SB 2190 North Dakota Senate · 69th Legislative Assembly (2025-26)

A BILL for an Act to amend and reenact section 50-24.1-45 of the North Dakota Century Code, relating to medical assistance benefits.

SB 2190 would expand North Dakota's medical assistance program to cover five specific services: family training for behavioral therapy support, dental screenings and assessments, dental case management for special populations (like children, elderly, and medically fragile individuals), asynchronous teledentistry to improve access, and applied behavioral analysis (ABA) therapy for behavioral issues. These services would directly affect medical assistance recipients, particularly those with special healthcare needs or in underserved communities. The bill explicitly states these new benefits would not apply to Medicaid expansion programs. The provisions aim to integrate oral health care with general health services and reduce barriers to dental and behavioral support.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
Senate Passage
Feb 2025
House Failed
Mar 2025
Governor
Introduced Jan 16, 2025 Last action Mar 28, 2025
Maddy AI version diff · 1 comparison

What changed between versions

INTRODUCED FIRST ENGROSSMENT · 3 edits
MINOR
The bill number was updated from SB 2190 to ENGROSSED SENATE BILL NO. 2190, and the bill's internal reference numbers were changed from 25.0084.01000 to 25.0084.03000. The most substantive change narrows the scope of applied behavioral analysis coverage to specifically address autism spectrum disorder, replacing the broader language that covered 'a variety of psychological and medical diagnoses.' This change limits the application of these services to individuals with autism spectrum disorder rather than a wider range of conditions.
Scope change
The bill's scope was narrowed from covering applied behavioral analysis for various psychological and medical diagnoses to specifically covering autism spectrum disorder.
ELIGIBILITY

Applied behavioral analysis coverage was changed from covering 'a variety of psychological and medical diagnoses' to specifically covering 'autism spectrum disorder' only.

TECHNICAL

Bill reference numbers were updated from 25.0084.01000 to 25.0084.03000 to reflect the engrossed version.

Bill title was updated to include 'ENGROSSED SENATE BILL NO. 2190' to indicate this is the first engrossment version.

Floor votes · Senate Feb 7, 2025 · House Mar 28, 2025

How they voted

470
Passed
Total votes 47
Feb 7, 2025
D Democratic5
5 Yea
100% Yea
R Republican42
42 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
13
Key actions
7
Committee
6
Mar 28, 2025
Vote failed
House Vote: fail (14-75-2)
house
Mar 25, 2025
Lower · Passed
Reported back, do not pass, placed on calendar 6 4 3
lower
Mar 11, 2025
Lower · Passed
Committee Hearing 09:45
lower
Feb 18, 2025
Introduced
Introduced, first reading, referred Human Services Committee
lower
Feb 7, 2025
Upper · Passed
Second reading, passed, yeas 47 nays 0
upper
Feb 6, 2025
Upper · Passed
Reported back, do pass, place on calendar 16 0 0
upper
Feb 5, 2025
Committee
Rereferred to Appropriations
upper
Feb 5, 2025
Upper · Passed
Amendment adopted
upper
Feb 4, 2025
Upper · Passed
Reported back amended, do pass, amendment placed on calendar 5 1 0
upper
Jan 20, 2025
Upper · Passed
Committee Hearing 10:00
upper
Jan 16, 2025
Introduced
Introduced, first reading, referred Human Services Committee
upper
1 primary · 3 co-sponsors

Sponsors