HB 1594 — 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.
Last action — Motion to reconsider failed
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✓Introduced
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✓In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 69th Legislative Assembly (2025-26). It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.
Summary
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
6 added · 7 removedPlain-language change summary
The recent amendment to Bill HB 1594 adds a requirement for health care facilities to publicly list their standard charges for medical services, but notably excludes nursing and basic care facilities from this mandate. This change is significant because it aims to improve transparency in medical costs, allowing patients to better understand and compare prices before receiving care. This effort can help patients make more informed decisions about their health care options and promote competition among facilities.
25.1237.0300025.1237.02000 Sixty-ninth Legislative Assembly of North Dakota FIRST ENGROSSMENT with Senate Amendments ENGROSSED HOUSE BILL NO.
"Health care facility" means those facilities licensed under chapter 23-16, except for nursing facilities,facilities and basic care facilities,facilities. and the state hospital.
1 25.1237.0300025.1237.02000 Sixty-ninth Legislative Assembly (2) Shoppable services, as outlined in title 45, Code of Federal Regulations, part 180, subpart B.
2 25.1237.0300025.1237.02000 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.
3 25.1237.0300025.1237.02000 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 25.1237.0300025.1237.02000
View plain text versions (3)
- Engrossed FIRST ENGROSSMENT Current pdf
- Amended FIRST ENGROSSMENT with Senate Amendments pdf
- Introduced View text pdf
Action History
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Motion to reconsider failed
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Second reading, failed to pass, yeas 23 nays 22
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Amendment adopted, placed on calendar
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Reported back amended, do not pass, placed on calendar 5 1 0
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Committee Hearing 09:30
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Introduced, first reading, referred Human Services Committee
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Received from House
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Second reading, passed, yeas 89 nays 1
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Amendment adopted, placed on calendar
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Reported back amended, do pass, amendment placed on calendar 13 0 0
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Committee Hearing 03:50
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Introduced, first reading, referred Human Services Committee
Sponsors
- Kent Weston · Cosponsor
- Karen M. Rohr · Cosponsor
- Jon O. Nelson · Cosponsor
- Tim Mathern · Cosponsor
- Jeffery J. Magrum · Cosponsor
- Ben Koppelman · Cosponsor
- Jim Kasper · Cosponsor
- Daniel Johnston · Cosponsor
- Kathy Frelich · Cosponsor
- Jared Hendrix · Primary
- Liz Conmy · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 10 co-sponsors · 137 not signed on · 22 voted No
Sponsors (1)
- Hendrix, Jared Republican
Co-sponsors (10)
- Weston, Kent Republican
- Rohr, Karen M. Republican
- Nelson, Jon O. Republican
- Mathern, Tim Democratic Voted No
- Magrum, Jeffery J. Republican
- Koppelman, Ben Republican
- Kasper, Jim Republican
- Johnston, Daniel Republican
- Frelich, Kathy Republican
- Conmy, Liz Democratic
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 23 | 17 | 0 | 2 |
| Democratic | 0 | 5 | 0 | 0 |
| Total | 23 | 22 | 0 | 2 |
| % of votes cast | 49% | 47% | 0% | 4% |
How each member voted (47)
| Member | Party | Vote |
|---|---|---|
| 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 |
| van Oosting, Desiree | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 79 | 1 | 0 | 2 |
| Democratic | 10 | 0 | 0 | 1 |
| Total | 89 | 1 | 0 | 3 |
| % of votes cast | 96% | 1% | 0% | 3% |
How each member voted (93)
| Member | Party | Vote |
|---|---|---|
| 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 |
| 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 |
Subjects
Frequently asked questions
- What does HB 1594 do?
- 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 Weston, Kent (Republican), Rohr, Karen M. (Republican), Nelson, Jon O. (Republican), Mathern, Tim (Democratic), Magrum, Jeffery J. (Republican), Koppelman, Ben (Republican), Kasper, Jim (Republican), Johnston, Daniel (Republican), Frelich, Kathy (Republican), Hendrix, Jared (Republican), and Conmy, Liz (Democratic).
- What is the current status of HB 1594?
- This bill died with 69th Legislative Assembly (2025-26). It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track HB 1594?
- Track HB 1594 free on One Click Politics — get push/email alerts when it moves.
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Last checked for changes 3 months ago · updated continuously
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