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HB 1248

Revenue and taxation; Senior Service Corps Act of 2025; adjustments to Oklahoma adjusted gross income and taxable income; support services; schools; effective date.

2025 Regular Session Introduced by Judd Strom

The bill requires a mandatory cost-benefit analysis before considering any health-insurance coverage mandates and temporarily limits new mandates to PERS/PEHP while fiscal impacts

Referred to Appropriations and Budget Finance Subcommittee
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Bill Summary · HB 1248

Summary — HB 1248 (North Dakota)

Title: An Act relating to the cost‑benefit analysis requirement for health‑insurance mandated coverage of services (amends/reenacts NDCC §54‑03‑28)

Status
- Introduced: November 12, 2024
- Passed House and Senate (House vote 94–0; Senate 45–2) and signed by the Governor; filed with the Secretary of State on 04/28/2025. (Final enrolled text is an amendment and reenactment of NDCC §54‑03‑28.)

Purpose and intent
- To formalize and strengthen the process by which the Legislative Assembly evaluates bills that would mandate health‑insurance coverage or payments for specified providers, by requiring a cost‑benefit analysis and by limiting immediate, broad application of such mandates until fiscal impacts are assessed.

Key provisions
1. Cost‑benefit analysis requirement (NDCC §54‑03‑28)
- If Legislative Management determines a measure mandates health‑insurance coverage or payment for specified providers, that measure may not be referred to a legislative committee unless a cost‑benefit analysis prepared/provided by Legislative Management is appended.
- Committees must request the analysis from Legislative Management if a measure or amendment is referred without it, and may not act on the measure until the analysis is provided.

  1. Required factors for the analysis

    • Extent to which the mandate would increase or decrease service cost.
    • Extent to which the mandate would increase appropriate use of the service.
    • Effect on administrative expenses of insurers and premium/administrative expenses for insureds.
    • Impact on total health‑care costs.

  2. Temporary/limited initial application of mandates

    • A committee may not act on a mandate unless the recommended measure: a. Is effective only through June 30 of the next odd‑numbered year after enactment (temporary expiration). b. Is initially limited in application to the Public Employees Health Insurance Program and the Public Employee Retiree Health Insurance Program; application begins with contracts effective after June 30 of the year the measure becomes effective.
    • For the next legislative assembly, the Public Employees Retirement System (PERS) must prepare and seek introduction of a bill to repeal the expiration and extend the mandate more broadly; PERS must provide a report to the employee benefits programs committee on utilization, costs and a recommendation on continuation.

  3. Process and contracting

    • Legislative Management will adopt procedures for identifying potential mandates (including interim solicitation).
    • The Legislative Council shall contract with a private entity to produce required cost‑benefit analyses, after one or more recommendations from the Insurance Commissioner.
    • The Insurance Commissioner shall pay the cost of contracted analyses.

Who is affected
- State legislative committees and Legislative Management (new procedural obligations).
- Public Employees Retirement System (reporting and potential bill sponsorship duties).
- Public employees and retirees (initial mandates apply to their plans first).
- Insurance Commissioner and Legislative Council (responsibility for recommending/contracting and funding analyses).
- Insurers, employers, and insured individuals (mandates will be evaluated more systematically and initially constrained until fiscal effects are reported).

Procedural/timeline aspects
- Measures identified as mandates must carry a Legislative Management cost‑benefit analysis before committee action.
- Mandates enacted under this process are time‑limited (expire the next odd‑year June 30) unless PERS pursues repeal of expiration after the system‑level analysis/report is completed and introduced in the next legislative assembly.
- The cost of contracted analyses is borne by the Insurance Commissioner; the Legislative Council manages contracting.

Notes on bill evolution
- Early drafts included amendments to suicide‑related services and the employee benefits programs committee; the final enrolled/approved version focuses on amending and reenacting NDCC §54‑03‑28 (the cost‑benefit analysis framework described above).

Compiled from official sources — confirm details with the bill’s official record.

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