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 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 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 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.
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.
