North Dakota
Concerns grow in North Dakota about increased insurance costs, medical debt
BISMARCK — North Dakota health care organizations and insurance regulators are sounding a warning about the potential increase in out-of-pocket premium costs for those using the Affordable Care Act marketplace for their health insurance needs.
Some of the concern stems from changes to the ACA marketplace included in the latest version of the “One Big Beautiful Bill” covering enrollment, personal information verification and eligibility requirements.
Another area of concern is that expanded tax credits for those on the ACA marketplace will expire at the end of the year. Talk of an extension of those credits was not included in the latest formulation of the legislation currently being reviewed by the U.S. Senate.
Concerns over rising costs, loss of coverage
About 50,000 people get their health insurance through the ACA marketplace in North Dakota, according to the state’s Office of the Insurance Commissioner.
Roughly 90% of those individuals are eligible for the expanded tax credits established during the pandemic in 2021.
Loss of these tax credits would lead to ACA insurance premiums rising on average by 75%, according to the health care information nonprofit KFF.
Without those credits, individuals would either need to pay the extra premium cost themselves or possibly lose coverage if they can’t afford the monthly payments.
“We know people are going to lose coverage,” said Tim Blasl, president of the North Dakota Hospital Association. “What that exactly looks like for North Dakota, we’ve got to work through that.”
People would still get care, Blasl said, but more uninsured means less prevention and more people showing up in emergency rooms.
This increases medical debt for consumers and for hospitals if people can’t pay themselves.
“So, there’s a concern of an increase in bad debt, and how does that impact access to health care long term? How does that impact hospital financials long term? That’s something we are really concerned about,” Blasl said.
The Congressional Budget Office estimates 700,000 people could lose coverage nationally due to changes related to enrollment, and a further 3 million could become uninsured because of increased eligibility requirements.
The CBO said the expiration of the enhanced premium tax credits will lead to 4.2 million more uninsured people nationwide by 2034.
Roughly 45,000 people in North Dakota on the ACA marketplace would pay higher premiums or drop coverage if they can’t afford it.
On June 20, a statement from the Center for Medicare and Medicaid Services said it is finalizing a rule included in the legislation that would lower the cost of ACA premiums by 5% on average, crack down on improper enrollments and rein in wasteful spending.
The statement said that in 2024, about 5 million people nationwide were potentially improperly enrolled on the ACA marketplace.
U.S. Rep. Julie Fedorchak, R-ND, said of the ACA changes included in the current legislation that, “Change is hard, change is going to require people to pay attention and make sure they’re properly enrolling and following the rules.”
Anna Paige / The Forum
Fedorchak said the program needs to be fixed so it can exist long-term amid federal budget and federal debt constraints.
The legislation could pass the Senate within the next week, then return to the House of Representatives for approval. President Donald Trump is pressing lawmakers to get the final legislation to his desk by July 4.
As for the expanded tax credits, Fedorchak said this may be taken up in another set of legislation in the second half of this year.
“There are concerns about how this will impact people and their insurance and maintaining their insurance, and there are also concerns about the cost to the federal government, which is about $350 billion to extend it in its current form,” Fedorchak said.
“So it’s about balancing those two concerns and finding the best path forward.” Fedorchak said, “We don’t want a bunch of people going off their insurance and or losing their insurance or choosing not to purchase insurance, because that’s costly to the health care system, but at the same time, you know, some of the program levels are pretty generous.”
Rural impacts, rising medical debt
Impacts from the changes and expiration of tax credits are likely to be felt more acutely in rural parts of North Dakota.
According to 2024 data, nearly 27,000 of those on the ACA in the state lived in rural areas compared to around 16,000 in urban areas.
Brad Gibbens, a board member of the North Dakota Rural Health Association and former director of the Center for Rural Health at the University of North Dakota, said a higher percentage of people in rural areas are not insured through employers.
Gibbens also said many of those on ACA plans receiving the subsidies are also likely getting food assistance through the Supplemental Nutrition Assistance Program, which is also being reformed and cut in the legislation.
“Both of those programs are being cut back so there’s going to be a profound effect in rural areas,” Gibbens said.
Those cuts will not only impact individuals who lose coverage, but also rural hospitals that treat patients in their ERs.
“They’re going to be coming in through the ERs when they’re sicker, when we would have liked to have seen them earlier to address an issue, rather than when they come back and it’s more acute,” Gibbens said. “There isn’t any money then, to treat them, so that comes back as more bad debt for the hospital.”
Gibbens said the moves are a “real step backwards” and would lead to significant negative impacts on the health of individuals but also on the financial viability of rural hospitals and clinics.
Centrist think tank Third Way published a report June 23 examining the impacts on health care from changes in the One Big Beautiful Bill and estimated 5.4 million more people would be pushed into medical debt nationwide, increasing total medical debt by $50 billion.
Former Democratic-NPL U.S. congressman for North Dakota and former insurance commissioner Earl Pomeroy said the health care cuts in the One Big Beautiful Bill are a “common budget trick” made to pay for extending prior Trump tax cuts.
“They haven’t lifted a finger to keep health insurance affordable, and as a result, premiums will soar,” Pomeroy said. “Everyone knows higher health insurance premiums really hurt family budgets.”
