SB 2370 sets a $25 maximum out-of-pocket cost for a 30-day supply of insulin drugs and related medical supplies (like test strips, syringes, and glucose meters) under most North Dakota health insurance plans. It directly affects residents with diabetes who rely on insulin coverage through private insurance, requiring plans to cap costs at $25 for both insulin medications and essential supplies. The bill prohibits insurers from imposing deductibles, copayments, or other cost-sharing that exceeds these limits, while excluding Medicare Part D plans and devices like insulin pumps. It amends existing insurance coverage laws to enforce these caps, with the law set to expire on July 31, 2025.
Relating to out‑of‑pocket expenses for prescription drugs; to amend and reenact section 26.1‑36.6‑03 of the North Dakota Century Code, relating to self‑insurance health care plans; to provide for application; and to provide an effective date.
Relating to pharmacy benefits managers and a pharmacy benefit manager enforcement fund; to amend and reenact subsection 1 of section 26.1‑01‑07, sections 26.1‑27.1-01, 26.1‑27.1‑02, 26.1‑27.1‑04, 26.1‑27.1‑06 and 26.1‑27.1‑07 of the North Dakota Century Code, relating to pharmacy benefits managers; to repeal section 26.1‑27‑01.1 and chapter 26.1‑36.10 of the North Dakota Century Code, relating to pharmacy benefits managers and prescription drug costs; to provide a penalty; to provide an appropriation; to provide for a transfer; to provide an effective date; to provide an expiration date; and to declare an emergency.
HB 1481 creates new sections within North Dakota's insurance code, establishing specific requirements for dental insurers. The bill focuses on regulating how dental insurance rates are determined and mandates new reporting procedures for these companies. These provisions are designed to introduce new oversight for dental insurers operating in the state, directly affecting their operations and potentially their policyholders.
Relating to diagnostic breast examination and supplemental breast examination cost-sharing restrictions; to provide for a report to the legislative assembly; to provide for application; and to provide an expiration date.
Relating to individual and group health insurance coverage of insulin drugs and supplies; and to amend and reenact section 54-52.1-04.18 of the North Dakota Century Code, relating to health insurance benefits coverage of insulin drugs and supplies.
Relating to medical costs transparency for health care facilities; to amend and reenact section 26.1‑47‑02 of the North Dakota Century Code, relating to health care facility and preferred provider compliance with medical cost transparency requirements; and to provide a penalty.
SB 2231 would require North Dakota's medical assistance program to cover specific dental and behavioral services, directly affecting recipients of medical assistance who need these services. The bill mandates coverage for family adaptive behavioral treatment guidance, dental screenings, dental case management for special populations (including children, elderly, and medically fragile individuals), and asynchronous teledentistry to improve access. It explicitly states these new coverage requirements do not apply to Medicaid expansion programs for children and adults. The bill failed to pass in the Senate on March 27, 2025, with 33 votes in favor and 59 against.
HB 1154 extends a moratorium on adding new basic care and nursing facility bed capacity in North Dakota from August 1, 2023, through July 31, 2029. It prohibits new licenses for basic care beds unless facilities convert existing beds, demonstrate high demand (90% occupancy within 50 miles for 12 months), or receive department approval. The bill also restricts nursing facilities from changing bed configurations more than twice annually, except for specific conversions or relicensing after July 31, 2011. This law directly affects nursing homes and care facilities seeking to expand or reconfigure bed capacity across the state.
Relating to transfers from the charitable gaming operating fund to the gambling disorder prevention and treatment fund; and to authorize a full-time equivalent position for the department of health and human services.
