# North Dakota HB 1216: AN ACT to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, 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.

North Dakota HB 1216, AN ACT to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, 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., is a 2025 Regular Session House bill sponsored by Karen Karls (Republican); status signed, last action 2025-05-02 (Filed with Secretary Of State 04/29); PRIA reads it as touching household money (as of 2026-10-18).

- Canonical: https://policyrisk.com/state-bill/ND-HB1216-202501
- As of: 2026-10-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: North Dakota HB 1216
- State: North Dakota
- Session: 2025 Regular Session
- Title: AN ACT to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, 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.
- Status: signed
- Chamber: House
- Introduced: 2025-01-10
- Last action: 2025-05-02, Filed with Secretary Of State 04/29
- Sponsor: Karen Karls (Republican)
- Cosponsors: 6
- Touches household money: yes
- Roll calls: 4 (184 yes, 93 no in all)
- Economic provisions PRIA read: 1

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Drug payment help counts toward patients’ limits: benefit, low. North Dakota health plans must count qualifying prescription payments toward patients’ out-of-pocket limits, deductibles, copays, and coinsurance. This includes payments by patients or others on their behalf, to the extent federal law and regulations allow. Drugs qualify when no generic exists. Whe…

## Sponsors and cosponsors

- Sponsor: Karen Karls (Republican), House
- Cosponsor: Jared C. Hagert (Republican), House
- Cosponsor: Dwight Kiefert (Republican), House
- Cosponsor: Scott Wagner (Republican), House
- Cosponsor: Josh Boschee (Democratic), Senate
- Cosponsor: Dick Dever (Republican), Senate
- Cosponsor: Ronald Sorvaag (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-24 | House | Second reading, passed, yeas 56 nays 37 | pass | 56 | 37 |   |
| 2025-04-21 | Senate | Second reading, passed as amended, yeas 29 nays 18 | pass | 29 | 18 |   |
| 2025-03-24 | Senate | Second reading, passed as amended, yeas 30 nays 14 | pass | 30 | 14 |   |
| 2025-02-19 | House | Second reading, passed, yeas 69 nays 24 | pass | 69 | 24 |   |

## Actions (27)

- 2025-05-02: Filed with Secretary Of State 04/29 (House)
- 2025-05-01: Signed by Governor 04/29 (House)
- 2025-04-28: Sent to Governor (House)
- 2025-04-28: Signed by Speaker (House)
- 2025-04-28: Signed by President (Senate)
- 2025-04-24: Second reading, passed, yeas 56 nays 37 (House)
- 2025-04-24: Concurred (House)
- 2025-04-21: Returned to House (12) (House)
- 2025-04-21: Second reading, passed as amended, yeas 29 nays 18 (Senate)
- 2025-04-21: Amendment adopted, placed on calendar (Senate)
- 2025-04-18: Reported back amended, do not pass, placed on calendar 10 6 0 (Senate)
- 2025-04-16: Rereferred to Appropriations (Senate)
- 2025-04-15: Reported back amended, do pass, amendment placed on calendar 11 3 2 (Senate)
- 2025-03-24: Rereferred to Appropriations (Senate)
- 2025-03-24: Reconsidered (Senate)
- 2025-03-24: Second reading, passed as amended, yeas 30 nays 14 (Senate)
- 2025-03-21: Amendment adopted, placed on calendar (Senate)
- 2025-03-20: Reported back amended, do not pass, placed on calendar 4 1 1 (Senate)
- 2025-03-10: Committee Hearing 11:00 (Senate)
- 2025-02-20: Introduced, first reading, referred Human Services Committee (Senate)
- 2025-02-20: Received from House (Senate)
- 2025-02-19: Second reading, passed, yeas 69 nays 24 (House)
- 2025-02-19: Amendment failed, placed on calendar (House)
- 2025-02-18: Reported back amended, do pass, amendment placed on calendar 12 1 1 (House)
- 2025-01-27: Committee Hearing 02:00 (House)
- 2025-01-21: Committee Hearing 03:00 (House)
- 2025-01-10: Introduced, first reading, referred Industry, Business and Labor Committee (House)

## Bill text

- Adopted by the House Industry, Business and Labor Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-01003m.pdf)
- Adopted by the Senate Human Services Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-01004m.pdf)
- Enrollment: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-05000.pdf)
- HOUSE BILL NO. 1216 with Senate Amendments: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-03000.pdf), [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-04000.pdf)
- INTRODUCED: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-01000.pdf)
- Prepared by the Legislative Council staff for Representative Karls: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-01007m.pdf)

## Related bills

- SB 2390: AN ACT to create and enact three new sections to chapter 54-40.1 of the North Dakota Century Code, relating to a rural catalyst committee, grant program, and f… (signed)
- HB 1298: AN ACT to amend and reenact sections 39-06.1-06, 39-09-02, 39-09-04, and 39-09-07.1, and subsection 2 of section 40-05-06 of the North Dakota Century Code, rel… (signed)
- HB 1229: AN ACT to create and enact a new subdivision to subsection 2 of section 39-06.1-06 and section 39-10-71.1 of the North Dakota Century Code, relating to statuto… (signed)
- SB 2113: AN ACT to create and enact two new sections to chapter 50-06 of the North Dakota Century Code, relating to certified community behavioral health clinics and th… (signed)
- SB 2147: AN ACT to create and enact a new subsection to section 15-10-38.4, a new subsection to section 15-62.4-03, a new section to chapter 15-62.4, and a new subsecti… (signed)
- SB 2018: AN ACT to provide an appropriation for defraying the expenses of the department of commerce; to provide an appropriation to the attorney general; to provide an… (signed)

## Sources
- [Adopted by the House Industry, Business and Labor Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-01003m.pdf)
- [Adopted by the Senate Human Services Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-01004m.pdf)
- [Enrollment (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-05000.pdf)
- [HOUSE BILL NO. 1216 with Senate Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-03000.pdf)
- [HOUSE BILL NO. 1216 with Senate Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-04000.pdf)
- [INTRODUCED (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-01000.pdf)
- [Prepared by the Legislative Council staff for Representative Karls (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-01007m.pdf)

## Related
- [SB 2390: AN ACT to create and enact three new sections to chapter 54-40.1 of the North D…](https://policyrisk.com/state-bill/ND-SB2390-202501)
- [HB 1298: AN ACT to amend and reenact sections 39-06.1-06, 39-09-02, 39-09-04, and 39-09-…](https://policyrisk.com/state-bill/ND-HB1298-202501)
- [HB 1229: AN ACT to create and enact a new subdivision to subsection 2 of section 39-06.1…](https://policyrisk.com/state-bill/ND-HB1229-202501)
- [SB 2113: AN ACT to create and enact two new sections to chapter 50-06 of the North Dakot…](https://policyrisk.com/state-bill/ND-SB2113-202501)
- [SB 2147: AN ACT to create and enact a new subsection to section 15-10-38.4, a new subsec…](https://policyrisk.com/state-bill/ND-SB2147-202501)
- [SB 2018: AN ACT to provide an appropriation for defraying the expenses of the department…](https://policyrisk.com/state-bill/ND-SB2018-202501)
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Source: PRIA, https://policyrisk.com/state-bill/ND-HB1216-202501 (as of 2026-10-18).