Health Care Committee

Duties and Studies

Contract with a private entity, after receiving recommendations from the Insurance Commissioner, to provide a cost-benefit analysis of every legislative measure mandating health insurance coverage of services or payment for specified providers of services, or an amendment that mandates such coverage or payment. (NDCC § 54-03-28)

2012 § 53 Study the benefits of basing provider reimbursement rates for the Medicaid program in accordance with a provider's performance under established and accepted value-based care metrics.

1476 § 1 Study the impact of entities that receive Medicaid and Medicaid Expansion funding utilizing contract nursing agencies.

2389 § 1 Study prior authorization in health benefit plans. The study must include consideration of the extent to which prior authorization is used by health insurance companies in this state, including the types of services and procedures for which prior authorization is required; the impact of prior authorization on patient care, including the effects on patient health outcomes, patient satisfaction, health care costs, and patient access to care; the impact of prior authorization on health care providers and insurers, including the administrative burden, time, and cost associated with obtaining prior authorization, and the appropriate utilization of health care services; state and federal laws and regulations that may impact prior authorization; and input from stakeholders, including patients, providers, and commercial insurance plans. The study may include consideration of issues related to response times, retroactive denial, data reporting, clinical criteria and medical necessity, transparency, fraud and abuse, reviewer qualifications, exceptions, and an appeal process.

Reports

Receive a report from the North Dakota Legislative Health Care Task Force by October 1 of each year on its activities and any recommendations to improve health care in the state. (2023 Senate Bill No. 2012 § 28) (NDCC § 50-06-45)

Receive report from the State Fire Marshal each interim on the State Fire Marshal's findings and any recommendation for legislation to improve the effectiveness of the law on reduced ignition propensity standards for cigarettes. (NDCC § 18‑13‑02(6))

Receive report from the Department of Health and Human Services, Indian Affairs Commission, and Public Employees Retirement System before June 1 of each even-numbered year on their collaboration to identify goals and benchmarks while also developing individual agency plans to reduce the incidence of diabetes in the state, improve diabetes care, and control complications associated with diabetes. (NDCC § 23-01-40)

Receive report from the Department of Health and Human Services before June 1 of each even-numbered year, regarding progress made toward the recommendations provided in NDCC Section 23-43-04 and any recommendations for future legislation. (NDCC § 23‑43‑04)

Receive an annual report from the Maternal Mortality Review Committee regarding the identification of patterns, trends, and policy issues related to maternal mortality. (NDCC § 23-51-08)