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

Became Law

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 1 benefits, 2 costs, 1 mixed.

CHAND coverage ends December 2025

Beginning May 1, 2025, the association stops enrolling new people. All current benefit plans can end on December 31, 2025. The board must pay claims and help people move to other coverage before it closes the pool. Policyholders get at least 90 days’ notice before their plan ends. If your plan ends, you need to pick new insurance.

Guaranteed Medicare supplement coverage rights

If you lose creditable coverage under chapter 26.1-08, you can enroll in a comparable plan or in certain Medicare supplement policies. Covered Medicare supplement options include plans A, B, C, F (including high‑deductible F), G, K, and L. If a Medicare supplement plan is open to new enrollees, insurers cannot deny you, charge you more for your health, or exclude preexisting conditions. These rules help you keep coverage without gaps or surprise premiums.

CHAND law ends and lawsuit deadline

The chapters that created and governed the association are repealed on December 31, 2027. Any lawsuit against the association or its board must start within one year of the event or by December 31, 2027, whichever comes first. This sets a final legal sunset and shortens the time to bring claims.

CHAND wind-down: insurer costs and refunds

During the wind-down, the board may keep the lead carrier to handle administration. The board must keep following member rules and can assess member insurers based on actual program costs instead of projections. After closure, any leftover funds go to the insurance regulatory trust fund, and the lead carrier must return excess funds to assessed insurers. These steps manage insurer payments and refunds and do not create new household benefits.

Sponsors & Cosponsors

Sponsor

  • Legislative Management

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 135 • No: 0

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

  1. Filed with Secretary Of State 03/18

    3/20/2025House
  2. Signed by Governor 03/18

    3/18/2025Senate
  3. Sent to Governor

    3/17/2025Senate
  4. Signed by President

    3/17/2025Senate
  5. Signed by Speaker

    3/17/2025House
  6. Returned to Senate

    3/13/2025Senate
  7. Second reading, passed, yeas 91 nays 0, Emergency clause carried

    3/12/2025House
  8. Reported back, do pass, place on calendar 11 0 2

    3/11/2025House
  9. Committee Hearing 10:20

    3/10/2025House
  10. Introduced, first reading, (emergency), referred Human Services Committee

    2/18/2025House
  11. Received from Senate

    2/3/2025House
  12. Second reading, passed, yeas 44 nays 0, Emergency clause carried

    1/31/2025Senate
  13. Amendment adopted, placed on calendar

    1/30/2025Senate
  14. Reported back amended, do pass, amendment placed on calendar 5 0 0

    1/29/2025Senate
  15. Committee Hearing 09:30

    1/14/2025Senate
  16. Introduced, 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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