SB 2370 North Dakota Senate · 69th Legislative Assembly (2025-26)

AN ACT to provide for a legislative management study regarding prescription drug transparency reporting under the federal drug discount program.

SB 2370 sets a $25 maximum out-of-pocket cost for a 30-day supply of insulin drugs and related medical supplies (like test strips, syringes, and glucose meters) under most North Dakota health insurance plans. It directly affects residents with diabetes who rely on insulin coverage through private insurance, requiring plans to cap costs at $25 for both insulin medications and essential supplies. The bill prohibits insurers from imposing deductibles, copayments, or other cost-sharing that exceeds these limits, while excluding Medicare Part D plans and devices like insulin pumps. It amends existing insurance coverage laws to enforce these caps, with the law set to expire on July 31, 2025.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2025

Committee Review

Apr 2025

Senate Passage

Apr 2025

House Passage

Apr 2025

Signed into Law

May 2025

Introduced Jan 27, 2025 Signed May 2, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

FIRST ENGROSSMENT → Enrollment · 5 edits

MODERATE

The bill was completely rewritten from a new law mandating insulin cost limits to a legislative management study. Instead of immediately capping insulin costs at $25, the new version directs state officials to study how to implement reporting requirements for drug discount programs and develop future policies that benefit North Dakota patients.

Scope change

The bill's scope changed from immediate mandatory insulin cost caps to a study and recommendation process for future policy development.

REQUIREMENT

Removed mandatory $25 out-of-pocket cost caps for insulin drugs and medical supplies that previously applied to all health insurance plans.

Added requirement for legislative management to conduct a study during the 2025-26 interim on reporting requirements for entities in the federal drug discount program.

DEFINITION

Added detailed list of entities to consult during the study, including hospitals, pharmacies, health centers, manufacturers, and insurance departments.

TIMELINE

Changed effective date from immediate implementation to study completion with recommendations for the seventieth legislative assembly.

ENFORCEMENT

Removed enforcement mechanisms that previously prohibited pharmacies from charging more than the $25 limit.

Floor votes · Senate Apr 25, 2025 · House Apr 17, 2025

How they voted

40–5

Passed · 2 other

Total votes 47

Apr 25, 2025

D Democratic5

3 Yea 2 Nay

60% Yea

R Republican42

37 Yea 3 Nay 2

88% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jun 11, 2025

Introduced

Filed with Secretary Of State 05/02

legislature

May 2, 2025

Signed into law

Signed by Governor 05/02

upper

Apr 28, 2025

Lower · Passed

Second reading, passed as amended, yeas 77 nays 12

lower

Apr 28, 2025

Lower · Passed

Conference committee report adopted

lower

Apr 25, 2025

Upper · Passed

Second reading, passed, yeas 40 nays 5

upper

Apr 25, 2025

Upper · Passed

Conference committee report adopted

upper

Apr 25, 2025

Upper · Passed

Reported back from conference committee, in place of, placed on calendar

upper

Apr 21, 2025

Lower · Passed

Conference committee appointed Hendrix Rohr Dobervich

lower

Apr 18, 2025

Upper · Passed

Conference committee appointed Lee Roers Hogan

upper

Apr 17, 2025

Lower · Passed

Second reading, passed as amended, yeas 65 nays 27

lower

Apr 17, 2025

Lower · Passed

Amendment adopted, placed on calendar

lower

Apr 16, 2025

Lower · Passed

Reported back amended, do not pass, placed on calendar 7 6 0

lower

Apr 11, 2025

Lower · Passed

Committee Hearing 10:30

lower

Mar 26, 2025

Lower · Passed

Committee Hearing 03:00

lower

Mar 7, 2025

Introduced

Introduced, first reading, referred Human Services Committee

lower

Feb 24, 2025

Upper · Passed

Second reading, passed, yeas 47 nays 0

upper

Feb 19, 2025

Upper · Passed

Reported back, do pass, place on calendar 15 1 0

upper

Feb 12, 2025

Committee

Rereferred to Appropriations

upper

Feb 12, 2025

Upper · Passed

Amendment adopted

upper

Feb 11, 2025

Upper · Passed

Reported back amended, do pass, amendment placed on calendar 6 0 0

upper

Feb 10, 2025

Upper · Passed

Committee Hearing 10:30

upper

Jan 27, 2025

Introduced

Introduced, first reading, referred Human Services Committee

upper

1 primary · 3 co-sponsors