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.
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 health insurance benefits coverage provided by the uniform group insurance program; to provide an appropriation; to provide for a statement of legislative intent; and to provide an effective 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.
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.
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.
HB 1154 extends a moratorium on adding new basic care and nursing facility bed capacity in North Dakota from August 1, 2023, through July 31, 2029. It prohibits new licenses for basic care beds unless facilities convert existing beds, demonstrate high demand (90% occupancy within 50 miles for 12 months), or receive department approval. The bill also restricts nursing facilities from changing bed configurations more than twice annually, except for specific conversions or relicensing after July 31, 2011. This law directly affects nursing homes and care facilities seeking to expand or reconfigure bed capacity across the state.
SB 2223 creates North Dakota's adoption of the Dietitian Licensure Compact, enabling licensed dietitians from participating states to practice across state lines without obtaining separate licenses in each state. This directly affects licensed dietitians seeking to work in multiple states and healthcare facilities serving patients in those states. The key mechanism establishes a "compact privilege" that functions like a license in other member states, while requiring uniform education and examination standards and allowing states to share disciplinary information. The compact aims to increase patient access to dietetic services, reduce administrative burdens for professionals and states, and maintain each state's authority to regulate practice and protect public health and safety.
HB 1467 requires North Dakota's Department of Health to create a website linking to the federal vaccine adverse event reporting system (VAERS) and compile state-specific data on vaccine side effects and administration errors. Healthcare providers must report adverse events and errors (like wrong dosage or expired vaccines) using department-prescribed forms, while the public can also submit reports. The bill establishes a $100,000 fund to support this system and mandates annual legislative reports on its effectiveness. It directly affects healthcare facilities, providers, and the public by creating a standardized process for tracking and reporting vaccine-related incidents.
