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
Became Law
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 1 costs, 1 mixed.
Lower insulin costs on ND health plans
Health plans in North Dakota must cover insulin drugs and the supplies used to give insulin. Your cost is capped at $25 for a 30-day supply of insulin and $25 for a 30-day supply of covered supplies, per pharmacy or distributor, no matter the amount or brand. Covered supplies include meters, test strips, lancets, ketone tests, glucagon, pen needles, and syringes. Plans, pharmacy benefit managers, and pharmacies cannot add deductibles or other charges that push you over these caps. The caps do not cover insulin pumps, smart pens, continuous glucose monitors, or supplies for those devices.
Medicare Part D not under $25 caps
If you have Medicare Part D, these $25 per 30-day caps do not apply to your drug plan. You keep Medicare Part D rules for insulin and supplies.
HSA high-deductible plans: cap after deductible
If your plan is an HSA-eligible high-deductible plan, the $25 cap can start only after you meet the federal minimum deductible. This delay applies only to the deductible and preserves the plan’s HSA status. After you meet the minimum deductible, the regular caps apply.
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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