Montana
Montana’s Effort to Expand Religious Exemptions to Vaccines Prompts Political Standoff – KFF Health News
Montana lawmakers are in a standoff with the state’s health department over a package of sweeping changes to child care licensing rules that includes a disputed provision to allow religious exemptions to routine vaccinations for children and workers.
Both Republican and Democratic legislators on the Children, Families, Health, and Human Services Interim Committee voted Jan. 18 to renew their informal objection to the proposed child care licensing rules, which the committee has blocked since November. The vote prevents the state’s Department of Public Health and Human Services from adopting the rules until at least March, when committee members say they will debate a formal objection that could delay the rules’ adoption until spring 2025.
Committee members renewed their objection after complaining that health department officials had not contacted them to discuss revisions to the proposal.
“It’s really quite frustrating to see some necessary rule changes that providers in our communities are really asking for, along with other rule changes that are burdensome and unnecessary,” said Democratic Rep. SJ Howell, the vice chair of the committee, during the hearing. “I do hope we can find a path forward.”
Health department leaders have not decided on a course of action, spokesperson Jon Ebelt said in an email.
“We anticipated that the interim committee would extend its informal objection to our child care rules package and we continue to weigh options,” Ebelt said. “Increasing access to affordable, high-quality child care for hardworking Montana families remains of utmost importance to us.”
Child care providers are frustrated by the delay of what they say are much-needed changes to the child care licensing rules. The package would simplify the licensing process, reduce paperwork required from providers and parents, and create a new type of license for providers who operate outside of school hours, among other changes. Rachel Wanderscheid, the director of the Montana Afterschool Alliance, told the committee that the rules have been in the works for at least three years and that the panel should let them move forward.
“They are good for providers, they are good for families,” she said. “There are a couple of different areas of contention, but I would say overall — 95% — they’re great.”
The most contentious provision in the 97-page rules package would require large child care facilities to enroll children who, for religious reasons, have not been vaccinated. Montana, like 44 other states, already allows religious exemptions from immunization requirements for school-age children. But this proposal would add a religious exemption to its immunization requirements for younger kids in the state.
Health care advocates worry that, if more parents claim vaccine exemptions, levels of community immunity to preventable infectious diseases, such as measles and pertussis, will drop and result in outbreaks.
The health department’s proposal also would eliminate a requirement that child care facilities send home infected and unvaccinated children and staffers when someone at the facility becomes sick with a vaccine-preventable disease.
Health department officials originally proposed the vaccine rules in 2022. The committee blocked the proposal then, too. In response, the department said it would not enforce the ban on religious exemptions.
In November, KFF Health News was the first to report that health department officials had tucked the exemption 45 pages into the draft licensure rules. Department officials said then that the rules package was needed to align with laws passed by the legislature in 2021 and 2023. One law, the Montana Religious Freedom Restoration Act, generally prohibits the state from infringing on a person’s right to the exercise of religion. Another act bans discrimination based on vaccination status.
Mississippi began allowing similar exemptions for schools and child care centers in July following a court ruling that the state’s lack of a religious exemption violated the U.S. Constitution’s free exercise clause. But other states, including California, New York, Connecticut, and Maine, have removed religious exemption policies during the past decade.
The American Academy of Pediatrics has called for elimination of nonmedical vaccine exemptions, arguing they are “inappropriate for individual, public health, and ethical reasons,” according to a 2016 policy statement.
The Montana health department has the option of waiting out the legislative committee’s objections and adopting the rule. An informal objection by the committee can be renewed for up to six months, after which the department can implement the rule. In this case, that renewal option would expire in April.
But if the committee votes to make a formal objection, the rule can be blocked until the end of the next legislative session, in spring 2025, said Maddie Krezowski, an attorney for the legislature. That would give lawmakers a chance to address the law underlying the rule during the session.
The committee also could file its formal objection with the secretary of state to be published with the adoption of the rule, creating implications for any legal challenges that follow. The burden of proof in court would shift from anyone potentially suing the health department to the department itself, said Krezowski.
Frankee Angel, a lifelong performer, found her world upended when she suffered a sudden medical emergency just before playing piano at St. Patrick’s Church. Unaware that she had already survived one heart attack, she was shocked to learn she was in the midst of a second. The damage was severe—her heart’s ejection fraction had fallen to 15%, indicating advanced heart failure.
Under the care of the cardiology team at Intermountain Health St. James Hospital, Angel began a long journey toward stabilizing and strengthening her heart. Providers monitored her closely, adjusting medications and helping her manage complications like fluid buildup. Their goal was to prepare her for an implantable cardiac defibrillator (ICD), a device that could protect her from dangerous heart rhythms. In July 2025, once her body was ready, the device was successfully implanted.
Angel immediately felt renewed energy and affectionately named the ICD “Minerva,” after her old stage persona. “It’s a miracle! I’m able to live like the person I am meant to be,” she said.
With the support of cardiac rehabilitation and her dedicated care team, Angel gradually reclaimed her identity as a performer. She returned to playing piano during mass and is now preparing for a role in Macbeth. Her story highlights the broader impact of St. James Hospital’s “Hearts in the Mountains” initiative, launched in 2022 to expand heart-failure care in rural Montana—a program that has helped reduce cardiology readmission rates from 30% to 11.4%.
BOZEMAN — Montana State will begin spring football practices March 24.
The reigning national champion Bobcats will hold 12 practices, two scrimmages and the Sonny Holland Spring Classic over the course of five weeks. The Sonny Holland Spring Classic is scheduled for Saturday, April 25.
Also on the schedule is the MSU Pro Day, which will be held April 2.
In addition to releasing the spring practice schedule, Montana State confirmed the addition of Nolan Askelson to the coaching staff. Askelson, a Billings Senior High School alum, will be an assistant defensive line coach for Bobby Daly, who is returning as Montana State’s defensive coordinator after spending last season at UTEP.
Askelson was a standout linebacker for the Bobcats, capping his MSU career with first-team All-Big Sky Conference honors in 2023. He played in four games as a true freshman in 2018 before becoming a regular rotation player in 2019. An injury shortened his 2021 season, but he played 11 games in 2022 and finished with 64 tackles.
As a senior in 2023, Askelson wore Montana State’s legacy No. 41 jersey and led the team with 84 tackles, eight tackles-for-loss and two sacks.
In high school, he was a two-time all-state selection for Senior and helped the Broncs win Class AA state championships in 2016 and 2017.
Montana State spring football schedule
Tuesday, March 24 — Practice, 7:05 a.m.
Thursday, March 26 — Practice, 7:05 a.m.
Friday, March 27 — Practice, 7:05 a.m.
Monday, March 30 — Practice, 7:05 a.m.
Wednesday, April 1 — Practice, 7:05 a.m.
Thursday, April 2 — Pro Day (no practice)
Friday, April 3 — Practice, 7:05 a.m.
Saturday, April 4 — Practice, 10:05 a.m.
Tuesday, April 7 — Practice, 7:05 a.m.
Friday, April 10 — Closed scrimmage, 7 p.m.
Tuesday, April 14 — Practice, 7:05 a.m.
Thursday, April 16 — Practice, 7:05 a.m.
Saturday, April 18 — Closed scrimmage, 10:05 a.m.
Tuesday, April 21 — Practice, 7:05 a.m.
Thursday, April 23 — Practice, 7:05 a.m.
Saturday, April 25 — Sonny Holland Spring Classic, 1 p.m.
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