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North Dakota Century Code Title 54. State Government § 54-03-28. Health insurance mandated coverage of services--Cost-benefit analysis requirement

Current as of January 01, 2024 | Updated by Findlaw Staff

1. The legislative management shall adopt a procedure for identifying measures and proposed measures mandating health insurance coverage of services or payment for specified providers of services. The procedure must include solicitation of draft measures and proposals during the interim between legislative sessions from legislators and agencies with bill introduction privileges and must include deadlines for identification of the measures or proposals.

2. Except as provided in subsection 3, a committee of the legislative assembly may not act on a legislative measure the legislative management or committee determines mandates health insurance coverage of services or payment for specified providers of services unless the measure as recommended by the committee provides:

a. The measure is effective through June thirtieth of the next odd-numbered year following the year in which the legislative assembly enacted the measure, and after that date the measure is ineffective.

b. The application of the mandate is limited to the public employees health insurance program and the public employee retiree health insurance program. The application of the mandate begins with every contract for health insurance which becomes effective after June thirtieth of the year in which the measure becomes effective.

c. That for the next legislative assembly, the public employees retirement system shall provide to the employee benefits programs committee a report regarding the effect of the mandated coverage or payment on the system's health insurance programs. The report must include information on the utilization and costs relating to the mandated coverage or payment and a recommendation on whether the coverage or payment should continue for the system's health insurance programs.

3. If the legislative management determines a legislative measure mandating health insurance coverage of services or payment for specified providers of services has completed the process under subsection 2, the measure may not be referred to a committee of the legislative assembly unless a cost-benefit analysis provided by the legislative management is appended to the measure.

a. If a committee of the legislative assembly determines a measure or a proposed amendment to the measure mandating health insurance coverage of services or payment of specified providers of services was referred to committee without a cost-benefit analysis, the committee shall request the legislative management provide a cost-benefit analysis.

b. The committee may not act on the measure unless the measure is accompanied by the cost-benefit analysis.

4. Factors considered in the cost-benefit analysis must include:

a. The extent to which the proposed mandate would increase or decrease the cost of the service.

b. The extent to which the proposed mandate would increase the appropriate use of the service.

c. The extent to which the proposed mandate would increase or decrease the administrative expenses of insurers and the premium and administrative expenses of insureds.

d. The impact of the proposed mandate on the total cost of health care.

5. The legislative council shall contract with a private entity to provide the legislative management the cost-benefit analysis required by this section.

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Cite this article: FindLaw.com - North Dakota Century Code Title 54. State Government § 54-03-28. Health insurance mandated coverage of services--Cost-benefit analysis requirement - last updated January 01, 2024 | https://codes.findlaw.com/nd/title-54-state-government/nd-cent-code-sect-54-03-28/

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