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North Dakota advocates plan to continue pushing for insulin price cap

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North Dakota advocates plan to continue pushing for insulin price cap


A group of families and advocates met with Gov. Doug Burgum Tuesday, May 28 at the North Dakota Capitol to commemorate a recent law limiting the price of insulin for those on state employee health insurance.

For those on that specific plan, out-of-pocket costs for a monthly supply of insulin are capped at $25. The law sets the same monthly price cap on medical supplies used to administer insulin.

Danelle Johnson, who testified in support of the bill in 2023, said she has mixed feelings about the legislation. The original proposal would have implemented a cap for all North Dakotans, but lawmakers amended it to only affect those on health insurance managed by the Public Employees Retirement System.

The legislation represents a significant step forward, Johnson said. She just wishes the price caps were accessible to more people.

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“We have to accept sometimes smaller steps along the way, versus an all-or-nothing,” said Johnson, whose daughter Danika has Type 1 diabetes. “Because otherwise it’s just an all-or-nothing fight all the time, and nothing gets done.”

Insulin, which is needed to treat diabetes, can cost hundreds of dollars per vial. According to a 2023 report by the Health Care Cost Institute, the average monthly cost of insulin in America increased from $271 a month in 2012 to around $499 in 2021.

The high costs may lead diabetes patients to ration their insulin supply or forego treatment altogether — which can cause life-threatening health complications.

About 100,000 Americans died from diabetes in 2022, according to data from the Centers for Disease Control and Prevention. That’s about the same number of deaths the CDC reported for drug overdoses that same year.

“So many people have been unable to afford medicine,” said state Sen. Tim Mathern, D-Fargo, the primary sponsor of the bill.

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Another mother-daughter pair pushing for insulin reforms, Angela and Nina Kritzberger, were also present at Tuesday’s ceremony.

The Johnsons and Kritzbergers said they both know of children who have had to be airlifted to the hospital because they didn’t have enough insulin treatment.

Nina Kritzberger said she worries about losing friends who also have diabetes.

“I just hope I don’t see a text or Facebook post where their parents say they’re gone because we couldn’t get it,” she said. “Because that shouldn’t even be in our mind.”

The group is working to build support for broader reforms in the next legislative session, Mathern said.

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The legislation has been in effect since Aug. 1, 2023, and expires July 31, 2025. Legislative Council estimated the legislation would cost the state about $900,000 over the 2023-2025 budget cycle.

While the measure was signed by Burgum over a year ago, the signing ceremony was delayed because of scheduling conflicts, Mathern said.

The federal government also set a $35 monthly price limit on insulin for Medicaid patients in the Inflation Reduction Act, which President Joe Biden signed into law in 2022.

This story was originally published on NorthDakotaMonitor.com

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Video: A look at North Dakota’s 2026-2028 Fishing Guide

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Video: A look at North Dakota’s 2026-2028 Fishing Guide


Greg Power, fisheries division chief with the North Dakota Game and Fish Department, shares information about the new 2026-2028 Fishing Guide and a few new regulations starting April 1, 2026.

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Summit League tournament: Omaha women bounce North Dakota

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Summit League tournament: Omaha women bounce North Dakota


SIOUX FALLS — Ali Stephens had 17 points and 13 rebounds and 8th-seeded Omaha defeated 9th-seeded North Dakota 49-39 in the first round of the Summit League women’s tournament.

The Fighting Hawks had a tough time putting the ball in the hoop all night long, scoring just three points in the first quarter and having only marginally better luck from there.

UND (7-24) shot just 23.5 percent from the floor (12-for-51) and made 1-of-20 shots from outside the arc. Walker Demers and Mackenzie Hughes had 10 points each to lead the Hawks, with Demers adding eight rebounds.

Members of the Omaha women’s basketball team cheer for their teammates during the opening game of the Summit League tournament on March 4, 2026 at the Premier Center in Sioux Falls.

