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Read. Follow. Verify.North Dakota restricts health insurance mandates to public employees and requires cost-benefit analyses
Last action · April 30, 2025: Filed with Secretary Of State 04/28Sponsors: Robin Weisz and 5 others
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What This Bill Does
North Dakota enacted a law requiring that any legislative measure mandating health insurance coverage must first include a cost-benefit analysis and automatically expire on June 30 of the next odd-numbered year. The law limits the initial application of such mandates to the public employees health insurance program and the public employee retiree health insurance program before any broader commercial application can be considered.
Changes how new health insurance coverage requirements are tested by restricting their initial trial phase exclusively to state public employee plans and requiring independent economic evaluations before legislative committees can act.
- House Bill 1248 was considered during the sixty-ninth legislative session of North Dakota in 2025. context
- The measure amends existing North Dakota statutory requirements regarding legislative cost-benefit analyses for health insurance mandates. context
Who It Affects
Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.
Public employees health insurance program participants
New health insurance coverage mandates are applied to their health insurance program first before commercial policies.
Insurance Commissioner
Must provide recommendations for private entities to perform cost-benefit analyses and pay for those contracted services.
Legislative Management
Must adopt procedures for identifying health insurance mandates and ensure cost-benefit analyses are appended to bills.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Who pays for the required cost-benefit analysis of a health insurance mandate?
How long do newly enacted health insurance mandates initially last?
Which insurance policies are affected by a new mandate during its initial phase?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Current status: Signed into law.
Procedural history
27 actions- Apr 30, 2025Filed with Secretary Of State 04/28
- Apr 29, 2025HouseEnrolledSigned by Governor 04/28
- Apr 25, 2025HouseEnrolledSent to Governor
- Apr 25, 2025HouseSigned by Speaker
- Apr 24, 2025SenateSigned by President
- Apr 23, 2025SenateFloorSecond reading, passed as amended, yeas 45 nays 2
Show 21 earlier actions
- Apr 23, 2025SenateCommitteeConference committee report adopted
- Apr 23, 2025SenateCommitteeReported back from conference committee, in place of, placed on calendar
- Apr 22, 2025HouseFloorSecond reading, passed, yeas 94 nays 0
- Apr 22, 2025HouseCommitteeConference committee report adopted
- Apr 17, 2025HouseCommitteeReported back from conference committee, in place of, placed on calendar
- Apr 7, 2025SenateCommitteeConference committee appointed Roers Hogan Clemens
- Apr 4, 2025HouseAppoint Rep. Warrey to replace Rep. J. Johnson on conference committee
- Apr 3, 2025HouseCommitteeConference committee appointed J. Johnson Grindberg Bahl
- Apr 3, 2025HouseRefused to concur
- Mar 26, 2025HouseReturned to House (12)
- Mar 25, 2025SenateFloorSecond reading, passed as amended, yeas 46 nays 0
- Mar 24, 2025SenateCommitteeAmendment adopted, placed on calendar
- Mar 21, 2025SenateCommitteeReported back amended, do pass, amendment placed on calendar 5 0 1
- Mar 5, 2025SenateCommitteeCommittee Hearing 09:15
- Feb 17, 2025SenateIntroducedIntroduced, first reading, referred Human Services Committee
- Feb 13, 2025SenateReceived from House
- Feb 12, 2025HouseFloorSecond reading, passed, yeas 91 nays 0
- Feb 11, 2025HouseCommitteeAmendment adopted, placed on calendar
- Feb 10, 2025HouseCommitteeReported back amended, do pass, amendment placed on calendar 11 0 3
- Jan 22, 2025HouseCommitteeCommittee Hearing 09:30
- Jan 13, 2025HouseIntroducedIntroduced, first reading, referred Industry, Business and Labor Committee
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Mandatory Pilot Testing Phase for Insurance Mandates
The legislation introduces a structural check requiring all new health insurance mandates to undergo a trial phase restricted to public employee plans before expanding to the wider market.
Connected Entities
Sources
ndlegis.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy35Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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