============================================================================== CERTIFICATE OF NEED INTELLIGENCE BRIEF: MONTANA The Rojas Report | conlaws.rojasreport.com/states/montana/ ============================================================================== State: Montana (MT) Score: 5/100 Tier: Mostly Free Rank: 14 of 51 jurisdictions ------------------------------------------------------------------------------ SUMMARY ------------------------------------------------------------------------------ Montana has very limited CON laws, applying only to long-term care facilities. Explore its impact on healthcare access and competition. ------------------------------------------------------------------------------ SCOPE OF REGULATION ------------------------------------------------------------------------------ * Long-Term Care Facilities Only * Long-Term Care / Nursing Homes * Ambulatory Surgery Centers (ASCs) * Imaging (MRI, CT, PET) * Home Health Agencies ------------------------------------------------------------------------------ APPLICATION PROCESS ------------------------------------------------------------------------------ The process for the remaining CON is administered by the DPHHS, but its narrow focus means few applications are filed. ------------------------------------------------------------------------------ REFORM STATUS ------------------------------------------------------------------------------ 1975 (Mostly Repealed) Billings Clinic, Providence Health ============================================================================== Source: The Rojas Report | conlaws.rojasreport.com/states/montana/ Data: Cicero Institute, NASHP, FTC, DOJ, CMS, state health departments Generated: April 2026 ==============================================================================