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North Dakota Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.

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Date State Bill No. Title Outcome
May 2, 2025 ND HB 1459 Authorizes Certain Rare Earth Mineral Development Conference Report Adopted - Senate (27 - 19)
May 2, 2025 ND HB 1459 Authorizes Certain Rare Earth Mineral Development Conference Report Adopted - House (63 - 26)
May 1, 2025 ND SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Veto Override Failed - Senate (31 - 15)
May 1, 2025 ND SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Veto Override Failed - Senate (31 - 15)
April 21, 2025 ND SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Concurrence Vote Passed - Senate (39 - 8)
April 21, 2025 ND SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Concurrence Vote Passed - Senate (39 - 8)
April 16, 2025 ND SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Bill Passed - House (55 - 37)
April 16, 2025 ND SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Bill Passed - House (55 - 37)
April 9, 2025 ND HB 1511 Requires Doctors Who Perform Abortion to Complete Additional Education on State Abortion Bans Concurrence Vote Passed - House (72 - 17)
April 1, 2025 ND HB 1511 Requires Doctors Who Perform Abortion to Complete Additional Education on State Abortion Bans Bill Passed - Senate (41 - 5)
March 25, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
March 25, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
Feb. 24, 2025 ND HB 1511 Requires Doctors Who Perform Abortion to Complete Additional Education on State Abortion Bans Bill Passed - House (74 - 19)
Feb. 20, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
Feb. 20, 2025 ND HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
Feb. 11, 2025 ND HB 1459 Authorizes Certain Rare Earth Mineral Development Bill Passed - House (85 - 2)
April 29, 2023 ND SB 2012 Authorizes the Department of Health and Human Services Develop a Pregnancy and Parenting Resource Website Conference Report Adopted - House (78 - 5)
April 29, 2023 ND SB 2012 Authorizes the Department of Health and Human Services Develop a Pregnancy and Parenting Resource Website Conference Report Adopted - Senate (41 - 6)
April 20, 2023 ND HB 1515 Authorizes Direct-to-Consumer Sales of Raw Milk Conference Report Adopted - Senate (32 - 14)
April 19, 2023 ND HB 1515 Authorizes Direct-to-Consumer Sales of Raw Milk Conference Report Adopted - House (83 - 10)
April 17, 2023 ND SB 2150 Amends and Updates State Abortion Laws Bill Passed - House (76 - 14)
April 10, 2023 ND SB 2140 Establishes an Insulin Price Cap of $25 per 30-Day Supply for Residents Covered by the North Dakota Public Employees Retirement System Bill Passed - House (57 - 33)
Feb. 16, 2023 ND SB 2248 Establishes Penalty for an Individual Caught Aiding Injury or Death of Another Caused by Illegal Drug Substances Bill Passed - Senate (47 - 0)
Feb. 15, 2023 ND SB 2089 Appropriates $7.5 Million to Oil Companies to Reduce Natural Gas Flaring Bill Passed - Senate (41 - 5)
Feb. 14, 2023 ND SB 2140 Establishes an Insulin Price Cap of $25 per 30-Day Supply for Residents Covered by the North Dakota Public Employees Retirement System Bill Passed - Senate (38 - 6)
Jan. 31, 2023 ND SB 2150 Amends and Updates State Abortion Laws Bill Passed - Senate (43 - 4)
April 15, 2021 ND SCR 4016 Alleges Opposition to Implementation of COVID-19 Passports Joint Resolution Passed - Senate (34 - 13)
April 12, 2021 ND HB 1323 Repeals Future Mask Mandates Concurrence Vote Passed - House (67 - 24)
April 7, 2021 ND HB 1323 Repeals Future Mask Mandates Bill Passed - Senate (30 - 17)
