North Dakota 69-2025 Assembly Status: Enacted 4 R cosponsors

HB 1216 — Relating to out‑of‑pocket expenses for prescription drugs; to amend and reenact section 26.1‑36.6‑03 of the North Dakota Century Code, relating to self‑insurance health care plans; to provide for application; and to provide an effective date.

Last action — Filed with Secretary Of State 04/29

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 10, 2025. Enacted.

Signed by Governor Kelly Armstrong (Republican) on May 01, 2025.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 7 sponsors

    1 primary, 6 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (4 R).

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

AN ACT to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, relating to out-of-pocket expenses for prescription drugs; to amend and reenact section 26.1-36.6-03 of the North Dakota Century Code, relating to self-insurance health care plans; to provide for application; and to provide an effective date.

Bill Text

What changed in the latest version

93 added · 93 removed

93 line(s) added, 93 removed.

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Previous
Latest
25.0068.01007 Prepared by the Legislative Council Title.04000 staff for Representative Karls April 4, 2025 Sixty-ninth Legislative Assembly of North Dakota PROPOSED AMENDMENTS TO HOUSE BILL NO.
Sixty-ninth Legislative Assembly of North Dakota In Regular Session Commencing Tuesday, January 7, 2025 HOUSE BILL NO.
1216 Introduced by Representatives Karls, Hagert, Kiefert, Wagner Senators Boschee, Dever, Sorvaag In place of amendments (25.0068.01004) adopted by the Senate, House Bill No.
1216 (Representatives Karls, Hagert, Kiefert, Wagner) (Senators Boschee, Dever, Sorvaag) AN ACT to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, relating to out-of-pocket expenses for prescription drugs;
1216 is amended by amendment (25.0068.01007) as follows:
to amend and reenact section 26.1-36.6-03 of the North Dakota Century Code, relating to self-insurance health care plans;
A BILL for an Act to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, relating to out-of-pocket expenses for prescription drugs;
and to amend and reenact section 26.1-36.6-03 of the North Dakota Century Code, relating to self-insurance health care plans;
or (2) With a generic equivalent and, if the enrollee has obtained access to the drug through prior authorization, a step therapy protocol, or the heath care insurer's expectations and appeals process.
or (2) With a generic equivalent, if the enrollee has obtained access to the drug through prior authorization, a step therapy protocol, or the heath care insurer's expectations and appeals process.
Page No.
2.
1 25.0068.01007 Sixty-ninth Legislative Assembly 2.
The health benefit plan may not vary the out-of-pocket maximum or cost-sharing requirement, or otherwise design benefits in a manner that takes into accountaccounting for the availability of a cost-sharing assistance program for a prescription drug.
The health benefit plan may not vary the out-of-pocket maximum or cost-sharing requirement, or otherwise design benefits accounting for the availability of a cost-sharing assistance program for a prescription drug.
26.1-36.6-03.
H.
B.
NO.
1216 - PAGE 2 26.1-36.6-03.
sections 26.1-36-06, 26.1-36-06.1, 26.1-36-07, 26.1-36-08, 26.1-36-08.1, 26.1-36-09, 26.1-36-09.1, 26.1-36-09.2, 26.1-36-09.3, 26.1-36-09.5, 26.1-36-09.6, 26.1-36-09.7, 26.1-36-09.8, 26.1-36-09.9, 26.1-36-09.10, 26.1-36-09.11, 26.1-36-09.12, 26.1-36-09.13, 26.1-36-09.14, 26.1-36-09.15, 26.1-36-11, 26.1-36-12.2, 26.1-36-20, 26.1-36-21, 26.1-36-22, Page No.
sections 26.1-36-06, 26.1-36-06.1, 26.1-36-07, 26.1-36-08, 26.1-36-08.1, 26.1-36-09, 26.1-36-09.1, 26.1-36-09.2, 26.1-36-09.3, 26.1-36-09.5, 26.1-36-09.6, 26.1-36-09.7, 26.1-36-09.8, 26.1-36-09.9, 26.1-36-09.10, 26.1-36-09.11, 26.1-36-09.12, 26.1-36-09.13, 26.1-36-09.14, 26.1-36-09.15, 26.1-36-11, 26.1-36-12.2, 26.1-36-20, 26.1-36-21, 26.1-36-22, 26.1-36-23.1, and 26.1-36-43.
2 25.0068.01007 Sixty-ninth Legislative Assembly 26.1-36-23.1, and 26.1-36-43.
Page No.
H.
3 25.0068.01007
B.
NO.
1216 - PAGE 3 ____________________________ ____________________________ Speaker of the House President of the Senate ____________________________ ____________________________ Chief Clerk of the House Secretary of the Senate This certifies that the within bill originated in the House of Representatives of the Sixty-ninth Legislative Assembly of North Dakota and is known on the records of that body as House Bill No.
1216.
House Vote:
Yeas 56 Nays 37 Absent 1 Senate Vote:
Yeas 29 Nays 18 Absent 0 ____________________________ Chief Clerk of the House Received by the Governor at ________M.
on _____________________________________, 2025.
Approved at ________M.
on __________________________________________________, 2025.
____________________________ Governor Filed in this office this ___________day of _______________________________________, 2025, at ________ o’clock ________M.
____________________________ Secretary of State
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Action History

