Get Full Government Meeting Transcripts, Videos, & Alerts Forever!

Senate narrowly rejects medical cost-transparency bill after split debate (House Bill 15-94)

March 28, 2025 | Senate, Legislative, North Dakota


This article was created by AI summarizing key points discussed. AI makes mistakes, so for full details and context, please refer to the video of the full meeting. Please report any errors so we can fix them. Report an error »

Senate narrowly rejects medical cost-transparency bill after split debate (House Bill 15-94)
House Bill 15-94 sought to add state-level medical cost-transparency requirements for health-care facilities and impose penalties for noncompliance. Sponsors argued the bill would give consumers actionable price data and help constrain health-care costs; opponents warned the measure would create duplicative bureaucracy and could mislead consumers because actual out-of-pocket cost depends heavily on individual insurance coverage and case-specific clinical decisions.

Senator Hogan, speaking in favor, described the bill as a practical step toward giving patients better information and compared the proposal to transparency laws recently enacted in Minnesota, Texas, Colorado and other states. Hogan said better data is necessary to pursue broader reforms in health-care pricing.

Opponents, including Senator Lee and Senator Rohrs, argued the federal rules administered by the Centers for Medicare & Medicaid Services already require hospital price disclosures and that those federal systems, implementation and reporting mechanisms should be used rather than adding a new state enforcement layer. Opponents also noted the technical complexity of hospital billing—differences between observation, outpatient and inpatient status, numerous procedural codes and insurer-negotiated rates—that can make single “sticker” prices misleading to patients.

After extended discussion and questions from members, the Senate voted 23 ayes, 22 nays, 1 absent. The bill did not pass.

View full meeting

This article is based on a recent meeting—watch the full video and explore the complete transcript for deeper insights into the discussion.

View full meeting

Sponsors

Proudly supported by sponsors who keep North Dakota articles free in 2025

Scribe from Workplace AI
Scribe from Workplace AI