SB 2348 North Dakota Senate · 69th Legislative Assembly (2025-26)

AN ACT to create and enact a new section to chapter 15-10 and a new chapter to title 50 of the North Dakota Century Code, relating to the acceptance of health care sharing ministries by an institution of higher education and health care sharing ministries' exemptions from insurance laws and regulations.

Summary
Relating to the acceptance of health care sharing ministries by an institution of higher education and health care sharing ministries' exemptions from insurance laws and regulations.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
Senate Passage
Feb 2025
House Passage
Mar 2025
Signed into Law
Apr 2025
Introduced Jan 22, 2025 Signed Apr 3, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

FIRST ENGROSSMENT Enrollment · 4 edits
MODERATE
This bill enacts legislation allowing North Dakota institutions of higher education to accept health care sharing ministries as valid health care coverage for students, while exempting these ministries from insurance regulations. The bill also establishes specific definitions and requirements for what constitutes a health care sharing ministry in the state.
Scope change
Expands the scope of acceptable health care coverage options for college students to include health care sharing ministries, with specific exceptions for international students who must maintain traditional health insurance under federal visa requirements.
ELIGIBILITY

Allows students enrolled in North Dakota institutions of higher education to use health care sharing ministries to satisfy health care coverage requirements, except for international students with J, F, or M visas who must maintain traditional health insurance.

DEFINITION

Creates a new chapter in Title 50 of the North Dakota Century Code defining health care sharing ministries as nonprofit organizations that are tax-exempt, serve members with shared ethical or religious beliefs, and operate without assuming risk or promising payment.

REQUIREMENT

Requires health care sharing ministries to conduct annual audits, provide monthly statements of shared medical expenses, and include written disclaimers explaining that these organizations are not insurance companies.

TECHNICAL

Changed the bill format from FIRST ENGROSSED version to Enrollment version, including updated legislative session dates and certification signatures from Senate and House officials.

Floor votes · Senate Feb 17, 2025 · House Mar 28, 2025

How they voted

441
Passed · 2 other
Total votes 47
Feb 17, 2025
D Democratic5
5 Yea
100% Yea
R Republican42
39 Yea 1 Nay 2
92% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
16
Key actions
8
Committee
4
Apr 4, 2025
Introduced
Filed with Secretary Of State 04/03
legislature
Apr 3, 2025
Signed into law
Signed by Governor 04/03
upper
Mar 28, 2025
Lower · Passed
Second reading, passed, yeas 72 nays 19
lower
Mar 26, 2025
Lower · Passed
Reported back, do pass, place on calendar 12 1 1
lower
Mar 25, 2025
Lower · Passed
Committee Hearing 09:00
lower
Feb 21, 2025
Introduced
Introduced, first reading, referred Industry, Business and Labor Committee
lower
Feb 17, 2025
Upper · Passed
Second reading, passed, yeas 44 nays 1
upper
Feb 14, 2025
Upper · Passed
Amendment adopted, placed on calendar
upper
Feb 13, 2025
Upper · Passed
Reported back amended, do pass, amendment placed on calendar 5 0 0
upper
Feb 4, 2025
Upper · Passed
Committee Hearing 10:00
upper
Jan 22, 2025
Introduced
Introduced, first reading, referred Industry and Business Committee
upper
1 primary · 5 co-sponsors

Sponsors