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)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 0 costs, 2 mixed.
Health plans cover self-harm care
Health insurance policies offered or renewed in North Dakota must cover medical care for illnesses or injuries from suicide, attempted suicide, or self‑inflicted injury. The coverage is the same type as for any other covered illness or injury. This applies to individual, group, blanket, franchise, and association policies from insurers, nonprofit health service corporations, and HMOs. These medical benefits are exempt from the state’s cost‑benefit review for mandated benefits.
Mandates trialed in public employee plans
New mandated benefits must first run as a short trial in public employee health and retiree plans. A committee can only advance a mandate if it ends on June 30 of the next odd‑numbered year and applies only to those plans, starting with contracts effective after June 30 of the year the bill takes effect. For mandates aimed at state or local employee plans, the trial runs through June 30 of the second odd‑numbered year. After the trial, the Public Employees Retirement System reports on use and costs and may ask the next legislature to extend the coverage.
Stricter review for new coverage mandates
A bill that requires insurers to cover a service cannot move to a committee unless a cost‑benefit analysis is attached. Committees must request the analysis and cannot act on the bill or on mandate‑adding amendments without it. The study must show how the mandate changes service costs and use, insurer admin costs and premiums, and total health care cost. Legislative Management sets a process to flag mandate bills early. Legislative Council hires a private contractor to do the studies, and the Insurance Commissioner pays the contractor at the end. A bill that skips these steps is invalid and any added benefits must revert to prior levels.
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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