  1. Filed with Secretary Of State 04/29

  2. Signed by Governor 04/29

  3. Sent to Governor

  4. Signed by Speaker

  5. Signed by President

  6. Second reading, passed, yeas 56 nays 37

  7. Concurred

  8. Returned to House (12)

  9. Second reading, passed as amended, yeas 29 nays 18

  10. Amendment adopted, placed on calendar

  11. Reported back amended, do not pass, placed on calendar 10 6 0

  12. Rereferred to Appropriations

  13. Reported back amended, do pass, amendment placed on calendar 11 3 2

  14. Rereferred to Appropriations

  15. Reconsidered

  16. Second reading, passed as amended, yeas 30 nays 14

  17. Amendment adopted, placed on calendar

  18. Reported back amended, do not pass, placed on calendar 4 1 1

  19. Committee Hearing 11:00

  20. Introduced, first reading, referred Human Services Committee

  21. Received from House

  22. Second reading, passed, yeas 69 nays 24

  23. Amendment failed, placed on calendar

  24. Reported back amended, do pass, amendment placed on calendar 12 1 1

  25. Committee Hearing 02:00

  26. Committee Hearing 03:00

  27. Introduced, first reading, referred Industry, Business and Labor Committee

Sponsors

Sponsorship breakdown

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1 sponsors · 6 co-sponsors · 141 not signed on · 57 voted No

Sponsors (1)

Co-sponsors (6)

Not signed on (141)

141 members have not signed on to this bill.

