ND SB2226

Amends state contribution requirements for employee health insurance by clarifying that departments pay premiums for nongrandfathered plans based on blended single and alternate family contract rates determined by the primary carrier.

Allows employees who elect to remain in grandfathered uniform group insurance programs to pay the premium difference between grandfathered and nongrandfathered plans rather than receiving full state contribution.

Modifies high-deductible health plan provisions to specify that health savings account contributions be based on the difference between nongrandfathered single and family premiums, subject to Internal Revenue Code section 223(b) limits.

Appropriates $800,000 from the general fund and $700,000 from special funds (federal and other sources) for a health savings account incentive funding pool for the 2019-2021 biennium.

Allows the office of management and budget to transfer appropriation authority to state agencies with eligible employees (new high-deductible health plan participants) and requires development of contribution guidelines for health savings accounts.