Healthcare

HB 1477 would create new legal protections for fertility care access in North Dakota. It guarantees individuals the right to receive fertility treatments and make decisions about reproductive genetic material, while also protecting health care providers, insurers, and manufacturers from state restrictions on these services. The bill prohibits state agencies or subdivisions from implementing policies that limit access to fertility treatments, except for health/safety regulations that follow established medical guidelines. Violations could trigger civil lawsuits by affected individuals or the attorney general, with courts able to block the restrictive policy and award legal fees to the winning party. This bill directly affects patients seeking fertility care, clinics providing those services, health insurers, and manufacturers of fertility-related products.

Relating to minimum standards for coverage of antiobesity medication; to provide for a report to the legislative assembly; to provide for application; and to provide an expiration date.

HB 1433 would create North Dakota's dementia response program within the Department of Health, administered by a dedicated state dementia coordinator. The program requires developing and updating an Alzheimer's/dementia state plan every three years through a work group including people living with dementia, caregivers, healthcare professionals, and advocacy organizations. It also mandates collecting dementia-related data via existing state systems and launching a statewide public awareness campaign to reduce stigma and promote early detection. The bill allocates $250,000 for the program and coordinator position over the 2025-2027 biennium.

HB 1321 amends North Dakota's medical marijuana laws to adjust possession and purchase limits for registered patients and caregivers. It increases the standard monthly purchase limit from 2.5 ounces to 3 ounces (85.05 grams) of smokable cannabis and raises the maximum possession limit from 3 ounces to 4.5 ounces (127.57 grams), with higher "enhanced" limits of 9 ounces (255.15 grams) for patients with cancer-related conditions. The bill also updates registry identification cards to include designations for enhanced limits and requires THC concentration limits of 9,000 milligrams per month for all products. Additionally, it modifies renewal fees for compassion centers, capping them at $90,000 for dispensaries and $110,000 for manufacturing facilities.

HB 1349 proposes capping noneconomic damages (like pain and suffering) in North Dakota health care malpractice lawsuits at $500,000 initially, with scheduled annual increases to $1.5 million (2026), $2 million (2027), and $2.5 million (2028). It directly affects patients filing malpractice claims and healthcare providers facing such lawsuits, while exempting claims involving unborn fetuses. The bill requires courts to reduce jury awards to meet the cap without informing juries of the limit. The legislation failed to pass in the North Dakota legislature on February 7, 2025, with 30 votes in favor and 61 against.