ff-194d-4d47-a418-20c6358e7898`. Confidence: reported (aggregated from official Montana legislature records).