Bill > HB1594

This bill introduces new requirements for medical cost transparency for health care facilities in North Dakota. Specifically, health care facilities (excluding nursing homes, basic care facilities, and the state hospital) must now publicly list their standard charges for medical items, services, and shoppable services in a format consistent with federal Medicare and Medicaid regulations. Facilities that fail to comply can be penalized financially, with larger facilities (over 25 beds) potentially facing up to $5,500 per day in fines, and smaller facilities facing up to $100 per day. The bill also amends existing preferred provider arrangement regulations, adding a new provision that allows health care insurers to terminate contracts with providers who do not comply with federal transparency rules. Additionally, preferred providers must now include an attestation of compliance with federal transparency regulations in their arrangements. The goal of these changes appears to be increasing transparency in healthcare pricing and ensuring that patients have access to clear information about potential medical costs before receiving treatment.

Government Affairs

https://ndlegis.gov/assembly/69-2025/regular/bill-overview/bo1594.html