All Roll Calls
Yes: 269 • No: 7
North DakotaHB 13222025 Regular SessionHouseWALLET
AN ACT to create and enact a new section to chapter 23-27 and a new section to chapter 26.1-47 of the North Dakota Century Code, relating to ambulance service balanced billing and provider reimbursement; to amend and reenact section 23-27-04.8 of the North Dakota Century Code, relating to emergency medical services communication; to provide for a legislative management study; and to provide an appropriation.
Sponsored By: Robin Weisz (Republican)
Became Law
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
No surprise bills for ground ambulances
The law bans balance billing by ground ambulance companies. If you have insurance, you only owe your in-network deductible, copay, or coinsurance. For out-of-network trips, your insurer must pay the lesser of 250% of the local Medicare rate or the billed charges. Insurers must pay the ambulance company directly and may exclude your cost-sharing from that payment. These rules apply to licensed ground ambulances (not air ambulances), and the Insurance Commissioner can issue rules to enforce them.
Stronger EMS radio and phone rules
The EMS department sets the main ways ambulance crews must communicate. It allows secondary contact through other devices, including cell phones. All rules must match Department of Emergency Services protocols.
Ambulance billing study with $20,000
During the 2025-26 interim, Legislative Management studies a grant system to help ambulance providers with delinquent bills. They must get input from the Insurance Department and survey ambulance services. They report findings and any bill drafts to the 70th Legislative Assembly. The law gives a one-time $20,000 general fund appropriation to the Legislative Council to hire a consultant for the 2025-27 biennium starting July 1, 2025.
Sponsors & Cosponsors
Sponsor
Robin Weisz
Republican • House
Cosponsors
Kristin Roers
Republican • Senate
Roll Call Votes
Senate vote • 4/23/2025
Second reading, passed as amended, yeas 47 nays 0
Yes: 47 • No: 0
House vote • 4/22/2025
Second reading, passed, yeas 89 nays 4
Yes: 89 • No: 4
Senate vote • 4/3/2025
Second reading, passed as amended, yeas 46 nays 1
Yes: 46 • No: 1
House vote • 2/25/2025
Second reading, passed, yeas 87 nays 2
Yes: 87 • No: 2
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 47 nays 0
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 89 nays 4
4/22/2025HouseConference committee report adopted
4/22/2025HouseReported back from conference committee, in place of, placed on calendar
4/17/2025HouseConference committee appointed Weston Roers Van Oosting
4/14/2025SenateConference committee appointed Fegley Kiefert Rios
4/10/2025HouseRefused to concur
4/10/2025HouseReturned to House (12)
4/4/2025HouseSecond reading, passed as amended, yeas 46 nays 1
4/3/2025SenateAmendment adopted, placed on calendar
4/3/2025SenateReported back amended, do pass, amendment placed on calendar 5 0 1
4/2/2025SenateCommittee Hearing 10:06
4/1/2025SenateCommittee Hearing 09:30
3/11/2025SenateIntroduced, first reading, referred Human Services Committee
3/7/2025SenateReceived from House
2/25/2025SenateSecond reading, passed, yeas 87 nays 2
2/25/2025HouseAmendment adopted, placed on calendar
2/25/2025HouseReported back amended, do pass, amendment placed on calendar 12 0 1
2/24/2025House
Bill Text
Adopted by the Conference Committee
Adopted by the House 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 Senator Roers
Related Bills
HB 1022 — AN ACT to provide an appropriation for defraying the expenses of the retirement and investment office.
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 appropriation to the department of career and technical education; to provide an appropriation to the state fair association; to provide a contingent appropriation; to create and enact a new section to chapter 54-60 of the North Dakota Century Code, relating to department of commerce grant reporting requirements; to amend and reenact subsection 1 of section 10-30.5-02, sections 54-60-09, 54-60-19, 54-60-28, 54-60-29, 54-60-29.1, and 54-60-31 of the North Dakota Century Code, relating to the purpose of the North Dakota development fund, duties and talent strategy of the division of workforce development, the uncrewed aircraft systems program, the uncrewed aircraft systems program fund, the beyond visual line of sight uncrewed aircraft system program, and changing the name of the office of legal immigration to the global talent office; to authorize a Bank of North Dakota line of credit; to provide for a transfer; to provide an application; to provide an exemption; and to provide for a legislative management report.
SB 2323 — AN ACT to amend and reenact sections 57-51-15 and 57-51.1-07.5 of the North Dakota Century Code, relating to oil and gas gross production tax allocations and the state share of oil and gas tax allocations; to provide for a legislative management report; to provide an exemption; and to provide an effective date.
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 fund; to amend and reenact section 54-40.1-02 of the North Dakota Century Code, relating to definitions for regional planning councils; to provide an appropriation; and to provide for a transfer.
SB 2397 — AN ACT to create and enact a new subsection to section 57-51.1-03 of the North Dakota Century Code, relating to a limited exemption for development incentive wells; to amend and reenact sections 57-51-02.6, 57-51-05, and 57-51.1-01 of the North Dakota Century Code, relating to the temporary exemption for oil and gas wells employing a system to avoid flaring, an exemption from gross production tax for gas produced from certain enhanced oil recovery projects, and the definition of development incentive well; to provide an effective date; and to provide an expiration date.
SB 2370 — AN ACT to provide for a legislative management study regarding prescription drug transparency reporting under the federal drug discount program.