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.
North Dakota
Vernon Krause
Vernon Dale Krause, 93, of Fargo, ND, formerly of Wahpeton, ND, passed away peacefully on Friday, July 10, 2026, at Heather’s House in Fargo, ND, under the care of HIA Hospice.
A Celebration of life will be held on Monday, July 20, 2026, at Vertin-Munson Funeral Home, Wahpeton. Visitation will be from 9:30 a.m. to 10:00 a.m., followed by a service at 10:00 a.m., with burial immediately following at Fairview Cemetery in Wahpeton.
Vern was born on February 16, 1933, in rural Wyndmere, ND, one of eleven children born to Theodore and Ella (Rohl) Krause. He grew up in Wyndmere and attended Wyndmere Public School, where he left his studies behind to volunteer for the United States Army. Vern proudly served from 1953 to 1956 before transferring to the Army Reserves. He was awarded the National Defense Service Medal and, throughout his life, carried great pride in his years of military service.
He married Jean (Carey) Krause, and together they built a life and raised their family in Wahpeton, where he would spend most of his years. They were blessed with two children. In his later years, after developing severe dementia, Vernon moved to Fargo so he could receive the care he needed and be closer to family.
For 41 years, he worked for the City of Wahpeton Water & Sewer Department, where he was highly regarded and known for knowing every inch of the city like the back of his hand. Even after retirement, he continued to volunteer his time and expertise whenever the City needed him. Among the accomplishments he was most proud of were his early years helping develop the Chahinkapa Zoo.
Above all, he cherished his family. He loved anything to do with his grandchildren — from crafting chairs out of tree trunks and splitting wood, to watching their sporting events and helping them grow into who they were meant to be. His great-grandchildren were a true blessing to him — even if their energy made him a little nervous, he always looked forward to their visits. His nieces and nephews brought him great joy as well especially in his later years and he loved being an uncle to them. When his brother Leyone “Spud” moved to town, Vern couldn’t wait to deliver him the daily newspaper and share a chat. He loved tinkering in the garage, always engineering new ways to drain water, and he was the biggest Green Bay Packers fan around — proud to call himself a team shareholder. After moving to Fargo, Vernon was grateful for the time he was able to spend with his sister, Carole Jean, who had always been his protector.
Vernon will be remembered for his steady hands, his quiet devotion to family and community, and the example he set of showing up — for his country, for his city, and most of all, for the people he loved. He will be deeply missed.
Vern is survived by his son, Mark Krause, Fargo; two sisters-in-law, Priscilla Krause and Donna Krause; two brothers-in-law, Ron Carey and Don Carey; eight grandchildren, Carey, Danielle, Margo, Jodi, Nikki, Kevin, Brad and Tracee; 13 great-grandchildren; and many nieces and nephews.
He was preceded in death by his parents; his wife, Jean Krause; his daughter, Deb Christopher; five brothers, Alfred, Donald, Willard, Kenneth and Leyone Krause; five sisters, Dorothy Peterson, Loretta Dable, LaVelle Odegard, Lucille Kruchek and Carole Jean Johnson-Bohlken; sisters-in-law, Viola Krause, Marleen Krause, Amy Carey and Linda Carey; brothers-in-law, Elroy Odegard, Robert Johnson, Willis Bohlken, Pete Peterson, Johnny Kruchek and Frank Dable; granddaughter, Robyn Krause; and grandson, Jack Bollman.
North Dakota
‘I think I was cheated’: Men speak out after birth switch discovery
GRAFTON, N.D. — Two North Dakota men are speaking out about a 38-year-long alleged mistake that altered their entire lives.
The men and their families are suing Unity Medical Center in Grafton, saying the hospital is responsible for
switching them at birth in 1988
. The hospital denies the allegations.
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North Dakota
Neighbors, not competitors
There are moments that remind us exactly who we are as a community, and the recent fire at Antelope Creek Bar and Grill in Mooreton was one of them. Many already know the awful loss that unfolded. It was a brutally hot day, the kind where the sun feels heavy and the air is so thick, and social media quickly filled with photos, videos, and comments documenting the devastation. Heartbreaking. Gut‑wrenching. A place that held memories for so many suddenly only visions smoke and charred remains.
But even in the middle of all that loss, something else rose up, something that always seems to show itself around here when life gets hard. Kindness. Pure, steady kindness.
The volunteer firefighters were the first reminder. They never cease to amaze me. They drop everything … work, family, whatever they were in the middle of and suit up in layers of gear despite the heat and humidity. They’re regular people with regular jobs, yet they show up like it’s the most natural thing in the world. No spotlight. No applause. Just service. Just heart.
Then came the folks who arrived with water, Gatorade, and anything they could think of to help ease the burden of those battling the blaze. Nobody organized it. Nobody asked. They simply showed up because that’s what people do here. That alone would have been enough to warm my heart.
But it didn’t stop there.
As the day went on, I saw posts from other regional businesses, specifically other bar and grills, reaching out with messages of support. These are places that could easily be seen as competition, yet there they were, offering help, extending care, and standing shoulder to shoulder with the owners who had just watched their livelihood disappear. “We are here. How can we help?” they wrote. No rivalry. No hesitation. Just neighbors being neighbors.
If you ever need a reminder of what makes this valley special, it’s moments like that. People who could have stayed quiet choosing instead to lift someone else up. Businesses that could have focused on themselves choosing instead to stand with another in their darkest moment. It’s the best of us. The part of small town life that doesn’t make headlines but makes all the difference.
We talk a lot about community, but this, this right here is what it looks like. It looks like firefighters sweating through their gear on a 90‑degree day. It looks like strangers handing out cold drinks. It looks like business owners reaching across the aisle to say, “You’re not alone.” It looks like compassion showing up before anyone has time to think twice.
Loss has a way of revealing character. And what I saw in the wake of that fire was a valley full of people who still believe in showing up, still believe in helping, still believe in each other. In a world that can feel divided and loud, this quiet, steady goodness is worth noticing. Worth celebrating. Worth holding onto.
Because when the smoke clears and the debris settles, what remains is the strength of a community that refuses to let anyone face hardship alone. And that, more than anything, is the story worth telling.
That is the true Best of the Valley. The people.
Bobbi Steffens resides in the Southern Valley and discovered her passion for writing through an unexpected path.
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