ND HB1034

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

Requires department of human services to inform new enrollees that benefits may be reduced or eliminated if federal participation decreases or ends.

Mandates private carrier contracts include a reimbursement methodology for medications and dispensing fees that is publicly available on the department's website and covers all pharmacy provider types.

Requires contracts to provide full transparency of costs and rebates, allow mail order pharmacy access without making it mandatory, and prohibit required paybacks to carriers that exceed the approved reimbursement methodology.

Mandates the department submit a biennial report by August 1st of even-numbered years to legislative management regarding provider reimbursement rates, using cumulative and trend data without disclosing individual provider rates.