Show all 141 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Final Passage

Passed 56 Yea · 37 Nay · 1 Other
Party YeaNayPresentNot Voting
Democratic 11000
Republican 453601
Unaffiliated 0100
Total 563701
% of votes cast 60%39%0%1%
How each member voted (94)
Member Party Vote
Olson — Nay
Brown, Collette Democratic Yea
Conmy, Liz Democratic Yea
Davis, Jayme Democratic Yea
Dobervich, Gretchen Democratic Yea
Finley-DeVille, Lisa Democratic Yea
Foss, Austin Democratic Yea
Hager, LaurieBeth Democratic Yea
Hanson, Karla Rose Democratic Yea
Ista, Zachary Democratic Yea
Mitskog, Alisa Democratic Yea
Schneider, Mary Democratic Yea
Anderson, Bert Republican Nay
Anderson, Dick Republican Yea
Anderson, Karen A. Republican Nay
Bahl, Landon Republican Nay
Beltz, Mike Republican Yea
Berg, Mike Republican Nay
Bolinske, Macy Republican Nay
Bosch, Glenn Republican Yea
Brandenburg, Mike Republican Yea
Brown, TJ Republican Yea
Christianson, Nels Republican Nay
Dockter, Jason Republican Yea
Dressler, Ty Republican Nay
Fegley, Clayton Republican Yea
Fisher, Jay Republican Yea
Frelich, Kathy Republican Nay
Grindberg, Karen Republican Yea
Grueneich, Jim Republican Yea
Hagert, Jared C. Republican Yea
Hatlestad, Patrick R. Republican Yea
Hauck, Dori Republican Nay
Headland, Craig Republican Yea
Heilman, Matthew Republican Yea
Heinert, Pat D. Republican Yea
Henderson, Donna Republican Nay
Hendrix, Jared Republican Yea
Holle, Dawson Republican Nay
Hoverson, Jeff Republican Nay
Johnson, Jorin Republican Yea
Johnston, Daniel Republican Yea
Jonas, Jim Republican Yea
Karls, Karen Republican Yea
Kasper, Jim Republican Not Voting
Kempenich, Keith Republican Nay
Kiefert, Dwight Republican Yea
Klemin, Lawrence R. Republican Yea
Koppelman, Ben Republican Nay
Lefor, Mike Republican Yea
Longmuir, Donald W. Republican Yea
Louser, Scott Republican Nay
Maki, Roger A. Republican Nay
Marschall, Andrew Republican Nay
Martinson, Bob Republican Yea
McLeod, Carrie Republican Yea
Meier, Lisa Republican Yea
Monson, David Republican Yea
Morton, Desiree Republican Nay
Motschenbacher, Mike Republican Nay
Murphy, Eric J. Republican Nay
Nathe, Mike Republican Yea
Nehring, Dennis Republican Nay
Nelson, Jon O. Republican Nay
Novak, Anna S. Republican Nay
O'Brien, Emily Republican Nay
Olson, Jeremy Republican Yea
Osowski, Doug Republican Nay
Ostlie, Mitch Republican Yea
Porter, Todd Republican Nay
Pyle, Brandy L. Republican Yea
Richter, David Republican Yea
Rios, Nico Republican Yea
Rohr, Karen M. Republican Nay
Ruby, Dan Republican Nay
Ruby, Matthew Republican Nay
Sanford, Mark Republican Yea
Satrom, Bernie Republican Yea
Schatz, Mike Republican Yea
Schauer, Austen Republican Yea
Schreiber-Beck, Cynthia Republican Yea
Steiner, Vicky Republican Nay
Stemen, Gregory Republican Nay
Swiontek, Steve Republican Yea
Toman, Nathan Republican Nay
Tveit, Bill Republican Yea
VanWinkle, Lori Republican Yea
Vetter, Steve Republican Yea
Vigesaa, Don Republican Nay
Vollmer, Daniel R. Republican Nay
Wagner, Scott Republican Yea
Warrey, Jonathan Republican Yea
Weisz, Robin Republican Nay
Wolff, Christina Republican Nay

