Montana: debate over clinical monitoring program
Montana’s program that monitors licensed health care professionals with substance use disorders, mental illness, or certain chronic conditions is facing criticism following reports of mismanagement and harm to participants. A recent legislative audit found that the program, overseen by the Department of Labor and Industry (DLI) and run under contract with out-of-state provider Maximus, Inc., lacked organization, transparency, and adequate reporting, raising concerns about patient safety and the well-being of participants. DLI Commissioner Sarah Swanson acknowledged the program’s shortcomings and announced plans to form an advisory council with representation from licensing boards and medical associations to recommend reforms. While legislators welcomed the step, some urged more immediate changes, including stricter reporting requirements and reconsideration of the contract when it expires in December. Debate continues over whether the program should serve solely as a monitoring tool to protect the public or also provide rehabilitative support for professionals in recovery.