# North Dakota HB 1584: AN ACT to create and enact four new sections to chapter 26.1-27.1 of the North Dakota Century Code, relating to pharmacy benefits managers and a pharmacy benefit manager enforcement fund; to amend and reenact subsection 1 of section 26.1-01-07, sections 26.1-27.1-01, 26.1-27.1-02, 26.1-27.1-04, 26.1-27.1-06 and 26.1-27.1-07 of the North Dakota Century Code, relating to pharmacy benefits managers; to repeal section 26.1-27-01.1 and chapter 26.1-36.10 of the North Dakota Century Code, relating to pharmacy benefits managers and prescription drug costs; to provide a penalty; to provide an appropriation; to provide for a transfer; to provide an effective date; to provide an expiration date; and to declare an emergency.

North Dakota HB 1584, AN ACT to create and enact four new sections to chapter 26.1-27.1 of the North Dakota Century Code, relating to pharmacy benefits managers and a pharmacy benefit manager enforcement fund; to amend and reenact subsection 1 of section 26.1-01-07, sections 26.1-27.1-01, 26.1-27.1-02, 26.1-27.1-04, 26.1-27.1-06 and 26.1-27.1-07 of the North Dakota Century Code, relating to pharmacy benefits managers; to repeal section 26.1-27-01.1 and chapter 26.1-36.10 of the North Dakota Century Code, relating to pharmacy benefits managers and prescription drug costs; to provide a penalty; to provide an appropriation; to provide for a transfer; to provide an effective date; to provide an expiration date; and to declare an emergency., is a 2025 Regular Session House bill sponsored by Jim Kasper (Republican); status signed, last action 2025-04-30 (Filed with Secretary Of State 04/28) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/ND-HB1584-202501
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: North Dakota HB 1584
- State: North Dakota
- Session: 2025 Regular Session
- Title: AN ACT to create and enact four new sections to chapter 26.1-27.1 of the North Dakota Century Code, relating to pharmacy benefits managers and a pharmacy benefit manager enforcement fund; to amend and reenact subsection 1 of section 26.1-01-07, sections 26.1-27.1-01, 26.1-27.1-02, 26.1-27.1-04, 26.1-27.1-06 and 26.1-27.1-07 of the North Dakota Century Code, relating to pharmacy benefits managers; to repeal section 26.1-27-01.1 and chapter 26.1-36.10 of the North Dakota Century Code, relating to pharmacy benefits managers and prescription drug costs; to provide a penalty; to provide an appropriation; to provide for a transfer; to provide an effective date; to provide an expiration date; and to declare an emergency.
- Status: signed
- Chamber: House
- Introduced: 2025-01-20
- Last action: 2025-04-30, Filed with Secretary Of State 04/28
- Sponsor: Jim Kasper (Republican)
- Cosponsors: 10
- Touches household money: no
- Roll calls: 3 (224 yes, 5 no in all)
- Economic provisions PRIA read: 6

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Pharmacies gain contract choices and exits: benefit, low. Pharmacy benefit managers must offer pharmacy contracts on an opt-in basis. A pharmacy or its contracting representative must sign to accept. Pharmacies get at least 30 days to respond to an offer. They can leave a manager's contract by giving at least 90 days' notice.
- State funds drug benefit enforcement: benefit, low. The law creates a pharmacy benefit manager enforcement fund, with spending subject to legislative approval. On the act's effective date, the state must transfer the Drug Pricing Fund balance into it. The pharmacy board may add up to $600 from each eligible wholesaler and virtual wholesaler license…
- Drug benefit managers need state licenses: cost, low. Beginning January 1, 2026, pharmacy benefit managers need a North Dakota license and must show $1 million in financial responsibility. Initial applications and annual renewals carry nonrefundable fees, each capped at $10,000. Licenses cannot be transferred, and annual renewal is due by April 30. Th…
- Drug managers face penalties and repayment: mixed, low. The insurance commissioner can adopt rules and use state enforcement powers, including subpoenas, to enforce pharmacy benefit manager requirements. Managers face penalties up to $10,000 per violation and civil penalties up to $50,000 for a second or later violation. The commissioner can suspend or…
- Drug payment oversight includes privacy limits: mixed, low. Payments counted under the rules include rebates collected by aggregators or kept by managers, pharmacy price concessions, network fees, and other pharmacy payments. Covered entities must report annually what benefits they receive from payments to pharmacy benefit managers. Reports must explain whe…
- New rules define covered drug managers: mixed, low. The law covers third parties that manage pharmacy benefits through contracts or other financial arrangements with covered entities. Health plans managing their own pharmacy benefits are excluded from the manager definition. Limited-benefit policies without prescription drug coverage are also exclud…

