All Roll Calls
Yes: 229 • No: 44
North DakotaSB 23702025 Regular SessionSenateWALLET
AN ACT to provide for a legislative management study regarding prescription drug transparency reporting under the federal drug discount program.
Sponsored By: Sean Cleary (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 1 costs, 1 mixed.
Private plans cap insulin costs at $25
The law requires private health plans to cover insulin drugs and the supplies used to take insulin. You pay no more than $25 for a 30-day supply of insulin, per pharmacy or distributor, no matter the type or amount. You pay no more than $25 for a 30-day supply of dosing and emergency supplies (like meters, strips, lancets, ketone tests, glucagon, pen needles, and syringes), per pharmacy or distributor. Plans, pharmacy benefit managers, pharmacies, and distributors cannot charge or collect more than these caps. Deductibles, copays, and coinsurance cannot push your costs over the caps.
State employee plan follows $25 insulin caps
The state employee health plan must cover insulin and related supplies and follow the $25, 30-day caps. This requirement is in effect until July 31, 2025.
Medicare Part D not under $25 insulin cap
If your insulin is covered only by Medicare Part D, the state’s $25 caps do not apply. Your costs follow Medicare Part D rules instead.
High-deductible plans delay insulin cap
If your plan is a qualified high-deductible plan, the $25 caps do not apply to the deductible until you meet the federal minimum deductible for HSA plans. This keeps your plan eligible for a health savings account. After you meet that amount, the caps apply.
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Sponsors & Cosponsors
Sponsor
Sean Cleary
Republican • Senate
Cosponsors
Carrie McLeod
Republican • House
Dick Dever
Republican • Senate
Tim Mathern
Democratic • Senate
Roll Call Votes
House vote • 4/28/2025
Second reading, passed as amended, yeas 77 nays 12
Yes: 77 • No: 12
Senate vote • 4/25/2025
Second reading, passed, yeas 40 nays 5
Yes: 40 • No: 5
House vote • 4/17/2025
Second reading, passed as amended, yeas 65 nays 27
Yes: 65 • No: 27
Senate vote • 2/24/2025
Second reading, passed, yeas 47 nays 0
Yes: 47 • No: 0
Actions Timeline
Filed with Secretary Of State 05/02
6/11/2025HouseSigned by Governor 05/02
5/2/2025SenateSent to Governor
5/1/2025SenateSigned by President
5/1/2025SenateSigned by Speaker
5/1/2025HouseSecond reading, passed as amended, yeas 77 nays 12
4/28/2025HouseConference committee report adopted
4/28/2025HouseReported back from conference committee, in place of, placed on calendar
4/25/2025HouseSecond reading, passed, yeas 40 nays 5
4/25/2025SenateConference committee report adopted
4/25/2025SenateReported back from conference committee, in place of, placed on calendar
4/25/2025SenateConference committee appointed Hendrix Rohr Dobervich
4/21/2025HouseConference committee appointed Lee Roers Hogan
4/18/2025SenateRefused to concur
4/18/2025SenateReturned to Senate (12)
4/17/2025SenateSecond reading, passed as amended, yeas 65 nays 27
4/17/2025HouseAmendment adopted, placed on calendar
4/17/2025HouseReported back amended, do not pass, placed on calendar 7 6 0
4/16/2025HouseCommittee Hearing 10:30
4/11/2025HouseCommittee Hearing 03:00
3/26/2025HouseIntroduced, first reading, referred Human Services Committee
3/7/2025HouseReceived from Senate
2/25/2025HouseSecond reading, passed, yeas 47 nays 0
2/24/2025SenateReported back, do pass, place on calendar 15 1 0
2/19/2025SenateRereferred to Appropriations
2/12/2025Senate
Bill Text
Adopted by the Senate Human Services Committee
Enrollment
FIRST ENGROSSMENT
FIRST ENGROSSMENT with Conference Committee Amendments
FIRST ENGROSSMENT with House Amendments
INTRODUCED
Prepared by the Legislative Council staff for Representative Dobervich
Prepared by the Legislative Council staff for Representative Hendrix
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