Senate Bill No. 2140 Summary

• Caps out-of-pocket costs at $25 per 30-day supply for insulin drugs and $25 per 30-day supply for insulin dosing and administration medical supplies for North Dakota public employees.

• Prohibits pharmacy benefits managers, pharmacies, and distributors from charging amounts exceeding the $25 caps and prevents imposition of deductibles, copayments, or coinsurance that would exceed these limits.

• Applies to public employees retirement system health benefits coverage beginning after June 30, 2023, and ending before June 30, 2025.

• Requires the public employees retirement system to submit a bill to the 69th legislative assembly with a report on the coverage's effect on insurance programs, utilization, costs, and a recommendation on whether to continue the benefit.

• Expires July 31, 2025, unless extended by future legislation.