All Roll Calls
Yes: 276 • No: 2
North DakotaHB 12482025 Regular SessionHouseWALLET
AN ACT to amend and reenact section 54-03-28 of the North Dakota Century Code, relating to the cost-benefit analysis requirement for health insurance mandated coverage of services.
Sponsored By: Robin Weisz (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 0 benefits, 1 costs, 2 mixed.
Mandate bills sunset, start with public plans
A committee cannot advance a bill that mandates coverage unless it meets three rules. First, it expires June 30 of the next odd-numbered year after enactment. Second, it applies only to the public employees health plan and the retiree plan. Third, it starts with insurance contracts that take effect after June 30 in the year the law starts. The Public Employees Retirement System must ask the next session to introduce a bill to repeal the expiration.
Health plans must cover suicide care
Insurers must cover care for injury or illness from suicide, attempted suicide, or self-harm. This applies to individual, group, blanket, franchise, and association hospital, surgical, medical, or major medical policies. The plan must give the same type of benefits it gives for other illnesses. These suicide-related medical benefits are exempt from the law’s cost-benefit review.
Cost studies required for coverage mandates
Any bill that mandates health-insurance coverage must have a cost-benefit study attached before a committee hears it. If a committee adds a mandate by amendment, it must request the study and wait for it. The study must address service cost changes, changes in appropriate use, effects on premiums and admin costs, and total health-care costs. Legislative management sets the process to find these bills and deadlines. Legislative Council hires a private firm after the insurance commissioner recommends options. The insurance commissioner pays the firm at the end of the process.
Sponsors & Cosponsors
Sponsor
Robin Weisz
Republican • House
Cosponsors
Kathy Frelich
Republican • House
Carrie McLeod
Republican • House
Matthew Ruby
Republican • House
Dick Dever
Republican • Senate
Judy Lee
Republican • Senate
Roll Call Votes
Senate vote • 4/23/2025
Second reading, passed as amended, yeas 45 nays 2
Yes: 45 • No: 2
House vote • 4/22/2025
Second reading, passed, yeas 94 nays 0
Yes: 94 • No: 0
Senate vote • 3/25/2025
Second reading, passed as amended, yeas 46 nays 0
Yes: 46 • No: 0
House vote • 2/12/2025
Second reading, passed, yeas 91 nays 0
Yes: 91 • No: 0
Actions Timeline
Filed with Secretary Of State 04/28
4/30/2025HouseSigned by Governor 04/28
4/29/2025HouseSent to Governor
4/25/2025HouseSigned by Speaker
4/25/2025HouseSigned by President
4/24/2025SenateSecond reading, passed as amended, yeas 45 nays 2
4/23/2025SenateConference committee report adopted
4/23/2025SenateReported back from conference committee, in place of, placed on calendar
4/23/2025SenateSecond reading, passed, yeas 94 nays 0
4/22/2025HouseConference committee report adopted
4/22/2025HouseReported back from conference committee, in place of, placed on calendar
4/17/2025HouseConference committee appointed Roers Hogan Clemens
4/7/2025SenateAppoint Rep. Warrey to replace Rep. J. Johnson on conference committee
4/4/2025HouseConference committee appointed J. Johnson Grindberg Bahl
4/3/2025HouseRefused to concur
4/3/2025HouseReturned to House (12)
3/26/2025HouseSecond reading, passed as amended, yeas 46 nays 0
3/25/2025SenateAmendment adopted, placed on calendar
3/24/2025SenateReported back amended, do pass, amendment placed on calendar 5 0 1
3/21/2025SenateCommittee Hearing 09:15
3/5/2025SenateIntroduced, first reading, referred Human Services Committee
2/17/2025SenateReceived from House
2/13/2025SenateSecond reading, passed, yeas 91 nays 0
2/12/2025HouseAmendment adopted, placed on calendar
2/11/2025HouseReported back amended, do pass, amendment placed on calendar 11 0 3
2/10/2025House
Bill Text
Adopted by the Senate Human Services Committee
Enrollment
FIRST ENGROSSMENT
FIRST ENGROSSMENT with Conference Committee Amendments
FIRST ENGROSSMENT with Senate Amendments
INTRODUCED
Prepared by the Legislative Council staff for Representative Schauer
Prepared by the Legislative Council staff for Senator Roers
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