HB 1451 North Dakota House · 69th Legislative Assembly (2025-26)

A BILL for an Act to create and enact a new section to chapter 50-24.1 of the North Dakota Century Code, relating to medical assistance prescription drug benefits for antiobesity medication.

HB 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.
Bill status failed 2 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
House Failed
Feb 2025
Governor
Introduced Jan 16, 2025 Last action Feb 12, 2025
Floor votes · House Feb 12, 2025

How they voted

1279
Failed · 1 other
Total votes 92
Feb 12, 2025
D Democratic11
11 Yea
100% Yea
R Republican81
1 Yea 79 Nay 1
97% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
6
Key actions
3
Committee
3
Feb 12, 2025
Vote failed
House Vote: fail (12-79-1)
house
Feb 11, 2025
Lower · Passed
Reported back, do not pass, placed on calendar 11 2 0
lower
Feb 10, 2025
Lower · Passed
Committee Hearing 09:00
lower
Jan 28, 2025
Lower · Passed
Committee Hearing 09:00
lower
Jan 16, 2025
Introduced
Introduced, first reading, referred Human Services Committee
lower
1 primary · 2 co-sponsors

Sponsors