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.
Relating to pharmacy benefits managers and a pharmacy benefit manager enforcement fund; to amend and reenact subsection 1 of section 26.1‑01‑07, sections 26.1‑27.1-01, 26.1‑27.1‑02, 26.1‑27.1‑04, 26.1‑27.1‑06 and 26.1‑27.1‑07 of the North Dakota Century Code, relating to pharmacy benefits managers; to repeal section 26.1‑27‑01.1 and chapter 26.1‑36.10 of the North Dakota Century Code, relating to pharmacy benefits managers and prescription drug costs; to provide a penalty; to provide an appropriation; to provide for a transfer; to provide an effective date; to provide an expiration date; and to declare an emergency.
HB 1481 creates new sections within North Dakota's insurance code, establishing specific requirements for dental insurers. The bill focuses on regulating how dental insurance rates are determined and mandates new reporting procedures for these companies. These provisions are designed to introduce new oversight for dental insurers operating in the state, directly affecting their operations and potentially their policyholders.
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.
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.
SB 2270 creates a new licensing pathway for international physicians in North Dakota. It establishes a provisional license allowing foreign-trained doctors to practice temporarily after meeting requirements like passing U.S. medical exams (USMLE), holding ECFMG certification, demonstrating English proficiency, and securing a job offer from a North Dakota healthcare provider. The provisional license automatically converts to full licensure after three years of active practice in the state. This bill directly affects international physicians seeking to practice medicine in North Dakota, streamlining their licensure process while maintaining standards for patient safety and competency.
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 2192 would provide $240,000 in state funds to reimburse community health and social service providers for costs associated with meeting state accreditation requirements. It directly affects community-based organizations that need accreditation to operate, such as clinics, shelters, or support programs. The bill authorizes the Department of Health and Human Services to distribute grants covering these accreditation expenses for the 2025-2027 biennium. This is a funding measure, not a policy change to accreditation standards themselves.
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.