Feb. 22, 2021 ND HB 1323 Repeals Future Mask Mandates Bill Passed - House (50 - 44)
Feb. 18, 2021 ND HB 1287 Establishes Harsher Punishments for Drug Dealers Bill Passed - House (77 - 16)
April 19, 2019 ND HB 1383 Establishes an Environmental Impact Mitigation Fund Conference Report Adopted - House (72 - 19)
March 25, 2019 ND SB 2044 Increases Penalties for Pipeline Protesting Bill Passed - House (76 - 14)
March 15, 2019 ND HB 1336 Requires Potential Abortion Reversal Drugs be made Available Bill Passed - Senate (34 - 11)
Jan. 28, 2019 ND HB 1336 Requires Potential Abortion Reversal Drugs be made Available Bill Passed - House (73 - 16)
April 6, 2015 ND HB 1434 Authorizes Alcohol Sales on Sunday Mornings Concurrence Vote Passed - House (53 - 39)
March 20, 2015 ND HB 1434 Authorizes Alcohol Sales on Sunday Mornings Bill Passed - Senate (27 - 18)
March 19, 2015 ND HB 1434 Authorizes Alcohol Sales on Sunday Mornings Bill Failed - Senate (23 - 22)
Feb. 18, 2015 ND HB 1430 Authorizes the Use of Medical Marijuana Bill Failed - House (26 - 67)
Feb. 11, 2015 ND HB 1259 Requires Performance Audits of Certain State Agencies Bill Failed - House (22 - 67)
Feb. 27, 2013 ND HB 1362 Expands Medicaid Eligibility Bill Passed - House (57 - 36)
Feb. 22, 2013 ND HB 1385 Requires Drug Testing for Welfare Recipients Bill Failed - House (19 - 72)
Feb. 18, 2013 ND SB 2303 Defines a "Human Being" Bill Passed - Senate (24 - 23)
Nov. 10, 2011 ND HB 1474 Establishing a Health Benefit Exchange Bill Failed - House (30 - 64)
April 7, 2011 ND HB 1450 Definition of Human Being Bill Not Tabled - Senate (26 - 21)
Feb. 16, 2011 ND HCR 3016 Repeal the Patient Protection and Affordable Care Act Resolution Passed - House (69 - 25)
Feb. 11, 2011 ND HB 1450 Definition of Human Being Bill Passed - House (68 - 25)
Feb. 8, 2011 ND HB 1377 Children's Health Insurance Program Bill Failed - House (25 - 67)
April 29, 2009 ND SCR 4038 Creating a Public Health Investment Trust Fund Bill Passed - Senate (24 - 23)
April 24, 2009 ND HB 1478 Children's Health Insurance Program Eligibility Expansion Conference Report Rejected - House (41 - 47)
Date No. Title Outcome
5/02 HB 1459 Authorizes Certain Rare Earth Mineral Development Conference Report Adopted - Senate (27 - 19)
5/02 HB 1459 Authorizes Certain Rare Earth Mineral Development Conference Report Adopted - House (63 - 26)
5/01 SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Veto Override Failed - Senate (31 - 15)
5/01 SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Veto Override Failed - Senate (31 - 15)
4/21 SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Concurrence Vote Passed - Senate (39 - 8)
4/21 SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Concurrence Vote Passed - Senate (39 - 8)
4/16 SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Bill Passed - House (55 - 37)
4/16 SB 2160 Amends the State's Insurance to a Plan that Offers Benefits to be Compliant with the Federal Affordable Care Act Bill Passed - House (55 - 37)
4/09 HB 1511 Requires Doctors Who Perform Abortion to Complete Additional Education on State Abortion Bans Concurrence Vote Passed - House (72 - 17)
4/01 HB 1511 Requires Doctors Who Perform Abortion to Complete Additional Education on State Abortion Bans Bill Passed - Senate (41 - 5)
3/25 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
3/25 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - Senate (39 - 7)
2/24 HB 1511 Requires Doctors Who Perform Abortion to Complete Additional Education on State Abortion Bans Bill Passed - House (74 - 19)
2/20 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
