ND HB1033

Expands Medicaid coverage to individuals under 65 years of age with income below 138 percent of the federal poverty level, based on modified adjusted gross income

Requires private carriers implementing the medical assistance expansion to provide transparent reimbursement methodologies for medications and dispensing fees, publicly available on the department's website, covering all pharmacy provider types

Permits individuals to obtain medication from mail-order pharmacies but prohibits making mail order the sole required method of service

Authorizes the department to pursue a federal Medicaid waiver to implement premium cost-sharing not exceeding 5 percent of household income, contingent on state administration costs not exceeding state premium collections

Directs the department to actively pursue steps to obtain 100 percent federal funding for eligible medical assistance provided to American Indians through care coordination agreements