HB 1454 creates a new procedure allowing individuals to opt out of required vaccines under North Dakota law. It directly affects people subject to vaccine mandates, such as those for school enrollment or certain employment. The bill establishes a formal process for requesting exemptions from these requirements within the state's legal framework. This is a procedural change to the Century Code, not a policy shift on vaccine necessity. The summary is limited to the bill's stated mechanism as described in its title and abstract.
Relating to out‑of‑pocket expenses for prescription drugs; to amend and reenact section 26.1‑36.6‑03 of the North Dakota Century Code, relating to self‑insurance health care plans; to provide for application; and to provide an effective date.
HB 1597 provides state financial assistance to eligible public ambulance services in North Dakota during 2025-2027. It calculates funding based on an ambulance service’s average annual runs (multiplied by $2,023 per run, with a $125,000 minimum) minus reimbursements ($795 per run) and property taxes (5 mills on response area valuation), capping total aid at $225,000 per service. Eligible services include city/county-operated ambulances or rural district services, excluding those within 15 miles of another operation with fewer than 50 annual runs. The bill ensures funding is distributed based on these formulas, with prorated payments if state appropriations are insufficient. It directly affects public ambulance providers by adjusting their state financial support.
Relating to diagnostic breast examination and supplemental breast examination cost-sharing restrictions; to provide for a report to the legislative assembly; to provide for application; and to provide an expiration date.
SB 2286 proposes authorizing the University of North Dakota (UND) to borrow up to $55 million through a line of credit from the Bank of North Dakota during 2025-2027, with interest capped at rates for state entities. It also appropriates $95 million in one-time funding for UND to construct a new health sciences facility at its School of Medicine and Health Sciences. The facility aims to expand health workforce capacity in areas like behavioral health and wellness, while supporting research and academic programs. The bill failed to pass in the legislature on April 8, 2025, with 6 votes in favor and 87 against.
Relating to individual and group health insurance coverage of insulin drugs and supplies; and to amend and reenact section 54-52.1-04.18 of the North Dakota Century Code, relating to health insurance benefits coverage of insulin drugs and supplies.
SB 2190 would expand North Dakota's medical assistance program to cover five specific services: family training for behavioral therapy support, dental screenings and assessments, dental case management for special populations (like children, elderly, and medically fragile individuals), asynchronous teledentistry to improve access, and applied behavioral analysis (ABA) therapy for behavioral issues. These services would directly affect medical assistance recipients, particularly those with special healthcare needs or in underserved communities. The bill explicitly states these new benefits would not apply to Medicaid expansion programs. The provisions aim to integrate oral health care with general health services and reduce barriers to dental and behavioral support.
Relating to health status exceptions for health care facilities; to amend and reenact sections 14‑02.4‑01, 14‑02.4‑02, 14‑02.4‑03, 14‑02.4‑04, 14‑02.4‑05, 14‑02.4‑06, 14‑02.4‑08, and 14‑02.4‑09, subsection 1 of section 14‑02.4‑14, subsection 1 of section 14‑02.4‑15, and sections 14‑02.4‑16 and 14‑02.4‑17 of the North Dakota Century Code, relating to creating a new status related to human rights and antidiscrimination policies; and to provide an appropriation.
SB 2231 would require North Dakota's medical assistance program to cover specific dental and behavioral services, directly affecting recipients of medical assistance who need these services. The bill mandates coverage for family adaptive behavioral treatment guidance, dental screenings, dental case management for special populations (including children, elderly, and medically fragile individuals), and asynchronous teledentistry to improve access. It explicitly states these new coverage requirements do not apply to Medicaid expansion programs for children and adults. The bill failed to pass in the Senate on March 27, 2025, with 33 votes in favor and 59 against.
HB 1430 would amend North Dakota's social work regulations to allow licensed social workers to offer counseling aligned with heterosexuality or a client's biological sex without violating ethics rules. It directly affects licensed social workers in North Dakota who provide counseling to individuals questioning their sexuality or gender identity. The bill requires social workers to disclose the nature of such treatment and obtain written consent from the client or their parent/guardian before proceeding. This legislation, which failed to pass in March 2025, focuses on defining ethical boundaries for specific counseling approaches under professional regulation.
