This bill proposes the creation of a new section in chapter 54-52.1 of the North Dakota Century Code, which mandates minimum standards for health insurance coverage of antiobesity medications. Specifically, it requires that health insurance plans cover at least two FDA-approved antiobesity medications for chronic weight management in patients with obesity. The bill stipulates that the coverage criteria cannot be more restrictive than the FDA-approved indications and may include cost-sharing requirements consistent with other pharmaceutical coverage. Additionally, insurers are required to notify policyholders about this coverage in a clear and accessible manner.

The bill also outlines a process for the Public Employees Retirement System to report to the legislative assembly on the impact of this coverage, including utilization and costs, and to recommend whether the coverage should continue beyond the initial expiration date of June 30, 2027. The Act applies to health benefits coverage that begins after June 30, 2025, and is set to expire on June 30, 2027, unless further action is taken to extend it.