Montana 2025 Regular Session

Montana House Bill HB686

Introduced
2/24/25  
Refer
2/24/25  
Engrossed
3/7/25  
Refer
3/17/25  
Enrolled
4/18/25  

Caption

Generally revising laws related to physician assistants

Impact

The enactment of HB 686 will significantly alter the existing regulatory landscape for physician assistants in Montana. It aims to remove some administrative barriers while ensuring that PAs maintain a standard of practice that aligns with patient safety and care. The bill mandates collaborative agreements that will ensure new PAs work under the guidance of experienced medical professionals, which is expected to foster a supportive environment for PAs to develop their skills while providing essential healthcare services.

Summary

House Bill 686 aims to revise regulations related to physician assistants (PAs) in Montana by transitioning their licensing from the Board of Medical Examiners to the Department of Labor and Industry. The bill provides a framework for issuing active and inactive licenses to PAs and establishes requirements for maintaining those licenses, including collaborative agreements with supervising physicians for those with less than 8,000 hours of clinical experience. The intention behind these revisions is to streamline the licensing process and improve accessibility to medical services in the state, thereby enhancing healthcare delivery for Montana residents.

Sentiment

The reception of HB 686 has been mixed among stakeholders. Supporters, including many healthcare professionals and medical organizations, argue that the revisions will facilitate a more efficient healthcare delivery system, especially in rural areas where PAs play a crucial role. Conversely, some critics worry that the change in oversight could compromise the quality of medical services if not properly managed. There is a general sentiment that while the bill represents progress, it must be implemented with caution to balance operational efficiency with public safety.

Contention

Notable points of contention revolve around the adequacy of oversight and the potential impact on patient care. Some legislators and medical professionals express concern that reducing the regulatory role of the Board of Medical Examiners might lead to insufficient scrutiny of PA practices. Additionally, there are debates regarding the implications of increased PA independence, particularly in terms of emergency care and critical situations where direct physician oversight is vital. Ensuring a robust framework for PAs to operate while safeguarding community health remains a central theme in the discussions surrounding this legislation.

Companion Bills

No companion bills found.

Previously Filed As

MT HB964

Provide for licensure of CNAs and paid feeding assistants

MT HB137

Generally revise laws related to the board of behavioral health

MT SB456

Generally revise laws pertaining to hearing aid dispensers

MT HB313

Provide for independent practice of physician assistants

MT SB454

Generally revise laws pertaining to private security

MT HB896

Generally revise workers' compensation laws

MT SB455

Generally revise laws pertaining to realty regulation

MT HB152

Revise laws related to professional and occupational licensure

MT HB449

Provide for certified pediatric complex care assistant services

MT SB556

Generally revise workers compensation laws

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