A BILL for an Act to create and enact a new section to chapter 23-12 of the North Dakota Century Code, 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.

The definition of 'health care facility' was changed to exclude nursing facilities and basic care facilities, though the penalty section suggests these facilities are still subject to the requirements.

Penalty enforcement authority shifted from the Department of Health and Human Services to the Insurance Commissioner.

New tiered penalty structure was added: facilities with more than 25 beds face $10 per bed per day (capped at $5,500), while smaller facilities face up to $100 per day.

Removed the previous penalty provision that allowed the Department of Health and Human Services to refuse, revoke, or suspend licenses for violations.

Bill was renumbered from 25.1237.01000 to 25.1237.02000 and formatted as an engrossed version.