## Sponsors and cosponsors

- Sponsor: Jim Kasper (Republican), House
- Cosponsor: Ben Koppelman (Republican), House
- Cosponsor: Mike Lefor (Republican), House
- Cosponsor: Vicky Steiner (Republican), House
- Cosponsor: Don Vigesaa (Republican), House
- Cosponsor: Jonathan Warrey (Republican), House
- Cosponsor: Jeff Barta (Republican), Senate
- Cosponsor: Keith Boehm (Republican), Senate
- Cosponsor: Josh Boschee (Democratic), Senate
- Cosponsor: David Hogue (Republican), Senate
- Cosponsor: Jerry Klein (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-21 | House | Second reading, passed, yeas 92 nays 0, Emergency clause carried | pass | 92 | 0 |   |
| 2025-04-16 | Senate | Second reading, passed as amended, yeas 42 nays 5 | pass | 42 | 5 |   |
| 2025-02-21 | House | Second reading, passed, yeas 90 nays 0, Emergency clause carried | pass | 90 | 0 |   |

## Actions (24)

- 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)
- 2025-04-22: Signed by President (Senate)
- 2025-04-21: Second reading, passed, yeas 92 nays 0, Emergency clause carried (House)
- 2025-04-21: Concurred (House)
- 2025-04-16: Returned to House (12) (House)
- 2025-04-16: Emergency clause carried (Senate)
- 2025-04-16: Second reading, passed as amended, yeas 42 nays 5 (Senate)
- 2025-04-16: Amendment adopted, placed on calendar (Senate)
- 2025-04-15: Reported back amended, do pass, amendment placed on calendar 15 1 0 (Senate)
- 2025-04-08: Committee Hearing 03:00 (Senate)
- 2025-04-07: Rereferred to Appropriations (Senate)
- 2025-04-07: Amendment adopted (Senate)
- 2025-04-04: Reported back amended, do pass, amendment placed on calendar 4 0 1 (Senate)
- 2025-03-31: Committee Hearing 02:30 (Senate)
- 2025-03-07: Introduced, first reading, (emergency), referred Industry and Business Committee (Senate)
- 2025-02-24: Received from House (Senate)
- 2025-02-21: Second reading, passed, yeas 90 nays 0, Emergency clause carried (House)
- 2025-02-20: Amendment adopted, placed on calendar (House)
- 2025-02-19: Reported back amended, do pass, amendment placed on calendar 11 0 3 (House)
- 2025-02-11: Committee Hearing 02:30 (House)
- 2025-01-20: Introduced, first reading, (emergency), 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/25-1281-01001m.pdf)
- Adopted by the Senate Industry and Business Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-02003m.pdf)
- Enrollment: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-05000.pdf)
- FIRST ENGROSSMENT: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-02000.pdf)
- FIRST ENGROSSMENT with Senate Amendments: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-03000.pdf), [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-04000.pdf)
- INTRODUCED: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-01000.pdf)
- Prepared by the Legislative Council staff for Senator Sickler: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-02005m.pdf)

## Related bills

- 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 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)
- 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/25-1281-01001m.pdf)
- [Adopted by the Senate Industry and Business Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-02003m.pdf)
- [Enrollment (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-05000.pdf)
- [FIRST ENGROSSMENT (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-02000.pdf)
- [FIRST ENGROSSMENT with Senate Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-03000.pdf)
- [FIRST ENGROSSMENT with Senate Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-04000.pdf)
- [INTRODUCED (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-01000.pdf)
- [Prepared by the Legislative Council staff for Senator Sickler (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1281-02005m.pdf)

## Related
- [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 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)
- [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-HB1584-202501 (as of 2026-10-19).