All Roll Calls
Yes: 98 • No: 34
North DakotaHB 11142025 Regular SessionHouseWALLET
AN ACT to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, 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.
Sponsored By: House Government and Veterans Affairs
Signed by Governor
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
North Dakota caps insured patients' insulin costs
North Dakota individual and group health plans must cover prescription insulin and related supplies, including state employee health coverage. For each pharmacy or distributor, each 30-day supply has two separate out-of-pocket caps: $25 for insulin and $25 total for supplies. These caps apply regardless of insulin quantity or type, or supply quantity or manufacturer; plans can charge less. Covered insulin includes insulin/GLP-1 combination products. Covered supplies include blood glucose meters, test strips, lancing devices, lancets, ketone testing supplies, injectable or nasal glucagon, pen needles, and syringes. Insurers, pharmacy benefit managers, pharmacies, and distributors cannot charge patients above the caps. Pumps, electronic insulin smart pens, continuous glucose monitors, and their specific supplies fall outside these requirements but can have separate coverage. Medicare Part D is excluded. If applying the caps to a deductible threatens a plan's federal health savings account eligibility, deductible relief waits until the federal minimum deductible is met.
Sponsors & Cosponsors
Sponsor
House Government and Veterans Affairs
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 3/25/2025
Second reading, passed, yeas 39 nays 7
Yes: 39 • No: 7
House vote • 2/20/2025
Second reading, passed, yeas 59 nays 27
Yes: 59 • No: 27
Actions Timeline
Filed with Secretary Of State 04/03
4/7/2025HouseSigned by Governor 04/02
4/4/2025HouseSent to Governor
4/1/2025HouseSigned by Speaker
4/1/2025HouseSigned by President
3/27/2025SenateReturned to House
3/26/2025HouseSecond reading, passed, yeas 39 nays 7
3/25/2025SenateReported back, do pass, place on calendar 14 2 0
3/21/2025SenateRereferred to Appropriations
3/19/2025SenateReported back, do pass 3 2 1
3/19/2025SenateCommittee Hearing 10:30
3/10/2025SenateIntroduced, first reading, referred Human Services Committee
2/24/2025SenateReceived from House
2/21/2025SenateSecond reading, passed, yeas 59 nays 27
2/20/2025HouseReported back, do not pass, placed on calendar 13 9 1
2/19/2025HouseRereferred to Appropriations
2/11/2025HouseAmendment adopted
2/11/2025HouseReported back amended, do pass, amendment placed on calendar 13 0 1
2/10/2025HouseCommittee Hearing 10:15
1/9/2025HouseIntroduced, first reading, referred Government and Veterans Affairs Committee
1/7/2025House
Bill Text
Enrollment
FIRST ENGROSSMENT
INTRODUCED
Prepared by the Legislative Council staff for Representative McLeod
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