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HB 574

Authorizing implementation of the certified community behavioral health clinic model

2025 Regular Session Introduced by Jane Gillette

Montana authorizes certified community behavioral health clinics to provide integrated mental health and substance abuse treatment with federal funding support.

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Bill Summary · HB 574

Legislative bill overview

HB 574 authorizes Montana to implement the certified community behavioral health clinic (CCBHC) model, a federally-recognized framework for integrated mental health and substance use disorder treatment services. The bill enables the state to establish these clinics, which provide comprehensive, coordinated care including crisis services, primary care screening, and peer support.

Why is this important

Montana residents currently face significant gaps in behavioral health access, particularly in rural areas. CCBHCs are designed to provide wraparound services under one roof, improving treatment continuity and reducing emergency department utilization. Federal funding and demonstration programs make this a cost-effective pathway to expand mental health infrastructure without full state appropriation.

Potential points of contention

  • Funding mechanisms: The bill authorizes the model but doesn't specify state funding levels; implementation costs and whether federal funds will fully cover operations remain unclear
  • Geographic equity: Questions about whether CCBHCs will serve rural Montana adequately or concentrate in urban centers where providers are easier to recruit
  • Service delivery standards: Debates over whether the CCBHC framework's requirements align with Montana's existing behavioral health infrastructure and workforce capacity

Compiled from official sources — confirm details with the bill’s official record.

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