All Roll Calls
Yes: 116 • No: 20
North DakotaSB 23482025 Regular SessionSenateWALLET
AN ACT to create and enact a new section to chapter 15-10 and a new chapter to title 50 of the North Dakota Century Code, relating to the acceptance of health care sharing ministries by an institution of higher education and health care sharing ministries' exemptions from insurance laws and regulations.
Sponsored By: Kent Weston (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
College students can use sharing ministries for coverage
Colleges and universities in North Dakota must accept active participation in a qualifying health care sharing ministry as meeting student health coverage rules. This applies to domestic students. International students on J, F, or M visas must buy insurance that meets U.S. Department of State and state board standards, and schools must require it. This option can lower what some students pay for required coverage.
Sharing ministries exempt with safeguards
In North Dakota, a qualifying health care sharing ministry is not treated as an insurance company and is exempt from state insurance rules. To qualify, it must be a 501(c)(3) nonprofit. It must limit members to shared beliefs and only facilitate sharing without a promise to pay. It must report each month the total dollars shared, get a yearly independent CPA audit, and post it or provide it on request. All materials must clearly say it is not insurance and members are responsible for their own bills.
Sponsors & Cosponsors
Sponsor
Kent Weston
Republican • Senate
Cosponsors
Karen A. Anderson
Republican • House
Jay Fisher
Republican • House
SuAnn Olson
Republican • House
Sean Cleary
Republican • Senate
Bob Paulson
Republican • Senate
Roll Call Votes
House vote • 3/28/2025
Second reading, passed, yeas 72 nays 19
Yes: 72 • No: 19
Senate vote • 2/17/2025
Second reading, passed, yeas 44 nays 1
Yes: 44 • No: 1
Actions Timeline
Filed with Secretary Of State 04/03
4/4/2025HouseSigned by Governor 04/03
4/3/2025SenateSent to Governor
4/2/2025SenateSigned by President
4/2/2025SenateSigned by Speaker
4/2/2025HouseReturned to Senate
3/31/2025SenateSecond reading, passed, yeas 72 nays 19
3/28/2025HouseReported back, do pass, place on calendar 12 1 1
3/26/2025HouseCommittee Hearing 09:00
3/25/2025HouseIntroduced, first reading, referred Industry, Business and Labor Committee
2/21/2025HouseReceived from Senate
2/18/2025HouseSecond reading, passed, yeas 44 nays 1
2/17/2025SenateAmendment adopted, placed on calendar
2/14/2025SenateReported back amended, do pass, amendment placed on calendar 5 0 0
2/13/2025SenateCommittee Hearing 10:00
2/4/2025SenateIntroduced, first reading, referred Industry and Business Committee
1/22/2025Senate
Bill Text
Adopted by the Senate Industry and Business Committee
Enrollment
FIRST ENGROSSMENT
INTRODUCED
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