Official roll call →

Final Passage

Passed 29 Yea · 18 Nay
Party YeaNayPresentNot Voting
Unaffiliated 1000
Republican 231800
Democratic 5000
Total 291800
% of votes cast 62%38%0%0%
How each member voted (47)
Member Party Vote
van Oosting — Yea
Boschee, Josh Democratic Yea
Braunberger, Ryan Democratic Yea
Hogan, Kathy Democratic Yea
Marcellais, Richard Democratic Yea
Mathern, Tim Democratic Yea
Axtman, Michelle Republican Nay
Barta, Jeff Republican Yea
Beard, Todd Republican Yea
Bekkedahl, Brad Republican Nay
Boehm, Keith Republican Yea
Burckhard, Randy A. Republican Yea
Castaneda, Jose L. Republican Yea
Cleary, Sean Republican Yea
Clemens, David A. Republican Nay
Conley, Cole Republican Yea
Cory, Claire Republican Yea
Davison, Kyle Republican Nay
Dever, Dick Republican Yea
Dwyer, Michael Republican Nay
Enget, Mark Republican Yea
Erbele, Robert Republican Nay
Gerhardt, Justin Republican Nay
Hogue, David Republican Nay
Kessel, Greg Republican Nay
Klein, Jerry Republican Nay
Larson, Diane Republican Yea
Lee, Judy Republican Yea
Lemm, Randy D. Republican Yea
Luick, Larry Republican Yea
Magrum, Jeffery J. Republican Nay
Meyer, Scott Republican Yea
Myrdal, Janne Republican Yea
Patten, Dale Republican Nay
Paulson, Bob Republican Yea
Powers, Michelle Republican Yea
Roers, Kristin Republican Nay
Rummel, Dean Republican Nay
Schaible, Donald Republican Yea
Sickler, Jonathan Republican Nay
Sorvaag, Ronald Republican Yea
Thomas, Paul J. Republican Nay
Walen, Chuck Republican Nay
Wanzek, Terry M. Republican Yea
Weber, Mark F. Republican Yea
Weston, Kent Republican Nay
Wobbema, Mike Republican Yea

Official roll call →

Final Passage

Passed 30 Yea · 14 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 1000
Republican 241403
Democratic 5000
Total 301403
% of votes cast 64%30%0%6%
How each member voted (47)
Member Party Vote
van Oosting — Yea
Boschee, Josh Democratic Yea
Braunberger, Ryan Democratic Yea
Hogan, Kathy Democratic Yea
Marcellais, Richard Democratic Yea
Mathern, Tim Democratic Yea
Axtman, Michelle Republican Nay
Barta, Jeff Republican Yea
Beard, Todd Republican Not Voting
Bekkedahl, Brad Republican Not Voting
Boehm, Keith Republican Yea
Burckhard, Randy A. Republican Yea
Castaneda, Jose L. Republican Yea
Cleary, Sean Republican Yea
Clemens, David A. Republican Nay
Conley, Cole Republican Yea
Cory, Claire Republican Yea
Davison, Kyle Republican Yea
Dever, Dick Republican Yea
Dwyer, Michael Republican Yea
Enget, Mark Republican Yea
Erbele, Robert Republican Nay
Gerhardt, Justin Republican Nay
Hogue, David Republican Yea
Kessel, Greg Republican Nay
Klein, Jerry Republican Nay
Larson, Diane Republican Yea
Lee, Judy Republican Yea
Lemm, Randy D. Republican Yea
Luick, Larry Republican Yea
Magrum, Jeffery J. Republican Nay
Meyer, Scott Republican Not Voting
Myrdal, Janne Republican Yea
Patten, Dale Republican Nay
Paulson, Bob Republican Yea
Powers, Michelle Republican Yea
Roers, Kristin Republican Nay
Rummel, Dean Republican Nay
Schaible, Donald Republican Yea
Sickler, Jonathan Republican Nay
Sorvaag, Ronald Republican Yea
Thomas, Paul J. Republican Nay
Walen, Chuck Republican Nay
Wanzek, Terry M. Republican Yea
Weber, Mark F. Republican Yea
Weston, Kent Republican Nay
Wobbema, Mike Republican Yea

