All Roll Calls
Yes: 169 • No: 62
North DakotaSB 21602025 Regular SessionSenateWALLET
AN ACT to amend and reenact sections 54-52.1-01, 54-52.1-02, and 54-52.1-03.1 of the North Dakota Century Code, relating to health insurance benefits coverage provided by the uniform group insurance program; to provide an appropriation; to provide for a statement of legislative intent; and to provide an effective date.
Sponsored By: Kyle Davison (Republican)
Vetoed
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 2 benefits, 1 costs, 2 mixed.
Extra plan option for some retirees
Beginning January 1, 2026, the board may offer an extra coverage choice for retirees who were not Medicare-eligible when they retired. The option cannot raise the program’s implicit subsidy under GASB OPEB rules. People who first retired after July 1, 2015 and were not Medicare-eligible then are not eligible for this option. The board may hold an open enrollment for this option.
What the state group plan covers
Beginning January 1, 2026, the state group plan includes eligible workers and retirees. It must offer health insurance and life insurance. Health coverage is defined to include nongrandfathered large-employer plans that meet ACA rules. The plan can create subgroups for active workers, non-Medicare retirees, Medicare-eligible retirees, and continuation. It can also offer dental, vision, long-term care, employee assistance, and prescription drug coverage. Carriers can be licensed insurers, certain prepaid plans, or the state when it self-insures.
Higher premiums for non-Medicare retirees
Beginning January 1, 2026, retiree premiums for those not on Medicare are set by formula. A single retiree pays 150% of the active single rate. A two-person family pays 2 times the retiree single rate. A family of three or more pays 2.5 times the retiree single rate. This does not apply to people who first retired after July 1, 2015 and were not Medicare-eligible then. Retirees and surviving spouses must pay premiums directly to the board.
Local governments can join state health plan
Beginning January 1, 2026, cities, counties, and other local governments may join the state group health plan for permanent workers if federal law allows. The board can require at least 60 months in the plan and can bill the employer if it leaves early. The Garrison Diversion Conservancy District and certain district health units must join and use the same premium structure as state agencies. Retirees and surviving spouses linked to a participating local plan get special times to elect coverage, such as when they or a spouse turn 65, when a benefit starts, when the employer joins, or when a spouse stops working.
All changes start January 1, 2026
All changes in this act take effect January 1, 2026. Agencies and employers use that date for coverage and premium rules.
Sponsors & Cosponsors
Sponsor
Kyle Davison
Republican • Senate
Cosponsors
Glenn Bosch
Republican • House
Gregory Stemen
Republican • House
Brad Bekkedahl
Republican • Senate
Ronald Sorvaag
Republican • Senate
Roll Call Votes
Senate vote • 5/1/2025
Veto sustained, yeas 31 nays 15
Yes: 31 • No: 15
Senate vote • 4/21/2025
Second reading, passed, yeas 39 nays 8
Yes: 39 • No: 8
House vote • 4/16/2025
Second reading, passed as amended, yeas 55 nays 37
Yes: 55 • No: 37
Senate vote • 2/25/2025
Second reading, passed, yeas 44 nays 2
Yes: 44 • No: 2
Actions Timeline
Filed with Secretary Of State 05/01
5/1/2025SenateVeto sustained, yeas 31 nays 15
5/1/2025SenateConsideration of Governor's veto
5/1/2025SenateVetoed by Governor 04/28
4/29/2025SenateSent to Governor
4/23/2025SenateSigned by President
4/23/2025SenateSigned by Speaker
4/23/2025HouseSecond reading, passed, yeas 39 nays 8
4/21/2025SenateConcurred
4/21/2025SenateReturned to Senate (12)
4/16/2025SenateSecond reading, passed as amended, yeas 55 nays 37
4/16/2025HouseAmendment adopted, placed on calendar
4/16/2025HouseReported back amended, do pass, amendment placed on calendar 15 7 1
4/15/2025HouseRereferred to Appropriations
4/9/2025HouseReported back, do pass 10 3 1
4/9/2025HouseCommittee Hearing 02:45
4/8/2025HouseCommittee Hearing 09:30
4/8/2025HouseRereferred to Industry, Business and Labor
4/7/2025HouseReported back, do not pass, placed on calendar 7 4 3
4/4/2025HouseCommittee Hearing 10:45
3/18/2025HouseCommittee Hearing 03:30
3/17/2025HouseIntroduced, first reading, referred Industry, Business and Labor Committee
3/7/2025HouseReceived from Senate
2/25/2025HouseSecond reading, passed, yeas 44 nays 2
2/25/2025SenateAmendment adopted, placed on calendar
2/25/2025Senate
Bill Text
Enrollment
FIRST ENGROSSMENT
FIRST ENGROSSMENT with House Amendments
INTRODUCED
Prepared by the Legislative Council staff for House Appropriations Committee
Prepared by the Legislative Council staff for Senator Davison
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