---
type: "Bill"
title: "AN ACT to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, relating to out-of-pocket expenses for prescription drugs; to amend and reenact section 26.1-36.6-03 of the North Dakota Century Code, relating to self-insurance health care plans; to provide for application; and to provide an effective date."
description: "Relating to out‑of‑pocket expenses for prescription drugs; to amend and reenact section 26.1‑36.6‑03 of the North Dakota Century Code, relating to self‑insurance health care plans; to provide for application; and to provide an effective date."
jurisdiction: "us/states/nd"
legislature: "North Dakota Legislative Assembly"
session: "69"
identifier: "HB 1216"
citation: "North Dakota HB 1216 (69)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Karen Karls"]
version_count: 2
action_count: 27
vote_count: 4
first_action: "2025-01-10"
last_action: "2025-05-02"
source: "openstates"
source_identifier: "ocd-bill/c53cf7ff-6b25-4193-adb7-c6e19a549cf4"
source_url: "https://ndlegis.gov/api/assembly/69-2025/data/bills.json"
source_hash: "f205dd8e489900a24e3491a686fd4b12c77b25e6f376270b71dc299b32c3e0f3"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nd"]
---

# North Dakota HB 1216 (69) — AN ACT to create and enact a new section to chapter 26.1-36 of the North Dakota Century Code, relating to out-of-pocket expenses for prescription drugs; to amend and reenact section 26.1-36.6-03 of the North Dakota Century Code, relating to self-insurance health care plans; to provide for application; and to provide an effective date.

Relating to out‑of‑pocket expenses for prescription drugs; to amend and reenact section 26.1‑36.6‑03 of the North Dakota Century Code, relating to self‑insurance health care plans; to provide for application; and to provide an effective date.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **INTRODUCED** (filed) — [source](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-01000.pdf)
2. **Enrollment** (committee substitute) — [source](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0068-05000.pdf)

## Votes

- Motion for Final Passage on HB 1216 — **30–14** (pass) · upper
- Motion for Final Passage on HB 1216 — **56–37** (pass) · lower
- Motion for Final Passage on HB 1216 — **69–24** (pass) · lower
- Motion for Final Passage on HB 1216 — **29–18** (pass) · upper

## Sponsors

- Karen Karls — primary (person)
- Dick Dever — cosponsor (person)
- Dwight Kiefert — cosponsor (person)
- Jared C. Hagert — cosponsor (person)
- Josh Boschee — cosponsor (person)
- Ronald Sorvaag — cosponsor (person)
- Scott Wagner — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2025-01-10** Introduced, first reading, referred Industry, Business and Labor Committee `introduction`
- **2025-01-21** Committee Hearing 03:00
- **2025-01-27** Committee Hearing 02:00
- **2025-02-18** Reported back amended, do pass, amendment placed on calendar 12 1 1 `committee-passage, committee-passage-favorable`
- **2025-02-19** Amendment failed, placed on calendar `amendment-failure`
- **2025-02-19** Second reading, passed, yeas 69 nays 24 `passage, reading-2`
- **2025-02-20** Received from House
- **2025-02-20** Introduced, first reading, referred Human Services Committee `introduction`
- **2025-03-10** Committee Hearing 11:00
- **2025-03-20** Reported back amended, do not pass, placed on calendar 4 1 1 `committee-passage, committee-passage-unfavorable`
- **2025-03-21** Amendment adopted, placed on calendar
- **2025-03-24** Second reading, passed as amended, yeas 30 nays 14 `passage, reading-2`
- **2025-03-24** Reconsidered
- **2025-03-24** Rereferred to Appropriations
- **2025-04-15** Reported back amended, do pass, amendment placed on calendar 11 3 2 `committee-passage, committee-passage-favorable`
- **2025-04-16** Rereferred to Appropriations
- **2025-04-18** Reported back amended, do not pass, placed on calendar 10 6 0 `committee-passage, committee-passage-unfavorable`
- **2025-04-21** Amendment adopted, placed on calendar
- **2025-04-21** Second reading, passed as amended, yeas 29 nays 18 `passage, reading-2`
- **2025-04-21** Returned to House (12)
- **2025-04-24** Concurred
- **2025-04-24** Second reading, passed, yeas 56 nays 37 `passage, reading-2`
- **2025-04-28** Signed by President
- **2025-04-28** Signed by Speaker
- **2025-04-28** Sent to Governor `executive-receipt`
- **2025-05-01** Signed by Governor 04/29 `executive-signature`
- **2025-05-02** Filed with Secretary Of State 04/29 `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c53cf7ff-6b25-4193-adb7-c6e19a549cf4`. Confidence: reported (aggregated from official North Dakota legislature records).