North Dakota 2025-2026 Regular Session

North Dakota House Bill HB1451 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	25.0748.01000
2	2	Sixty-ninth
3	3	Legislative Assembly
4	4	of North Dakota
5	5	Introduced by
6	6	Representatives Nelson, Mitskog, O'Brien
7	7	A BILL for an Act to create and enact a new section to chapter 50-24.1 of the North Dakota
8	8	Century Code, relating to medical assistance prescription drug benefits for antiobesity
9	9	medication.
10	10	BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA:
11	11	SECTION 1. A new section to chapter 50-24.1 of the North Dakota Century Code is created
12	12	and enacted as follows:
13	13	Medical assistance benefits - Prescription drug coverage - Antiobesity medication.
14	14	1.Medical assistance coverage, including Medicaid expansion coverage, must include
15	15	comprehensive coverage for the treatment of obesity, which includes coverage for
16	16	intensive behavioral therapy, bariatric surgery, and antiobesity medication approved by
17	17	the United States food and drug administration.
18	18	2.The coverage criteria for antiobesity medication may not be more restrictive than the
19	19	United States food and drug administration approved indications.
20	20	3.The coverage provided under this section may not be different or separate from
21	21	coverage provided for any other illness, condition, or disorder for purposes of
22	22	determining deductibles, lifetime dollar limits, a benefit year maximum for deductibles,
23	23	and copayment and coinsurance factors.
24	24	4.This section may not be construed to preclude the undertaking of utilization
25	25	management to determine the medical necessity for treatment of obesity, provided all
26	26	appropriate medical necessity determinations are made in the same manner as those
27	27	determinations are made for the treatment of any other illness, condition, or disorder
28	28	covered by medical assistance benefits.
29	29	5.The department shall provide notice to an enrollee regarding the coverage required by
30	30	this section. The notice must be:
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32	32	HOUSE BILL NO. 1451
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57	57	24 Sixty-ninth
58	58	Legislative Assembly
59	59	a.In writing;
60	60	b.Prominently positioned in any literature or correspondence; and
61	61	c.Provided to an enrollee when annual information is made available to an
62	62	enrollee, or in another mailing to an enrollee, but no later than December 31,
63	63	2025.
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