North Dakota 69-2025 Assembly Status: Passed House Bipartisan · 7 R · 1 D cosponsors

HB 1594 — Relating to medical costs transparency for health care facilities; to amend and reenact section 26.1‑47‑02 of the North Dakota Century Code, relating to health care facility and preferred provider compliance with medical cost transparency requirements; and to provide a penalty.

Last action — Motion to reconsider failed

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

This bill has passed the House. Introduced January 20, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Prognosis

Advancing 58% · high confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • Passed House

    Current position in the legislative process.

  • 11 sponsors

    1 primary, 10 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (7 R · 1 D) — cross-party backing.

  • Mixed recorded votes

    1 passed, 1 failed in recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

A BILL for an Act to create and enact a new section to chapter 23-12 of the North Dakota Century Code, relating to medical costs transparency for health care facilities; to amend and reenact section 26.1-47-02 of the North Dakota Century Code, relating to health care facility and preferred provider compliance with medical cost transparency requirements; and to provide a penalty.

Bill Text

What changed in the latest version

78 added · 80 removed

Plain-language change summary

The latest version of Bill HB 1594 has made a few changes. Firstly, it has removed references to the state hospital from the list of facilities that need to adhere to new service requirements, narrowing the focus solely to nursing and basic care facilities. Additionally, it maintains provisions for imposing civil penalties on health care facilities that violate these rules, ensuring that financial consequences continue to be a deterrent. These changes matter because they clarify which facilities are covered by the new regulations and streamline enforcement, potentially enhancing compliance and service quality for patients.

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25.1237.02001 Adopted by the Senate Human Services Title.03000 Committee March 25, 2025 Sixty-ninth Legislative Assembly of North Dakota PROPOSED AMENDMENTS TO FIRST ENGROSSMENT ENGROSSED HOUSE BILL NO.
25.1237.02000 Sixty-ninth Legislative Assembly of North Dakota FIRST ENGROSSMENT ENGROSSED HOUSE BILL NO.
"Health care facility" means those facilities licensed under chapter 23-16, except for nursing facilities and, basic care facilities, and the state hospital.
"Health care facility" means those facilities licensed under chapter 23-16, except for nursing facilities and basic care facilities.
Page No.
(1) Items and services;
1 25.1237.02001 Sixty-ninth Legislative Assembly (1) Items and services;
and Page No.
and (2) Shoppable services, as outlined in title 45, Code of Federal Regulations, part 180, subpart B.
1 25.1237.02000 Sixty-ninth Legislative Assembly (2) Shoppable services, as outlined in title 45, Code of Federal Regulations, part 180, subpart B.
Page No.
d.
2 25.1237.02001 Sixty-ninth Legislative Assembly d.
With regard to an arrangement in which the preferred provider is placed at risk for the cost or utilization of health care services, specifically include a description of Page No.
With regard to an arrangement in which the preferred provider is placed at risk for the cost or utilization of health care services, specifically include a description of the preferred provider's responsibilities with respect to the health care insurer's applicable administrative policies and programs, including utilization review, quality assessment and improvement programs, credentialing, grievance procedures, and data reporting requirements.
2 25.1237.02000 Sixty-ninth Legislative Assembly the preferred provider's responsibilities with respect to the health care insurer's applicable administrative policies and programs, including utilization review, quality assessment and improvement programs, credentialing, grievance procedures, and data reporting requirements.
Page No.
5.
3 25.1237.02001 Sixty-ninth Legislative Assembly 5.
This subsection does not prohibit a preferred provider arrangement from including capitation payments or shared-risk arrangements authorized under subdivision a of subsection 1 which are not tied to specific medical decisions with respect to a patient.
This subsection does not prohibit a preferred provider arrangement from including Page No.
3 25.1237.02000 Sixty-ninth Legislative Assembly capitation payments or shared-risk arrangements authorized under subdivision a of subsection 1 which are not tied to specific medical decisions with respect to a patient.
4 25.1237.02001
4 25.1237.02000
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Action History

  1. Motion to reconsider failed

  2. Second reading, failed to pass, yeas 23 nays 22

  3. Amendment adopted, placed on calendar

  4. Reported back amended, do not pass, placed on calendar 5 1 0

  5. Committee Hearing 09:30

  6. Introduced, first reading, referred Human Services Committee

  7. Received from House

  8. Second reading, passed, yeas 89 nays 1

  9. Amendment adopted, placed on calendar

  10. Reported back amended, do pass, amendment placed on calendar 13 0 0

  11. Committee Hearing 03:50

  12. Introduced, first reading, referred Human Services Committee

Sponsors

Sponsorship breakdown

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1 sponsors · 10 co-sponsors · 137 not signed on · 23 voted No

Sponsors (1)

Co-sponsors (10)

Not signed on (137)

137 members have not signed on to this bill.