Matt Zimmer/Sioux Falls Live

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Regan Juenemann had 10 points and five rebounds for the Mavericks while Avril Smith had seven points and 16 rebounds and Sarai Estupinan eight points, five assists and three rebounds. Omaha (6-26) shot the ball slightly better than the Hawks, going 16-of-53 from the field (30 percent) and 8-of-23 (35 percent) on 3-pointers.

With the win, the Mavs earn a date with top-seed North Dakota State on Thursday at 2:30 p.m.
The Bison won both regular season matchups by more than 50 points.

030426-IMG_7760.JPG
North Dakota’s Mataeya Mathern goes up for a shot during the opening game of the Summit League tournament on March 4, 2026 at the Premier Center in Sioux Falls.

Matt Zimmer/Sioux Falls Live

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Oral Roberts 84, Kansas City 62 — Don’t look now but the team that started the conference season 0-10 and at one point lost 15 of 16 games might be the hottest in the Summit League.

Oral Roberts picked up their fourth straight victory on Wednesday night in the conference tournament opener, routing Kansas City at the Premier Center in the 8/9 “play-in” game.

Ty Harper had 22 points to lead the Golden Eagles (10-22), who took a 44-21 lead by halftime and never looked back. ORU shot 50 percent from the floor and made 13-of-27 3-pointers while the Kangaroos shot just 34 percent and made 6-of-24 from deep. Martins Kilups had 17 points for the Eagles and Connor Dow added 14.

Jayson Petty had 14 points to lead the Kagaroos, who finish the season 4-27. It was their final game under coach Marvin Menzies, whom the school announced earlier this season would not return next year.

With the win ORU advances to face top-seed North Dakota State on Thursday at 6 p.m.
The Golden Eagles lost to NDSU 86-58 in Tulsa on Jan. 24 but they took the Bison to overtime in Fargo on Jan. 3 in a 79-77 loss.

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Matt Zimmer

Matt Zimmer is a Sioux Falls native and longtime sports writer. He graduated from Washington High School where he played football, legion baseball and developed his lifelong love of the Minnesota Twins and Vikings. After graduating from St. Cloud State University, he returned to Sioux Falls, and began a long career in amateur baseball and sports reporting. Email Matt at mzimmer@siouxfallslive.com.





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The North Dakota Attorney General issued an opinion to the ND State Auditor – North Dakota Attorney General

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The North Dakota Attorney General issued an opinion to the ND State Auditor

March 4, 2026

Media Contact: Suzie Weigel, 701.328.2210

BISMARCK, ND – It is the opinion that federal law does not prevent the state from auditing P&A and even though P&A possesses confidential records, N.D.C.C. § 54-10-22.1 and 42 C.F.R. § 51.45(c) authorize the state auditor and the employees of the auditor’s office, to review the records without detriment to P &A.

Also, whether Rule 1.6 of the North Dakota Rules of Professional Conduct for licensed attorneys prohibits P&A from disclosing to the State Auditor the contents of a client file for the purpose of conducting a non-financial performance audit under N.D.C.C. ch. 54-10 when the requested file includes information about individuals and businesses in the private sector who chose to contact P &A.

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This issue was already addressed in a 1995 opinion of this office regarding P&A. The 1995 opinion highlighted that P&A has authority to contract with private attorneys to represent private individuals. 17 During that performance audit, auditors asked to see billings from the contracted attorneys. 18 P&A redacted the names of the individuals represented by the contract attorneys under the rules for attorney-client privilege or attorney-client confidentiality. 19 The names of individuals seeking services of P&A are protected under N.D.C.C. § 25-01.3. The opinion stated:

Thus, P&A’s records which indicate to whom its services were provided are available to the State Auditor for performance audit purposes. The State Auditor has
been given access by P&A to its records other than the attorney’s billings. Therefore, the State Auditor already has access to the names of the persons to whom P&A
provides services. State law requires that the State Auditor and his employees must keep such information confidential.

Here, P&A has not identified a specific record. Given that, I rely on the past opinions declaring that records made confidential by N.D.C.C. § 25-01.3-10 are available under N.D.C.C. § 54-10-22 to the State Auditor and the Auditor’s employees for audit purposes.

Link to opinion 2026-L-01

###

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