All Roll Calls
Yes: 135 • No: 0
North DakotaSB 20322025 Regular SessionSenateWALLET
AN ACT to create and enact chapter 26.1-08.1 of the North Dakota Century Code, relating to the comprehensive health association of North Dakota; to repeal chapters 26.1-08 and 26.1-08.1 of the North Dakota Century Code, relating to the comprehensive health association of North Dakota; to provide an effective date; and to declare an emergency.
Sponsored By: Legislative Management
Signed by Governor
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 0 costs, 2 mixed.
Replacement coverage for members losing pool insurance
People losing coverage under North Dakota’s prior health pool law must be provided enrollment in comparable coverage. This can be a health benefit plan or a Medicare supplement policy. Supplement options are Plans A, B, C, F, high-deductible F, G, K, or L. For these supplement policies, insurers cannot deny or condition coverage, charge more based on health, or exclude preexisting conditions.
North Dakota health pool closes with protections
North Dakota’s Comprehensive Health Association stops new enrollment effective May 1, 2025. It may end existing plans effective December 31, 2025, with at least 90 days’ notice to current policyholders. Before closing the pool, it must take reasonable steps to help members move to other coverage and pay covered claims. It must also meet its other obligations; closure does not depend on revising plan benefits to meet the new chapter. Lawsuits against the association or board face the earlier deadline: one year after the challenged action or December 31, 2027. The laws governing the association are repealed effective December 31, 2027.
Insurers fund closure and recover leftover money
During closure, the board must continue following the rules for participating insurers. It may charge insurers based on actual program costs instead of projected costs. The board may keep using its selected insurance carrier for administrative work. After operations end, that carrier must return any leftover funds to assessed insurers, not households.
Sponsors & Cosponsors
Sponsor
Legislative Management
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 3/12/2025
Second reading, passed, yeas 91 nays 0, Emergency clause carried
Yes: 91 • No: 0
Senate vote • 1/31/2025
Second reading, passed, yeas 44 nays 0, Emergency clause carried
Yes: 44 • No: 0
Actions Timeline
Filed with Secretary Of State 03/18
3/20/2025HouseSigned by Governor 03/18
3/18/2025SenateSent to Governor
3/17/2025SenateSigned by President
3/17/2025SenateSigned by Speaker
3/17/2025HouseReturned to Senate
3/13/2025SenateSecond reading, passed, yeas 91 nays 0, Emergency clause carried
3/12/2025HouseReported back, do pass, place on calendar 11 0 2
3/11/2025HouseCommittee Hearing 10:20
3/10/2025HouseIntroduced, first reading, (emergency), referred Human Services Committee
2/18/2025HouseReceived from Senate
2/3/2025HouseSecond reading, passed, yeas 44 nays 0, Emergency clause carried
1/31/2025SenateAmendment adopted, placed on calendar
1/30/2025SenateReported back amended, do pass, amendment placed on calendar 5 0 0
1/29/2025SenateCommittee Hearing 09:30
1/14/2025SenateIntroduced, first reading, (emergency), referred Industry and Business Committee
1/7/2025Senate
Bill Text
Adopted by the Senate Industry and Business Committee
Enrollment
FIRST ENGROSSMENT
INTRODUCED
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