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Bill

HB 218

Revising the practice of optometry to include certain laser procedures and in-office surgical procedures

2025 Regular Session Introduced by Ed Buttrey

Montana law now permits licensed optometrists to perform select laser and surgical eye procedures, expanding scope of practice to increase care access and competition in eye care services.

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Bill Summary · HB 218

Legislative bill overview

HB 218 expands the scope of optometry practice in Montana to permit licensed optometrists to perform certain laser procedures and in-office surgical procedures that were previously restricted to ophthalmologists. The bill modernizes optometry licensing requirements to reflect evolving clinical capabilities and training standards in the profession.

Why is this important

This change affects healthcare access and affordability by potentially increasing the availability of eye care services in rural and underserved areas where ophthalmologists may be scarce. It also impacts competition in the eye care market and may influence insurance reimbursement structures and consumer choice for routine eye procedures.

Potential points of contention

  • Scope creep concerns: Ophthalmologists and their professional organizations may argue that optometrists lack equivalent surgical training and oversight, potentially creating patient safety risks
  • Definition ambiguity: The bill's language around "certain" procedures leaves room for interpretation disputes about which specific laser and surgical procedures are actually permitted
  • Regulatory enforcement: Questions about whether the Montana Board of Optometry has adequate resources and expertise to properly credential and oversee surgical procedures by optometrists

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

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