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Montana Code Annotated

Part 1

General Provisions

33-22-101Exceptions to scope 33-22-102Third-party ownership 33-22-103Repealed 33-22-104reserved 33-22-107Premium increase restriction -- exception -- notice of rate increase and policy changes 33-22-108reserved 33-22-109Riders 33-22-110Preexisting conditions 33-22-111Policies and certificates to provide for freedom of choice of practitioners -- professional practice not enlarged 33-22-112Disability insurance coverage of services of state institutions -- provision void -- rate of payment 33-22-113Disability insurance coverage of persons eligible for public medical assistance 33-22-114Coverage required for services provided by physician assistants, advanced practice registered nurses, and registered nurse first assistants 33-22-115Provider agreement limited to covered services -- dental network constraints -- penalty -- definitions 33-22-116Prohibition on coverage of abortion services in qualified health plans 33-22-117Construction 33-22-118reserved 33-22-121Notice required for cancellation or refusal to renew 33-22-122Contents of notice -- proof -- limitation on recovery -- exemptions 33-22-123Return of unearned premium 33-22-124reserved 33-22-125Independent chiropractic physical examination or review of records 33-22-126reserved 33-22-127Coverage of oral therapy -- opioid use disorder 33-22-128Coverage for children who are deaf or hard of hearing -- definitions 33-22-129Coverage for treatment of diabetes -- outpatient self-management training and education -- limited benefit for medically necessary equipment and supplies -- limitations on cost-sharing requirements for insulin 33-22-130Coverage for adopted children from time of placement -- preexisting conditions 33-22-131Coverage for treatment of inborn errors of metabolism 33-22-132Coverage for minimum mammography and other breast examinations 33-22-133Coverage for minimum hospital stay following childbirth 33-22-134Postmastectomy care 33-22-135Coverage for reconstructive breast surgery after mastectomy -- benefits and conditions 33-22-136Insurance for spouse and dependents of deceased peace officer, game warden, or firefighter 33-22-137Cost-sharing requirements -- applicability 33-22-138Coverage for telehealth services -- rulemaking 33-22-139Coverage of therapies for Down syndrome 33-22-140Definitions 33-22-141Crediting previous coverage 33-22-142Certification of creditable coverage 33-22-143Rules 33-22-144reserved 33-22-149(Effective October 1, 2026) Reciprocity in gender transition treatment coverage required 33-22-150Reciprocal limitations on claim filing and claim audits -- time limit for reimbursements or offsets -- exceptions 33-22-151Offset agreement 33-22-152Continuation of dependent coverage 33-22-153Coverage of routine patient costs for participants in cancer clinical trials -- definitions -- limitations 33-22-154Coverage for refill of eyedrops 33-22-155Coverage of contraceptives 33-22-156Health insurance rates -- filing required -- use 33-22-157Standards for review -- notice of deficiency 33-22-158Trade secret disclosure exemption 33-22-159Rulemaking 33-22-160reserved 33-22-166Repealed 33-22-167reserved 33-22-170(Temporary) Definitions 33-22-171(Temporary) Maximum allowable cost list -- limitations on drugs 33-22-172(Temporary) Maximum allowable cost or reference price list -- price formulation, updating, and disclosure -- exceptions 33-22-173Maximum allowable cost -- appeals process 33-22-174Opt-out of reference pricing -- notification 33-22-175(Temporary) Allowable and prohibited fees on pharmacies 33-22-176Limitation on copayments 33-22-177(Temporary) Rights of pharmacies 33-22-178reserved 33-22-180Contract coverage -- nondiscrimination -- penalty