SB 2297 North Dakota Senate · 69th Legislative Assembly (2025-26)

AN ACT to amend and reenact subsection 3 of section 23-06.5-03 and section 23-12-13 of the North Dakota Century Code, relating to the determination of incapacity and informed consent of incapacitated patients and minors.

SB 2297 amends North Dakota law concerning the process for determining if an individual is incapacitated and unable to make their own decisions. The bill also updates the requirements for obtaining informed consent for medical treatment for both incapacitated patients and minors. This legislation directly affects healthcare providers, incapacitated individuals, minors, and their legal guardians or parents by clarifying the procedures for medical decision-making and consent in these situations.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 20, 2025 Signed May 1, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

FIRST ENGROSSMENT Enrollment · 4 edits
MODERATE
This bill amends North Dakota laws governing who can provide informed consent for health care decisions for incapacitated adults and minors. The primary changes include adding a physician, psychiatrist, or psychologist certification requirement to the definition of an incapacitated patient, updating the order of priority for who can consent on behalf of incapacitated patients, and adding a new amendment to the health care directive section to clarify when such directives become effective.
Scope change
The bill expands the scope by requiring medical certification from specific types of professionals (psychiatrist or psychologist in addition to physician) for determining incapacity, and modifies the priority hierarchy for consent providers for both incapacitated adults and minors.
DEFINITION

Added psychiatrist or psychologist to the list of professionals who can certify a patient is incapacitated, alongside the attending physician.

ELIGIBILITY

Reordered and renumbered the priority list of individuals authorized to provide consent for incapacitated patients, shifting the hierarchy to prioritize durable power of attorney holders, health care agents, guardians, spouses, children, parents, siblings, grandparents, grandchildren, close relatives/friends, and finally interdisciplinary teams.

Updated the priority list for minors to remove the general 'parent' category as the first priority, instead starting with guardians under court order, followed by appointed guardians, noncustodial parents, siblings, grandparents, close relatives/friends, and interdisciplinary teams.

REQUIREMENT

Added a new amendment to section 23-06.5-03 clarifying that health care directives only take effect when the principal lacks capacity and cease to be effective once capacity is recovered.

Floor votes · Senate Feb 19, 2025 · House Apr 22, 2025

How they voted

461
Passed
Total votes 47
Feb 19, 2025
D Democratic5
5 Yea
100% Yea
R Republican42
41 Yea 1 Nay
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
28
Key actions
18
Committee
12
May 2, 2025
Introduced
Filed with Secretary Of State 04/30
legislature
May 1, 2025
Signed into law
Signed by Governor 04/29
upper
Apr 22, 2025
Lower · Passed
Second reading, passed as amended, yeas 90 nays 3
lower
Apr 22, 2025
Lower · Passed
Conference committee report adopted
lower
Apr 16, 2025
Lower · Passed
Reported back from conference committee, in place of, placed on calendar
lower
Apr 16, 2025
Upper · Passed
Second reading, passed, yeas 46 nays 1
upper
Apr 16, 2025
Upper · Passed
Conference committee report adopted
upper
Apr 15, 2025
Upper · Passed
Reported back from conference committee, in place of, placed on calendar
upper
Apr 3, 2025
Lower · Passed
Conference committee appointed Hendrix M. Ruby Rohr
lower
Apr 2, 2025
Upper · Passed
Conference committee appointed Clemens Roers Van Oosting
upper
Mar 25, 2025
Lower · Passed
Second reading, passed as amended, yeas 85 nays 6
lower
Mar 21, 2025
Lower · Passed
Amendment adopted, placed on calendar
lower
Mar 20, 2025
Lower · Passed
Reported back amended, do pass, amendment placed on calendar 10 1 2
lower
Mar 12, 2025
Lower · Passed
Committee Hearing 09:30
lower
Feb 21, 2025
Introduced
Introduced, first reading, referred Human Services Committee
lower
Feb 19, 2025
Upper · Passed
Second reading, passed, yeas 46 nays 1
upper
Feb 19, 2025
Upper · Passed
Amendment adopted, placed on calendar
upper
Feb 18, 2025
Upper · Passed
Reported back amended, do pass, amendment placed on calendar 6 0 0
upper
Feb 4, 2025
Upper · Passed
Committee Hearing 09:45
upper
Jan 29, 2025
Committee
Rereferred to Human Services
upper
Jan 29, 2025
Upper · Passed
Request return from committee
upper
Jan 20, 2025
Introduced
Introduced, first reading, referred Judiciary Committee
upper
1 primary · 4 co-sponsors

Sponsors