Healthcare Policy
North Dakota Healthcare Policy 2026
Medicaid expansion status, ACA coverage, uninsured rates, and how healthcare shapes the 2026 elections in North Dakota.
Yes
Medicaid Expanded
7.5%
Uninsured Rate
20,000
ACA Marketplace Enrollees
Federal
Exchange Type
Key Healthcare Provisions
| Medicaid Expansion (ACA) | Yes |
| Reproductive Healthcare | Banned |
| Mental Health Parity | Limited parity |
| Drug Pricing Policy | Not regulated |
Healthcare System Overview
North Dakota expanded Medicaid and maintains a generally functional healthcare system, though geographic isolation creates challenges. The state oil boom has funded health infrastructure investment.
2026 Political Impact
North Dakota is safely Republican but Medicaid expansion has been maintained. Rural healthcare access is an issue as small communities lose hospitals.