Official roll call →

Final Passage

Passed 69 Yea · 24 Nay
Party YeaNayPresentNot Voting
Republican 582300
Unaffiliated 0100
Democratic 11000
Total 692400
% of votes cast 74%26%0%0%
How each member voted (93)
Member Party Vote
Olson — Nay
Brown, Collette Democratic Yea
Conmy, Liz Democratic Yea
Davis, Jayme Democratic Yea
Dobervich, Gretchen Democratic Yea
Finley-DeVille, Lisa Democratic Yea
Foss, Austin Democratic Yea
Hager, LaurieBeth Democratic Yea
Hanson, Karla Rose Democratic Yea
Ista, Zachary Democratic Yea
Mitskog, Alisa Democratic Yea
Schneider, Mary Democratic Yea
Anderson, Bert Republican Yea
Anderson, Dick Republican Yea
Anderson, Karen A. Republican Yea
Bahl, Landon Republican Nay
Beltz, Mike Republican Yea
Berg, Mike Republican Nay
Bolinske, Macy Republican Nay
Bosch, Glenn Republican Yea
Brandenburg, Mike Republican Yea
Christianson, Nels Republican Yea
Dockter, Jason Republican Yea
Dressler, Ty Republican Yea
Fegley, Clayton Republican Nay
Fisher, Jay Republican Yea
Frelich, Kathy Republican Nay
Grindberg, Karen Republican Yea
Grueneich, Jim Republican Nay
Hagert, Jared C. Republican Yea
Hatlestad, Patrick R. Republican Yea
Hauck, Dori Republican Yea
Headland, Craig Republican Yea
Heilman, Matthew Republican Yea
Heinert, Pat D. Republican Yea
Henderson, Donna Republican Nay
Hendrix, Jared Republican Yea
Holle, Dawson Republican Yea
Hoverson, Jeff Republican Yea
Johnson, Jorin Republican Yea
Johnston, Daniel Republican Yea
Jonas, Jim Republican Yea
Karls, Karen Republican Yea
Kasper, Jim Republican Yea
Kempenich, Keith Republican Yea
Kiefert, Dwight Republican Yea
Klemin, Lawrence R. Republican Yea
Koppelman, Ben Republican Nay
Lefor, Mike Republican Yea
Longmuir, Donald W. Republican Yea
Louser, Scott Republican Nay
Maki, Roger A. Republican Yea
Marschall, Andrew Republican Yea
Martinson, Bob Republican Yea
McLeod, Carrie Republican Yea
Meier, Lisa Republican Yea
Monson, David Republican Yea
Morton, Desiree Republican Yea
Motschenbacher, Mike Republican Nay
Murphy, Eric J. Republican Nay
Nathe, Mike Republican Yea
Nehring, Dennis Republican Yea
Nelson, Jon O. Republican Nay
Novak, Anna S. Republican Yea
O'Brien, Emily Republican Nay
Olson, Jeremy Republican Yea
Osowski, Doug Republican Yea
Ostlie, Mitch Republican Yea
Porter, Todd Republican Nay
Pyle, Brandy L. Republican Yea
Richter, David Republican Yea
Rios, Nico Republican Yea
Rohr, Karen M. Republican Nay
Ruby, Dan Republican Nay
Ruby, Matthew Republican Nay
Sanford, Mark Republican Yea
Satrom, Bernie Republican Yea
Schatz, Mike Republican Yea
Schauer, Austen Republican Yea
Schreiber-Beck, Cynthia Republican Yea
Steiner, Vicky Republican Yea
Stemen, Gregory Republican Nay
Swiontek, Steve Republican Yea
Toman, Nathan Republican Nay
Tveit, Bill Republican Yea
VanWinkle, Lori Republican Yea
Vetter, Steve Republican Yea
Vigesaa, Don Republican Nay
Vollmer, Daniel R. Republican Nay
Wagner, Scott Republican Yea
Warrey, Jonathan Republican Nay
Weisz, Robin Republican Yea
Wolff, Christina Republican Nay

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB 1216 do?
AN ACT to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, relating to out-of-pocket expenses for prescription drugs; to amend and reenact section 26.1-36.6-03 of the North Dakota Century Code, relating to self-insurance health care plans; to provide for application; and to provide an effective date.
Who sponsors HB 1216?
HB 1216 is sponsored by Karls, Karen (Republican), Hagert, Jared C. (Republican), Kiefert, Dwight (Republican), Wagner, Scott (Republican), Sen. Boschee, Josh, Sen. Dever, Dick, and Sen. Sorvaag, Ronald.
What is the current status of HB 1216?
This bill has been enacted into law. Introduced January 10, 2025. Enacted.
Where can I track HB 1216?
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