At the end of May, the National Association of Insurance Commissioners, currently led by North Dakota Insurance Commissioner Jon Godfread, sent a letter to both U.S. Senate and House majority and minority leaders highlighting changes to the ACA marketplace.
The letter said the potential expiration of the tax credits would have a “negative impact on insurance markets” and the “health care system as a whole.”
The NAIC letter said the rule changes would lead to fewer individuals covered and market disruptions as soon as 2026, and that the changes do not allow sufficient time for insurers, regulators and consumers to prepare.
The letter also stated the new eligibility requirements would prevent many consumers from getting insurance promptly, particularly if they lose jobs or their income changes.
Since 2020, overall enrollment on the ACA marketplace in North Dakota increased by about 87%.
North Dakota ranks 15th in per capita spending on health care, according to data compiled by KFF.
This story was originally published on NewsCoopND.org.
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North Dakota
Four area players land on North Dakota Division A all-state team
GRAND FORKS — Four area athletes were selected to the North Dakota Division A all-state girls basketball team, which was released by the North Dakota High School Coaches Association on Tuesday.
The North Dakota Associated Press Sportscasters and Sportswriters Association will release all-state teams later this month.
Thompson’s Addison Sage led the way as a first team all-state pick, as well as receiving the division’s Outstanding Senior Athlete honor. Her coach, Jason Brend, was the Coach of the Year.
All-state second team choices from the area are Devils Lake junior Tylie Brodina, Four Winds-Minnewaukan sophomore Suri Gourd and Thompson senior Kya Hurst.
Sage, a 5-foot-6 guard, averaged 22.3 points per game, 3.2 rebounds, 3.3 assists and 3.2 steals per game. Sage has more than 1,900 career points and holds the Tommies’ all-time scoring record.
Brodina, a 5-8 guard, averaged 18.8 points and 2.6 steals per game. She shot 82 percent from the foul line and 32 percent from 3-point range.
Hurst, a 5-6 forward, averaged 16.3 points and 9.6 rebounds per game. She added 3.7 steals and 3.5 assists per game while shooting 39.5 percent from 3-point range. Hurst has scored more than 1,600 points and grabbed more than 840 rebounds in her career.
Gourd, a 5-8 guard, averaged 26.1 points, 7.1 rebounds, 5.4 assists and 4.4 steals per game. Gourd has more than 1,600 career points in her career with two more seasons to play.
Gourd led Four Winds-Minnewaukan from a 5-17 record last season to a 16-8 mark this year.
North Dakota
Annabelle Weber
Funeral Mass for Annabelle Weber, 95, of Dickinson will be 10:00 AM, Thursday, March 12, 2026 at Queen of Peace Church with Msgr. Thomas Richter celebrating. Burial will follow at St. Joseph’s Cemetery, Dickinson. Visitation will be from 5:00 PM – 7:00 PM, Wednesday, March 11, 2026 at Stevenson Funeral Home, Dickinson, with Rosary and Vigil service taking place at 6:00 PM. Annabelle passed away Friday, March 6, 2026 at St. Benedict’s Health Center, Dickinson. Annabelle S. Weber was born on December 8, 1930, in Killdeer, North Dakota, to Frank and Eva (Kowis) Schmalz. She grew up in Killdeer and graduated from Killdeer High School in 1947. At the age of 17, Annabelle began working at Zimbrich’s Department Store in Killdeer. She later moved to Dickinson, where she worked at S&L in retail sales and spent many years at Kessel’s Bridal Shop. While working at the Esquire Steak House, she met Gerald Weber, the love of her life. The couple was united in marriage on November 1, 1954, at St. Joseph’s Catholic Church in Dickinson, where they made their home and built their life together. Annabelle was a woman who loved staying busy and caring for her family and home. She enjoyed hunting and fishing, along with hobbies such as crafts, sewing, and gardening. She was well known for keeping an immaculate home and took great pride in caring for those around her. Faith was an important part of her life. She joined the Catholic Daughters in 1957 and was active in church circles, often helping with funeral dinners and parish gatherings. Annabelle’s greatest joy was her family. Annabelle is survived by her sons, Greg (Barbara) Weber of Grand Forks, Russ (Rhonda) Weber of Dickinson; daughter, Sharon (Tony) Allen of Andover, MN; nine grandchildren, Christi (Ryan), Tiffani (Tim), Shane (Kayla), Tonya (Adam), Samantha (Scott), Kevin, Tracey (Analisa), Stacie, Tyler; 15 great-grandchildren and 1 great-great grandchild. She was preceded in death by her parents, Frank and Eva Schmalz; husband, Gerald Weber; siblings, William (Evelyn) Schmalz, Elaine (John) Buresh, and Vernon (Dolores) Schmalz; and daughter-in-law, Coleen Weber (Krance). Remembrances and condolences can be shared at www.stevensonfuneralhome.com.
North Dakota
Faber: 5 takeaways from UND’s 70-62 Summit League tournament championship loss to North Dakota State
SIOUX FALLS, S.D. — North Dakota State proved why it was the best team in the Summit League Sunday evening at the Denny Sanford Premier Center.