Show all 137 →

"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

Failed 23 Yea · 22 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 1000
Republican 221702
Democratic 0500
Total 232202
% of votes cast 49%47%0%4%
How each member voted (47)
Member Party Vote
van Oosting — Yea
Boschee, Josh Democratic Nay
Braunberger, Ryan Democratic Nay
Hogan, Kathy Democratic Nay
Marcellais, Richard Democratic Nay
Mathern, Tim Democratic Nay
Axtman, Michelle Republican Nay
Barta, Jeff Republican Not Voting
Beard, Todd Republican Yea
Bekkedahl, Brad Republican Nay
Boehm, Keith Republican Yea
Burckhard, Randy A. Republican Nay
Castaneda, Jose L. Republican Yea
Cleary, Sean Republican Yea
Clemens, David A. Republican Nay
Conley, Cole Republican Not Voting
Cory, Claire Republican Yea
Davison, Kyle Republican Yea
Dever, Dick Republican Nay
Dwyer, Michael Republican Yea
Enget, Mark Republican Yea
Erbele, Robert Republican Nay
Gerhardt, Justin Republican Yea
Hogue, David Republican Nay
Kessel, Greg Republican Nay
Klein, Jerry Republican Nay
Larson, Diane Republican Yea
Lee, Judy Republican Nay
Lemm, Randy D. Republican Yea
Luick, Larry Republican Yea
Magrum, Jeffery J. Republican Yea
Meyer, Scott Republican Nay
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 Nay
Thomas, Paul J. Republican Yea
Walen, Chuck Republican Yea
Wanzek, Terry M. Republican Nay
Weber, Mark F. Republican Yea
Weston, Kent Republican Yea
Wobbema, Mike Republican Yea

Official roll call →

Final Passage

Passed 89 Yea · 1 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 78102
Democratic 10001
Unaffiliated 1000
Total 89103
% of votes cast 96%1%0%3%
How each member voted (93)
Member Party Vote
Olson — Yea
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 Not Voting
Schneider, Mary Democratic Yea
Anderson, Bert Republican Yea
Anderson, Dick Republican Yea
Anderson, Karen A. Republican Yea
Bahl, Landon Republican Yea
Beltz, Mike Republican Yea
Berg, Mike Republican Yea
Bolinske, Macy Republican Yea
Bosch, Glenn Republican Yea
Brandenburg, Mike Republican Yea
Christianson, Nels Republican Yea
Dockter, Jason Republican Yea
Dressler, Ty Republican Yea
Fegley, Clayton Republican Yea
Fisher, Jay Republican Yea
Frelich, Kathy Republican Yea
Grindberg, Karen Republican Yea
Grueneich, Jim Republican Yea
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 Yea
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 Nay
Kasper, Jim Republican Yea
Kempenich, Keith Republican Yea
Kiefert, Dwight Republican Yea
Klemin, Lawrence R. Republican Not Voting
Koppelman, Ben Republican Yea
Lefor, Mike Republican Yea
Longmuir, Donald W. Republican Yea
Louser, Scott Republican Yea
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 Yea
Murphy, Eric J. Republican Yea
Nathe, Mike Republican Yea
Nehring, Dennis Republican Yea
Nelson, Jon O. Republican Yea
Novak, Anna S. Republican Yea
O'Brien, Emily Republican Yea
Olson, Jeremy Republican Yea
Osowski, Doug Republican Yea
Ostlie, Mitch Republican Yea
Porter, Todd Republican Yea
Pyle, Brandy L. Republican Yea
Richter, David Republican Yea
Rios, Nico Republican Yea
Rohr, Karen M. Republican Yea
Ruby, Dan Republican Yea
Ruby, Matthew Republican Not Voting
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 Yea
Swiontek, Steve Republican Yea
Toman, Nathan Republican Yea
Tveit, Bill Republican Yea
VanWinkle, Lori Republican Yea
Vetter, Steve Republican Yea
Vigesaa, Don Republican Yea
Vollmer, Daniel R. Republican Yea
Wagner, Scott Republican Yea
Warrey, Jonathan Republican Yea
Weisz, Robin Republican Yea
Wolff, Christina Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB 1594 do?
A BILL for an Act to create and enact a new section to chapter 23-12 of the North Dakota Century Code, relating to medical costs transparency for health care facilities; to amend and reenact section 26.1-47-02 of the North Dakota Century Code, relating to health care facility and preferred provider compliance with medical cost transparency requirements; and to provide a penalty.
Who sponsors HB 1594?
HB 1594 is sponsored by Hendrix, Jared (Republican), Conmy, Liz (Democratic), Frelich, Kathy (Republican), Johnston, Daniel (Republican), Koppelman, Ben (Republican), Nelson, Jon O. (Republican), Rohr, Karen M. (Republican), Kasper, Jim (Republican), Sen. Magrum, Jeffery J., Sen. Mathern, Tim, and Sen. Weston, Kent.
What is the current status of HB 1594?
This bill has passed the House. Introduced January 20, 2025. It now moves to the second chamber.
Where can I track HB 1594?
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Last checked for changes 4 months ago · updated continuously

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