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House passes insulin cost‑cap bill after debate on mandates and costs

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Summary

The House approved a bill capping monthly out‑of‑pocket costs for insulin and related supplies for covered plans after members debated costs, PBM practices and likely fiscal effects. The final vote was 59–27 in favor.

The North Dakota House passed House Bill 11‑14, a measure to limit monthly out‑of‑pocket costs for insulin and related supplies, on a 59–27 final vote.

The bill, introduced by the Government and Veterans Affairs Committee at the request of the Public Employees Retirement System (PERS), would require health benefit plans to cap a covered individual's cost for a 30‑day supply of covered insulin at no more than $25 per pharmacy or distributor and to cap covered insulin dosing and administration supplies at a total of $25 per pharmacy or distributor for a 30‑day supply. The committee reported a fiscal note prepared by PERS estimating general‑fund expenditures of…

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