2/20 HB 1114 Limits Out-of-Pocket Costs for a Monthly Supply of Insulin to $25 Bill Passed - House (59 - 27)
2/11 HB 1459 Authorizes Certain Rare Earth Mineral Development Bill Passed - House (85 - 2)
4/29 SB 2012 Authorizes the Department of Health and Human Services Develop a Pregnancy and Parenting Resource Website Conference Report Adopted - House (78 - 5)
4/29 SB 2012 Authorizes the Department of Health and Human Services Develop a Pregnancy and Parenting Resource Website Conference Report Adopted - Senate (41 - 6)
4/20 HB 1515 Authorizes Direct-to-Consumer Sales of Raw Milk Conference Report Adopted - Senate (32 - 14)
4/19 HB 1515 Authorizes Direct-to-Consumer Sales of Raw Milk Conference Report Adopted - House (83 - 10)
4/17 SB 2150 Amends and Updates State Abortion Laws Bill Passed - House (76 - 14)
4/10 SB 2140 Establishes an Insulin Price Cap of $25 per 30-Day Supply for Residents Covered by the North Dakota Public Employees Retirement System Bill Passed - House (57 - 33)
2/16 SB 2248 Establishes Penalty for an Individual Caught Aiding Injury or Death of Another Caused by Illegal Drug Substances Bill Passed - Senate (47 - 0)
2/15 SB 2089 Appropriates $7.5 Million to Oil Companies to Reduce Natural Gas Flaring Bill Passed - Senate (41 - 5)
2/14 SB 2140 Establishes an Insulin Price Cap of $25 per 30-Day Supply for Residents Covered by the North Dakota Public Employees Retirement System Bill Passed - Senate (38 - 6)
1/31 SB 2150 Amends and Updates State Abortion Laws Bill Passed - Senate (43 - 4)
4/15 SCR 4016 Alleges Opposition to Implementation of COVID-19 Passports Joint Resolution Passed - Senate (34 - 13)
4/12 HB 1323 Repeals Future Mask Mandates Concurrence Vote Passed - House (67 - 24)
4/07 HB 1323 Repeals Future Mask Mandates Bill Passed - Senate (30 - 17)
2/22 HB 1323 Repeals Future Mask Mandates Bill Passed - House (50 - 44)
2/18 HB 1287 Establishes Harsher Punishments for Drug Dealers Bill Passed - House (77 - 16)
4/19 HB 1383 Establishes an Environmental Impact Mitigation Fund Conference Report Adopted - House (72 - 19)
3/25 SB 2044 Increases Penalties for Pipeline Protesting Bill Passed - House (76 - 14)
3/15 HB 1336 Requires Potential Abortion Reversal Drugs be made Available Bill Passed - Senate (34 - 11)
1/28 HB 1336 Requires Potential Abortion Reversal Drugs be made Available Bill Passed - House (73 - 16)
4/06 HB 1434 Authorizes Alcohol Sales on Sunday Mornings Concurrence Vote Passed - House (53 - 39)
3/20 HB 1434 Authorizes Alcohol Sales on Sunday Mornings Bill Passed - Senate (27 - 18)
3/19 HB 1434 Authorizes Alcohol Sales on Sunday Mornings Bill Failed - Senate (23 - 22)
2/18 HB 1430 Authorizes the Use of Medical Marijuana Bill Failed - House (26 - 67)
2/11 HB 1259 Requires Performance Audits of Certain State Agencies Bill Failed - House (22 - 67)
2/27 HB 1362 Expands Medicaid Eligibility Bill Passed - House (57 - 36)
2/22 HB 1385 Requires Drug Testing for Welfare Recipients Bill Failed - House (19 - 72)
2/18 SB 2303 Defines a "Human Being" Bill Passed - Senate (24 - 23)
11/10 HB 1474 Establishing a Health Benefit Exchange Bill Failed - House (30 - 64)
4/07 HB 1450 Definition of Human Being Bill Not Tabled - Senate (26 - 21)
2/16 HCR 3016 Repeal the Patient Protection and Affordable Care Act Resolution Passed - House (69 - 25)
2/11 HB 1450 Definition of Human Being Bill Passed - House (68 - 25)
2/08 HB 1377 Children's Health Insurance Program Bill Failed - House (25 - 67)
4/29 SCR 4038 Creating a Public Health Investment Trust Fund Bill Passed - Senate (24 - 23)
4/24 HB 1478 Children's Health Insurance Program Eligibility Expansion Conference Report Rejected - House (41 - 47)
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