Rep. Emily O'Brien

Relating to the North Dakota insurance incentive program; to amend and reenact subsection 1 of section 21‑10‑06 and subsection 3 of section 26.1‑01‑07.1 of the North Dakota Century Code, relating to the insurance incentive fund; to provide a continuing appropriation; and to provide an exemption.

Relating to the definition of a pre-engineered structure and the threshold for procuring plans, drawings, and specifications from an architect or engineer for construction of a public improvement.

Maddy summarySB 2389 would direct North Dakota's legislative management to study the state's child care infrastructure during the 2025-26 interim. The study would examine child care availability, affordability, public funding (including reimbursement rates and grant programs), and licensing processes across all counties. It aims to identify strengths, challenges, and policy improvements to inform future legislation. The bill failed to pass in February 2025, so no study has been conducted.

Maddy summaryHB 1451 would require North Dakota's medical assistance program (including Medicaid) to cover comprehensive obesity treatment, such as intensive behavioral therapy, bariatric surgery, and FDA-approved antiobesity medications. The bill mandates that coverage criteria for antiobesity medication align with FDA approvals and prohibits separate cost-sharing (like higher deductibles or copays) for obesity treatment compared to other medical conditions. It also requires the state to provide written notice to enrollees about this coverage by December 31, 2025. This bill directly affects Medicaid enrollees in North Dakota seeking obesity-related treatments.

Maddy summaryHB 1550 would create a program where the Bank of North Dakota guarantees loans for constructing or renovating nursing and basic care facilities. The Bank would administer the program, establish a special reserve fund (using up to $100 million from a state strategic fund), and reimburse lenders if borrowers default. This directly affects nursing and basic care facilities seeking financing for facility upgrades or new construction.

Maddy summaryHB 1532 would appropriate $3.3 million from the general fund to allow North Dakota legislators to hire temporary legislative assistants during sessions from 2025-2027. It also requires the Office of Management and Budget to analyze state agency office space in the capitol, identify excess space due to reduced in-office work, and recommend consolidation options and locations for temporary staff. The analysis must be completed and reported to legislative management by August 2026. The bill failed to pass in the legislature on February 12, 2025, with 29 votes in favor and 64 against.

Maddy summarySB 2306 proposes a program to address child care staffing shortages by providing monthly payments to licensed early childhood providers in North Dakota. The bill would require the state to pay providers $50 per infant, $30 per toddler, and $15 per school-aged child enrolled, based on quarterly reports of average enrollment. To qualify, providers must not have received a corrective action order in the past three months and must submit annual reports detailing how funds were used to improve staff salaries and benefits. This bill directly affects licensed child care centers and family child care homes by offering financial incentives tied to enrollment levels. The program aims to retain and recruit child care workers through direct support for provider compensation needs.

Maddy summaryHB 1349 proposes capping noneconomic damages (like pain and suffering) in North Dakota health care malpractice lawsuits at $500,000 initially, with scheduled annual increases to $1.5 million (2026), $2 million (2027), and $2.5 million (2028). It directly affects patients filing malpractice claims and healthcare providers facing such lawsuits, while exempting claims involving unborn fetuses. The bill requires courts to reduce jury awards to meet the cap without informing juries of the limit. The legislation failed to pass in the North Dakota legislature on February 7, 2025, with 30 votes in favor and 61 against.

Maddy summaryHB 1102 appropriates $775,000 from North Dakota's general fund to the Attorney General's Bureau of Criminal Investigation for cybercrime resources. The funding will hire two full-time cybercrime agents and cover related equipment costs for the 2025-2027 biennium, with $161,000 designated for one-time equipment purchases. This bill directly affects police departments in northeastern North Dakota cities with at least 50,000 residents, requiring the new agents to assist those departments specifically with cybercrime prevention and detection. The measure is purely a funding allocation, not a policy change, focused on staffing and resources for a defined geographic area.

Relating to the duties of occupational and professional boards and the receipt by the office of the governor of complaints following licensing decisions of occupational and professional boards; and to provide for a report.