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Did Not Advance

North Dakota House Bill 1284 Mandates Public Employee Fertility Preservation Health Benefits Through June 2027

Original title: A BILL for an Act to create and enact a new section to chapter 54-52.1 of the North Dakota Century Code, relating to public employee fertility preservation health benefits; to provide for a report to the legislative assembly; to provide for application; and to provide an expiration date.

Last action · February 13, 2025: Second reading, failed to pass, yeas 39 nays 48Sponsors: Mike Brandenburg and 8 others

Introduced
Committee
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What This Bill Proposed

House Bill 1284 requires the North Dakota public employees retirement system board to provide health insurance coverage for medically necessary standard fertility preservation services for covered individuals facing potential infertility from medical conditions or treatments. The measure applies to health benefits beginning after June 30, 2025, and expires on June 30, 2027.

Why it matters

Public employees diagnosed with conditions or undergoing treatments that risk infertility would gain coverage for up to four preservation cycles without differential copayments or deductibles, while the state retirement system must report utilization and costs to the seventieth legislative assembly.

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Public employees

Covered individuals are eligible to receive health insurance benefits coverage for medically necessary standard fertility preservation services and up to four preservation cycles.

Directly affected

Public employees retirement system

The system must provide the mandated health insurance coverage and prepare and submit a bill and report on utilization and costs to the seventieth legislative assembly.

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 is eligible for fertility preservation health benefits under this bill?
Covered individuals who have a diagnosed medical or genetic condition that may cause impairment of fertility affecting reproductive organs, or who are expected to undergo medical treatments such as surgery, radiation, or chemotherapy that risk impaired fertility.
What specific services are included in the coverage?
Coverage includes consultation, evaluation, laboratory assessment, medication, procurement and storage of or embryos, services, and up to four preservation cycles.
Are there special cost-sharing limitations or exclusions?
Benefits cannot be limited by copayments, deductibles, , or waiting periods that differ from other medical or surgical benefits provided under the plan, and Medicare Part D prescription drug coverage is excluded.

What else do you want to know?

News Coverage

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Where This Stands

This bill did not become law - Failed in the House.

Procedural history

6 actions
  1. Feb 13, 2025House
    Second reading, failed to pass, yeas 39 nays 48
  2. Feb 12, 2025HouseCommittee
    Amendment adopted, placed on calendar
  3. Feb 11, 2025HouseCommittee
    Reported back amended, do not pass, placed on calendar 7 6 0
  4. Jan 29, 2025HouseCommittee
    Committee Hearing 03:00
  5. Jan 29, 2025HouseCommittee
    Committee Hearing 02:30
  6. Jan 13, 2025HouseIntroduced
    Introduced, first reading, referred Human Services 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

Connected Entities

American Society of Clinical Oncology, American Society for Reproductive Medicine, North Dakota Public Employees Retirement System and 1 more
OrganizationAmerican Society of Clinical Oncology“Professional medical organization whose guidelines establish best practices for ”Map →
OrganizationAmerican Society for Reproductive Medicine“Professional medical organization whose standards define medically necessary and”Map →
OrganizationNorth Dakota Public Employees Retirement System“Required to prepare and submit a bill and report to the seventieth legislative a”Map →
OrganizationNorth Dakota Century Code“Statutory code being amended to add a new section under chapter 54-52.1.”Map →

Sources

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 45)
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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