Key legislators
Who's moving healthcare in North Dakota
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bills
All healthcare bills
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.
Relating to medical costs transparency for health care facilities; to amend and reenact section 26.1‑47‑02 of the North Dakota Century Code, relating to health care facility and preferred provider compliance with medical cost transparency requirements; and to provide a penalty.
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.
Relating to transfers from the charitable gaming operating fund to the gambling disorder prevention and treatment fund; and to authorize a full-time equivalent position for the department of health and human services.
SB 2316 proposed creating four regional service areas in North Dakota to provide long-term care for patients requiring ventilator support or psychiatric services. The bill would have required the state department to contract with providers in each region or pay for out-of-state care if local providers weren't available, while allowing collaboration with neighboring states. Facilities serving these patients could receive additional funding if they documented prior out-of-state care for the same patients. The bill specifically targeted patients with complex medical or psychiatric needs requiring ongoing specialized care. It failed to pass in the North Dakota legislature in February 2025.
SB 2388 would allow human-use ivermectin (a medication approved by the FDA for parasitic infections) to be sold without a prescription in North Dakota. This change would directly affect pharmacies, consumers seeking the medication, and healthcare providers by removing the current requirement for a doctor's prescription. The bill proposes creating a new law in North Dakota's code that explicitly permits over-the-counter sales of ivermectin for human use. It does not address medical use, safety, or other forms of ivermectin, focusing solely on changing pharmacy access rules.
SB 2108 aimed to establish North Dakota as a member of a multi-state compact for physician assistant (PA) licensure. If passed, it would have allowed North Dakota-licensed PAs to practice in other participating states without obtaining separate licenses, directly benefiting PAs seeking to work across state lines and patients in those states. The bill would have created a new chapter (43-17.5) in North Dakota law to implement this compact agreement. However, the bill failed to pass on January 15, 2025, with 0 votes in favor and 47 against.
