AN ACT to amend and reenact section 54-03-28 of the North Dakota Century Code, relating to the cost-benefit analysis requirement for health insurance mandated coverage of services.

Added requirement for cost-benefit analysis before any health insurance mandate can be referred to a legislative committee, replacing the previous focus on suicide-related coverage exemptions.

Established specific factors that must be considered in cost-benefit analyses, including cost increases/decreases, appropriate use of services, administrative expenses, and total healthcare cost impact.

Requires legislative council to contract with a private entity for cost-benefit analysis, with the insurance commissioner paying for these contracted services.

Removed specific provisions requiring health insurance policies to cover suicide-related injuries and attempted suicide, which were previously exempt from cost-benefit analysis requirements.

Changed the expiration timeline for mandates from 'second odd-numbered year' to 'next odd-numbered year' following enactment, and modified the process for extending coverage.