North Dakota 2025-2026 Regular Session

North Dakota House Bill HB1478 Compare Versions

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

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1	1	25.0341.02000
2	2	Sixty-ninth
3	3	Legislative Assembly
4	4	of North Dakota
5	5	Introduced by
6	6	Representatives Hanson, Christy, Brandenburg, Grindberg
7	7	Senators Lee, Erbele, Hogan, Roers
8	8	A BILL for an Act to create and enact a new chapter to title 14 of the North Dakota Century
9	9	Code, relating to contraceptive health care rights; and to provide a penalty.
10	10	BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA:
11	11	SECTION 1. A new chapter to title 14 of the North Dakota Century Code is created and
12	12	enacted as follows:
13	13	Definitions.
14	14	As used in this chapter:
15	15	1."Contraceptive" means any drug, device, biological product, or method intended for
16	16	the prevention of pregnancy or other health needs, including the treatment and
17	17	prevention of uterine and ovarian cancers, endometriosis, polycystic ovarian
18	18	syndrome, ovarian cysts, menorrhagia, migraines, premenstrual syndrome,
19	19	premenstrual dysphoric disorder, and acne, which is legally marketed under the
20	20	federal Food, Drug, and Cosmetic Act and distributed over the counter or through a
21	21	prescription.
22	22	a.The term includes:
23	23	(1)An oral contraceptive;
24	24	(2)A long-acting reversible contraceptive, including an intrauterine device and a
25	25	hormonal contraceptive implant;
26	26	(3)An emergency contraceptive;
27	27	(4)An internal and external condom;
28	28	(5)An injectable contraceptive;
29	29	(6)A male or female barrier method;
30	30	(7)A transdermal patch
31	31	(8)A spermicidal product; and
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33	33	HOUSE BILL NO. 1478
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58	58	24 Sixty-ninth
59	59	Legislative Assembly
60	60	(9)A vaginal ring.
61	61	b.The term does not include abortion causing drugs, including:
62	62	(1)Mifepristone; or
63	63	(2)Misoprostol.
64	64	2."Health care provider" means any person licensed to provide health care services in
65	65	this state.
66	66	3."Health carrier" means any entity providing a plan of health insurance or health
67	67	benefits subject to state insurance regulation.
68	68	4."Manufacturer" means the maker of a drug or device approved, cleared, or authorized
69	69	by the United States food and drug administration or otherwise legally marketed.
70	70	5."Widely accepted and evidence-based medical standards of care" means any medical
71	71	service, procedure, or practice consistent with the guidelines of the American college
72	72	of obstetricians and gynecologists.
73	73	Rights.
74	74	1.The state or any political subdivision of the state may not implement, administer, or
75	75	enforce any law, rule, or policy that has the effect of prohibiting, limiting, delaying, or
76	76	impeding access to a contraceptive or information about contraception, or otherwise
77	77	violating the rights provided for in this section.
78	78	2.In accordance with widely accepted and evidence-based standards of care:
79	79	a.An individual has the right to:
80	80	(1)Receive a contraceptive from a health care provider;
81	81	(2)Purchase a contraceptive over the counter; and
82	82	(3)Engage in contraception.
83	83	b.A health care provider has the right to:
84	84	(1)Provide or assist with the provision of contraception; or
85	85	(2)Decline to provide a contraceptive if the health care provider finds the action
86	86	morally or religiously objectionable, as consistent with federal law and rules.
87	87	c.A health carrier has the right to cover contraceptive health care.
88	88	d.A manufacturer has the right to manufacture, import, sell, or distribute any drug or
89	89	device intended for contraceptive use.
90	90	Penalties - Exception.
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124	124	1.If a state agency or political subdivision or any individual, employee, official,
125	125	contractor, or organization on behalf of a state agency or political subdivision, enacts
126	126	or enforces a policy that restricts any right provided under this chapter, a civil action
127	127	may be commenced against that state agency, political subdivision, or agent of the
128	128	state agency or political subdivision by:
129	129	a.The attorney general; or
130	130	b.Any person adversely affected by the policy, including a health care provider.
131	131	2.If the court finds a violation of this chapter, the court shall hold the policy unlawful and
132	132	set aside the requirement or limitation. The court may award appropriate equitable
133	133	relief, including injunctive relief. The court shall award court costs and reasonable
134	134	attorney's fees to a prevailing plaintiff. A plaintiff may not be held liable to a defendant
135	135	for any costs resulting from nonfrivolous litigation under this chapter.
136	136	3.The enforcement of state health and safety law regarding a medical facility or health
137	137	care provider is not a violation of this chapter if:
138	138	a.The regulation is in accordance with widely accepted and evidence - based
139	139	standards of care for providing contraceptive health care; and
140	140	b.The health or safety objective cannot be accomplished by a less restrictive
141	141	means consistent with this chapter.
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