23.3060.01000
Sixty-eighth
Legislative Assembly HOUSE CONCURRENT RESOLUTION NO. 3011
of North Dakota
Introduced by
Representative Weisz
Senator Lee
1 A concurrent resolution urging the Insurance Commissioner to facilitate a change in the
2 essential health benchmark plan for future Affordable Care Act health plans.
3 WHEREAS, the state has the opportunity to make changes in the essential health
4 benchmark plan for future plan years in accordance with federal requirements and through
5 coordination with federal contacts; and
6 WHEREAS, the Insurance Commissioner should add to the essential health benchmark
7 plan restricted cost-sharing for diabetes, providing a limited cost-sharing for a 30-day supply of
8 prescribed insulin drugs, not to exceed $25, regardless of the quantity or type of insulin, and of
9 prescribed medical supplies for insulin dosing and administration, not to exceed $25, regardless
10 of the quantity or manufacturer of supplies; and
11 WHEREAS, the Insurance Commissioner should add to the essential health benchmark
12 plan coverage for one hearing aid per hearing-impaired ear every 36 months or more often if
13 there is a significant change in the insured's hearing status as determined by the licensed
14 physician or audiologist; and
15 WHEREAS, the Insurance Commissioner should add to the essential health benchmark
16 plan coverage for dietary or nutritional screening, counseling, and therapy for obesity, diabetes-
17 related diagnosis, or a chronic illness or condition that could be managed through nutritional or
18 weight loss programs, up to 12 sessions every policy year, if prescribed by the insured's
19 physician; and
20 WHEREAS, the Insurance Commissioner should add to the essential health benchmark
21 plan coverage for diagnosis and treatment of periodontal disease in acute or chronic disease
22 state if recommended by a board-certified medical practitioner based on health-related impacts
23 or on further deterioration in disease state due to gum disease; and
24 WHEREAS, the Insurance Commissioner should add to the essential health benchmark
25 plan coverage for position emission tomography scans for an insured who has a prostate
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 Sixty-eighth
Legislative Assembly
1 cancer diagnosis, including an insured who is in remission or who is cured, which would include
2 at least two different types of position emission tomography scans upon initial diagnosis if
3 requested by a physician, and one position emission tomography scan every 6 months for the
4 life of the insured; and
5 WHEREAS, the Insurance Commissioner should add to the essential health benchmark
6 plan steps to address the opioid epidemic, including limiting opioid prescriptions to 7 days,
7 removing barriers such as prior authorization for drugs used in the treatment of opioid use
8 disorder or opioid replacement drugs; and requiring a prescription for an easy-to-use overdose
9 antidote when prescribing high-dose opioids;
10 NOW, THEREFORE, BE IT RESOLVED BY THE HOUSE OF REPRESENTATIVES OF
11 NORTH DAKOTA, THE SENATE CONCURRING THEREIN:
12 That the Sixty-eighth Legislative Assembly urges the Insurance Commissioner to facilitate a
13 change in the essential health benchmark plan for future Affordable Care Act health plans; and
14 BE IT FURTHER RESOLVED, that the Secretary of State forward a copy of this resolution
15 to the Insurance Commissioner.
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