North Dakota
'False promise' or lifesaver? Insulin spending cap returns to North Dakota Legislature
BISMARCK — A bill introduced in the North Dakota House of Representatives could cap out-of-pocket insulin costs for some North Dakotans at $25 per month.
The bill also includes a monthly cap for insulin-related medical supplies of $25.
With insulin costing North Dakota residents billions of dollars each year,
House Bill 1114
would provide relief for people on fully insured plans provided by individual, small and large group employers. People on self-funded plans would not be affected.
“I call insulin liquid gold,” Nina Kritzberger, a 16-year-old Type 1 diabetic from Hillsboro, told lawmakers. “My future depends on this bill.”
HB 1114 builds on
legislation
proposed during the 2023 session that similarly sought to establish spending caps on insulin products.
Before any health insurance mandate is enacted,
state law
requires the proposed changes first be tested on state employee health plans.
As such, the legislation was altered to order the state Public Employees Retirement System, or PERS, to introduce an updated bill based on the implementation of a $25 monthly cap on a smaller scale.
The updated bill — House Bill 1114 — would bring the cap out of PERS oversight and into the North Dakota Insurance Department, which regulates the fully insured market but not the self-insured market.
Employers that provide self-insured health programs use profits to cover claims and fees, acting as their own insurers.
Fully insured plans refer to employers that pay a third-party insurance carrier a fixed premium to cover claims and fees.
“It (the mandate) doesn’t impact the entire insurance market within North Dakota,” PERS Executive Director Rebecca Fricke testified during a Government and Veterans Affairs Committee meeting on Thursday, Jan. 9.
Blue Cross Blue Shield Vice President Megan Hruby told the committee that two-thirds of the provider’s members would not be eligible for the monthly cap, calling the bill a “false promise.”
“We do not make health insurance more affordable by passing coverage mandates, as insurance companies don’t pay for mandates. Policy holders pay for mandates in the form of increased premiums,” Hruby said.
She touted the insurance provider having already placed similar caps on insulin products and said companies should be making those decisions, not the state government.
Sanford Health and the Greater North Dakota Chamber also had representatives testify against the bill.
Advocates for the spending cap said higher premiums are worth lowering the cost of insulin drugs and supplies.
“One of the first things that people ask me about is, ‘Why should I pay for your insulin?’ And my response is, ‘Why should I have to pay for your premiums?’” Danelle Johnson, of Horace, said in her testimony.
If adopted and as written, the spending caps brought by
House Bill 1114
would apply to the North Dakota commercial insurance market and cost the state around $834,000 over the 2025-27 biennium.
According to the 2024 North Dakota diabetes report,
medical fees associated with the condition cost North Dakotans over $306 billion in 2022.
The state has more than 57,200 adults diagnosed with diabetes, and a staggering 38% have prediabetes — a condition where blood sugar levels are high but not high enough to cause Type 2 diabetes.
Nearly half of those people are adults 65 years old or older.
North Dakotan tribal members were also found to be twice as likely to have diabetes compared to their white counterparts.
BISMARCK — Landowners in Dickey, LaMoure and Stutsman counties made their plea to the North Dakota Supreme Court on Tuesday, June 23, to fight a massive powerline project.
The 90-mile-long “Jamestown to Ellendale” transmission line, also known as JETx, would use towers up to 150 feet tall.
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March 31, 1957 – June 5, 2026
Timothy Paul Ganyo, 69, passed away on Friday, June 5, 2026, after a courageous six-and-a-half-year battle with non-small cell lung cancer.
Tim was born on March 31, 1957, in Grafton, North Dakota, to Willard Paul and Marlene Frances Ganyo. He grew up in Grafton, where he attended school and was active in both hockey and football. During his high school years, he also worked as a lifeguard at the local swimming pool.
Tim proudly served his country for more than three decades. He enlisted in the United States Air Force on December 4, 1977, and served until 1981, with an assignment at Minot Air Force Base in North Dakota.
Following his active-duty service, he joined the Air National Guard while attending North Dakota State University. Later, seeking a new opportunity, Tim joined the Air Force Reserve and relocated to Northern California, where he served at Travis Air Force Base as a flight engineer aboard the C-5 aircraft.
Throughout his distinguished military career, Tim was activated numerous times and served in support of multiple military operations around the world, often flying into war zones. He treasured the friendships he made with his fellow airmen and took great pride in serving alongside the members of the 312th. Tim retired from the United States Air Force Reserve on June 1, 2010.
Committed to lifelong learning, Tim earned a Bachelor of Science degree in Industrial Technology in August 2003. Following his military retirement, he worked in the laboratory at Shell Oil Company in Martinez, California.
Tim spent more than 40 years in Northern California, where he met his wife, Roxanne. They shared 34 wonderful years of marriage. He was a devoted husband, a supportive stepdad, and a loving grandpa who cherished time spent with his family.
Tim was a passionate fan of University of North Dakota hockey and proudly remained loyal to the Fighting Sioux throughout his life. He was also a member of the Solano Yacht Club and enjoyed the friendships and camaraderie he found there.
Tim is survived by his mother, Marlene Dvorak; his beloved wife, Roxanne Ganyo; his stepchildren, Ryan Brown, Chad (Tonya) Brown, Jaime Wolf (Dave), and Kristy Brown (Devin); his grandchildren, Calleigh Brown, Jaxon Brown, Taya Wolf, and Jordyn Brown; his brothers, Mark (Rhonda) Ganyo and Michael Ganyo; and many nieces and nephews.
He was preceded in death by his father, Willard Paul Ganyo; and his brothers, Ray Ganyo and Philip Ganyo. Tim will be remembered for his strength, dedication, patriotism, sense of adventure, and unwavering love for his family and friends. His presence will be deeply missed and forever cherished by all who knew him.
Family and friends are invited to attend a funeral service on Tuesday, June 30, 2026, at 10:00 a.m. at Bryan-Braker Funeral Home Chapel, 1850 West Texas Street, Fairfield, CA
A ceremony with military honors will be held at 12:30 p.m. at the Sacramento Valley National Cemetery in Dixon, California, where Tim will be laid to rest.
GRAND FORKS — A Grand Forks man is working to overturn his conviction for killing his friend.
Donald Bartlette’s attorney, Kiara Costa Kraus-Parr, wants the North Dakota Supreme Court to declare a mistrial when he was found guilty of manslaughter in the October 2024 death of Tony Kiehl.
During a hearing Monday, June 22, Costa Kraus-Parr said prosecutors unfairly made jurors biased against Bartlette at trial in August of last year.
That includes referencing past drug use and testimony from a witness who called Bartlette a bully.
That testimony was objected to, and the objection was sustained.
Bartlette was found guilty of manslaughter and was later sentenced in December to 10 years in prison.
Bartlette, 46, maintains Kiehl, 49, came at him with a knife and he acted in self-defense.
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