The Bison beat UND 70-62 in the conference tournament championship. The Fighting Hawks hung around in the second half, but couldn’t put together enough consecutive shots to retake the lead.
It was the Hawks’ first Summit League championship appearance since 2020, capping off a resurgent season for a program ravaged by the transfer portal.
Despite losing top-end talent like Treysen Eaglestaff and Mier Panoam, UND reloaded through key transfer portal additions, the emergence of redshirt freshman guard Greyson Uelmen and the return of senior guard Eli King.
The Hawks finished the 2025-26 season with an 18-17 overall record.
Here are five takeaways from the loss.
King ends collegiate career on a high note
King left it all on the court in his final three games as a Hawk.
He logged 40 minutes against NDSU. King was only off the court for two minutes against St. Thomas and four minutes against Denver.
King lived up to his billing as the Summit League Defensive Player of the Year throughout the postseason. He also averaged 15.3 points per game in the tournament.
“We were so fortunate to get him at North Dakota,” head coach Paul Sather said. “The daily example that guy brings as far as how you treat people, how you go about your work, how you show up — he’s usually the first on the floor every day. He plays the most minutes for us. … He just smiles at adversity.
“He’s a special young guy. I’m going to think of him when I’m 75 years old, thinking about all the young people you get a chance to be a part of and coach, and I’m going to see a guy that’s probably doing really well in life, and I’m going to just be so grateful I got a chance to spend some time coaching. Eli’s going to be alright.”
Here’s what an emotional King had to say after Sunday’s loss.
“The last three years have been a blast,” King said. “Built a bunch of relationships that will last forever. Coaching staff, all the players, all the great teammates I’ve had, community support from Grand Forks. It’s been awesome. The last three years, basketball-wise, I enjoyed every second of it, had a lot of ups and downs.”
College basketball teams rarely look the same from year to year. That’s just the state of the sport right now, especially at the mid-major level.
UND is going to miss its seniors.
King was the only returning starter from last year and truly seemed to be the heart and soul of the team.
Garrett Anderson averaged 10.3 points per game, and his lengthy frame was pivotal on defense. Reggie Thomas seemed to always give a boost of energy off the bench, providing scrappy defense while averaging 4.8 points per game.
That being said, there are certainly building blocks for the future. That is, if they don’t enter the transfer portal this offseason.
Uelmen, the former walk-on, averaged 18.6 points per game in a breakout season. Redshirt sophomore Zach Kraft carved out a role in the starting lineup, providing 42.5% shooting from 3-point range and improved defense.
Junior center Josh Jones became an essential piece of the starting lineup, providing physicality, defense and a frame that the Hawks just don’t have anywhere else on the roster.
Junior forward George Natsvlishvili, freshman guard Anthony Smith III and freshman forward Marley Curtis each provided the occasional pop from the bench when needed.
“You hope so, right?” Sather said when asked if this season was something to build on. “That’s the goal. Every year right now, you kind of start with a new team. Just being real — free agency starts. But we’re to the point now where you smile at it and you wish the best for young people that are trying to do things in life that are changed (compared to) what they were 10 years ago, five years ago.
“You really take a year and you start in June, when you get them all on campus, and you try to make the most out of that time. And it’s not perfect, but it’s kind of like speed dating in a way. I don’t know what that’s like, I’ve never done it, but you don’t get to have everybody for four years or three years or even two years sometimes. But the time you have with them, make the most of it. Have the joy with it and love it. And even on the hardest days, because I’m telling you, this was a team that there were some days where we had to really be on these guys. We got some young guys that got to continue to grow and get better, but they just really responded, and their example of it was awesome.”
Kraft put up his best performance in months against NDSU.
He shot 5-for-9 from the field and finished with 19 points. Only Uelmen scored more, finishing with 24.
It was Kraft’s first double-digit point total since Feb. 19. He nearly reached his previous career high of 22 points.
Kraft scored 13 points in the second half. He nailed a 3-pointer with 3 minutes, 6 seconds to go to kick off a 9-0 run for UND.
Offensive rebounds sting again
North Dakota State collected 12 offensive rebounds and scored 12 second-chance points in the win over the Hawks.
UND managed to survive against St. Thomas while giving up 14 offensive rebounds in the tournament semifinals.
This time around, it stung.
“A game like that, where you’re not making the shots that we have been or that were just right there, we can’t be giving them extra possessions like that,” Sather said.
What opposing coaches had to say about Sather and the program
Head coach David Richman had positive words for Sather and his program after the Bison’s championship win.
“Paul Sather did a terrific job this year, terrific job,” Richman said. “You’ve got a guy like Eli King, the competitive spirit, and Greyson, and the tournament that they had. So I know there’s Bison people that don’t want to hear me talk about UND, but I’m glad to talk about a guy and a program that does things the right way. And Paul Sather does a lot of great things.”
Likewise, St. Thomas head coach John Tauer voiced his respect after the Tommies’ loss in the semifinals.
“Credit to North Dakota, they played incredibly,” Tauer said. “They’ve been really good all season. Paul does a tremendous job with his team and those guys.”
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