This bill establishes new provisions regarding the acceptance of health care sharing ministries by institutions of higher education in North Dakota and outlines the exemptions these ministries have from insurance laws. It introduces a new section to chapter 15-10 of the North Dakota Century Code, stating that a student's participation in a health care sharing ministry satisfies health care coverage requirements for students, with the exception of international students who must comply with federal insurance regulations. These institutions are required to ensure that international students obtain health insurance that meets specific standards.

Additionally, the bill creates a new chapter in title 50 that defines a health care sharing ministry and outlines its characteristics, including its nonprofit status, ethical or religious membership criteria, and the nature of its financial assistance to participants. It clarifies that these ministries do not operate as insurance companies and are exempt from insurance regulations. The bill also mandates that these organizations provide clear disclaimers regarding their operations and the voluntary nature of participation in their programs.