North Dakota Senate passes key bills on PBM reforms and survivor rights

In a pivotal session on April 16, 2025, the North Dakota State Legislature made significant strides in legislative reform, particularly focusing on healthcare and legal rights. The highlight of the meeting was the passage of House Bill 1584, which aims to modernize the state's pharmacy benefit manager (PBM) regulations. This bill establishes a clear enforcement pathway and allows collaboration between the Board of Pharmacy and the Department of Health and Human Services to support the Insurance Commissioner's office. The bill passed with a strong majority, garnering 42 votes in favor and only 5 against, signaling a robust commitment to improving healthcare oversight in North Dakota.

Senator from District 47 emphasized the importance of this legislation, stating it provides necessary updates to language that has remained unchanged for two decades, while also introducing reforms to adapt to market changes. The bill's provisions include establishing a PBM enforcement fund and ensuring that PBMs have the right to a hearing, which is crucial for maintaining accountability in the industry.

In contrast, the Senate faced setbacks with House Bill 1011 and Senate Bill 2234, both of which were rejected. House Bill 1011, which proposed a budget for the Securities Department, failed to pass with a unanimous vote against it. Similarly, Senate Bill 2234, aimed at providing choice ready grants to schools, was also lost, reflecting ongoing challenges in securing funding for educational initiatives.

Another notable discussion revolved around Senate Bill 2387, which strengthens the rights of survivors of sexual violence. This bill, brought forth by a survivor and aspiring attorney, passed unanimously, highlighting a collective commitment to enhancing legal protections for vulnerable populations.

The session concluded with a series of bills being passed, including Senate Bill 2082, which updates fees for hazardous chemical storage, and Senate Bill 2385, which regulates mobile home parks. Both bills received strong support, indicating a proactive approach to addressing community needs and regulatory frameworks.

Overall, the April 16 session showcased the North Dakota State Legislature's focus on healthcare reform, legal rights, and community welfare, setting a dynamic tone for future legislative efforts.