# North Dakota HB 1322: 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.

North Dakota HB 1322, 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., is a 2025 Regular Session House bill sponsored by Robin Weisz (Republican); status signed, last action 2025-04-30 (Filed with Secretary Of State 04/28); PRIA reads it as touching household money (as of 2026-10-18).

- Canonical: https://policyrisk.com/state-bill/ND-HB1322-202501
- 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 1322
- State: North Dakota
- Session: 2025 Regular Session
- Title: 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.
- Status: signed
- Chamber: House
- Introduced: 2025-01-13
- Last action: 2025-04-30, Filed with Secretary Of State 04/28
- Sponsor: Robin Weisz (Republican)
- Cosponsors: 1
- Touches household money: yes
- Roll calls: 4 (269 yes, 7 no in all)
- Economic provisions PRIA read: 4

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Patients protected from extra ambulance bills: benefit, medium. For covered ambulance services, providers cannot charge you more than your health plan's in-network share. This includes your deductible, copay, coinsurance, and other required cost sharing. The protection covers North Dakota-licensed basic and advanced life support ambulance services. Air ambulanc…
- Ambulance crews get updated communication rules: benefit, low. The department can regulate the main communication methods and procedures used by emergency medical services. Its rules must match protocols set by the North Dakota Department of Emergency Services. Crews can also use backup communication devices, including cell phones.
- State funds unpaid ambulance bill study: benefit, low. Legislative Management must study a possible grant system to reimburse ambulance providers for overdue bills during the 2025–26 interim. The study must survey ambulance providers and seek stakeholder input, including from the insurance department. Findings, recommendations, and any needed legislati…
- Direct ambulance payments with rate limits: mixed, low. North Dakota-regulated health insurers must pay providers or their chosen recipients directly for covered, medically necessary ambulance care or transportation. For out-of-network services, insurers pay the lower of 250% of Medicare's local rate for the same service or billed charges. That insurer…

## Sponsors and cosponsors

- Sponsor: Robin Weisz (Republican), House
- Cosponsor: Kristin Roers (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-23 | Senate | Second reading, passed as amended, yeas 47 nays 0 | pass | 47 | 0 |   |
| 2025-04-22 | House | Second reading, passed, yeas 89 nays 4 | pass | 89 | 4 |   |
| 2025-04-03 | Senate | Second reading, passed as amended, yeas 46 nays 1 | pass | 46 | 1 |   |
| 2025-02-25 | House | Second reading, passed, yeas 87 nays 2 | pass | 87 | 2 |   |

## Actions (27)

- 2025-04-30: Filed with Secretary Of State 04/28 (House)
- 2025-04-29: Signed by Governor 04/28 (House)
- 2025-04-25: Sent to Governor (House)
- 2025-04-25: Signed by Speaker (House)
- 2025-04-24: Signed by President (Senate)
- 2025-04-23: Second reading, passed as amended, yeas 47 nays 0 (Senate)
- 2025-04-23: Conference committee report adopted (Senate)
- 2025-04-23: Reported back from conference committee, in place of, placed on calendar (Senate)
- 2025-04-22: Second reading, passed, yeas 89 nays 4 (House)
- 2025-04-22: Conference committee report adopted (House)
- 2025-04-17: Reported back from conference committee, in place of, placed on calendar (House)
- 2025-04-14: Conference committee appointed Weston Roers Van Oosting (Senate)
- 2025-04-10: Conference committee appointed Fegley Kiefert Rios (House)
- 2025-04-10: Refused to concur (House)
- 2025-04-04: Returned to House (12) (House)
- 2025-04-03: Second reading, passed as amended, yeas 46 nays 1 (Senate)
- 2025-04-03: Amendment adopted, placed on calendar (Senate)
- 2025-04-02: Reported back amended, do pass, amendment placed on calendar 5 0 1 (Senate)
- 2025-04-01: Committee Hearing 10:06 (Senate)
- 2025-03-11: Committee Hearing 09:30 (Senate)
- 2025-03-07: Introduced, first reading, referred Human Services Committee (Senate)
- 2025-02-25: Received from House (Senate)
- 2025-02-25: Second reading, passed, yeas 87 nays 2 (House)
- 2025-02-25: Amendment adopted, placed on calendar (House)
- 2025-02-24: Reported back amended, do pass, amendment placed on calendar 12 0 1 (House)
- 2025-01-20: Committee Hearing 10:00 (House)
- 2025-01-13: Introduced, first reading, referred Human Services Committee (House)

## Bill text

- Adopted by the Conference Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-03002m.pdf)
- Adopted by the House Human Services Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-01005m.pdf)
- Enrollment: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-06000.pdf)
- FIRST ENGROSSMENT: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-03000.pdf)
- FIRST ENGROSSMENT with Conference Committee Amendments: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-05000.pdf)
- FIRST ENGROSSMENT with Senate Amendments: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-04000.pdf)
- INTRODUCED: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-01000.pdf)
- Prepared by the Legislative Council staff for Senator Roers: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-03001m.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 Conference Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-03002m.pdf)
- [Adopted by the House Human Services Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-01005m.pdf)
- [Enrollment (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-06000.pdf)
- [FIRST ENGROSSMENT (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-03000.pdf)
- [FIRST ENGROSSMENT with Conference Committee Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-05000.pdf)
- [FIRST ENGROSSMENT with Senate Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-04000.pdf)
- [INTRODUCED (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-01000.pdf)
- [Prepared by the Legislative Council staff for Senator Roers (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0744-03001m.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-HB1322-202501 (as of 2026-10-18).