The bill amends section 54-03-28 of the North Dakota Century Code, which pertains to the requirement of a cost-benefit analysis for health insurance mandated coverage of services. It establishes that if the legislative management identifies a legislative measure that mandates health insurance coverage or payment for specific providers, the measure cannot be referred to a committee unless it is accompanied by a cost-benefit analysis. Additionally, if a committee finds that a measure was referred without this analysis, it must request one before taking any action on the measure. The bill also outlines specific factors that must be considered in the cost-benefit analysis, including the impact on service costs, appropriate usage, administrative expenses, and overall healthcare costs.

Furthermore, the bill mandates that the legislative council contract with a private entity to conduct the required cost-benefit analysis, removing the previous requirement for recommendations from the insurance commissioner. The bill also clarifies that the public employees retirement system must provide a report on the effects of mandated coverage on health insurance programs, including utilization and costs, along with recommendations for future coverage. Overall, the amendments aim to streamline the process for evaluating health insurance mandates while ensuring that comprehensive analyses are conducted before legislative action.

Statutes affected:
INTRODUCED: 26.1-36-09.12, 54-35-02.4, 54-03-28
Prepared by the Legislative Council staff for Representative Schauer: 26.1-36-09.12, 54-35-02.4, 54-03-28
FIRST ENGROSSMENT: 26.1-36-09.12, 54-35-02.4, 54-03-28
Adopted by the Senate Human Services Committee: 54-03-28
Prepared by the Legislative Council staff for Senator Roers: 54-03-28
Enrollment: 54-03-28