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.
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.
SB 2096 provides $5 million for renovating state hospital buildings to serve individuals with mental illness under correctional custody, involuntary commitment, or court-ordered forensic exams. It also appropriates $100 million to establish four regional acute psychiatric treatment and residential supportive housing services across North Dakota. The funds will allow the Department of Health and Human Services to build up to 24-bed facilities in each region or contract with private providers for these services. The bill directly affects individuals requiring acute psychiatric care and supportive housing, with funding allocated for the 2025-2027 biennium.
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 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.
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.
HB 1457 would create a new exemption allowing individuals to avoid required vaccines (for school, work, or licensing) if the vaccine doesn't meet specific safety and effectiveness standards. These standards require the FDA-approved vaccine to have undergone at least one year of safety testing against a placebo, with injury data publicly posted, a lower risk of serious harm than the disease itself, and manufacturer liability for deaths or injuries. The North Dakota Department of Health must publicize this exemption and prohibit state agencies from requiring conditions inconsistent with it. The bill failed to pass during its second reading in February 2025.
