SB 2231 would require North Dakota's medical assistance program to cover specific dental and behavioral services, directly affecting recipients of medical assistance who need these services. The bill mandates coverage for family adaptive behavioral treatment guidance, dental screenings, dental case management for special populations (including children, elderly, and medically fragile individuals), and asynchronous teledentistry to improve access. It explicitly states these new coverage requirements do not apply to Medicaid expansion programs for children and adults. The bill failed to pass in the Senate on March 27, 2025, with 33 votes in favor and 59 against.
HB 1430 would amend North Dakota's social work regulations to allow licensed social workers to offer counseling aligned with heterosexuality or a client's biological sex without violating ethics rules. It directly affects licensed social workers in North Dakota who provide counseling to individuals questioning their sexuality or gender identity. The bill requires social workers to disclose the nature of such treatment and obtain written consent from the client or their parent/guardian before proceeding. This legislation, which failed to pass in March 2025, focuses on defining ethical boundaries for specific counseling approaches under professional regulation.
SB 2205 creates a dedicated "charitable gaming operating fund" in North Dakota's state treasury to manage all taxes, fines, and penalties collected from charitable gaming activities (like bingo or raffles run by nonprofits). The bill requires quarterly allocations: $75,000 to the gambling disorder prevention and treatment fund, and 5% of total funds to cities and counties based on taxes collected from local games (with a minimum $200 threshold for payments). It also mandates that any excess funds remaining after covering administrative costs be transferred to the state's general fund every odd-numbered year. This bill directly affects how charitable gaming revenue is distributed to state programs and local governments.
SB 2101 amends North Dakota's emergency medical services (EMS) response time requirements under Section 23-27-04 of the Century Code. The bill modifies specific standards that ambulance services and emergency response agencies must meet when responding to medical emergencies. It directly affects EMS providers statewide by updating their operational compliance requirements. The bill became law on March 19, 2025, after final approval by the Governor.
SB 2223 creates North Dakota's adoption of the Dietitian Licensure Compact, enabling licensed dietitians from participating states to practice across state lines without obtaining separate licenses in each state. This directly affects licensed dietitians seeking to work in multiple states and healthcare facilities serving patients in those states. The key mechanism establishes a "compact privilege" that functions like a license in other member states, while requiring uniform education and examination standards and allowing states to share disciplinary information. The compact aims to increase patient access to dietetic services, reduce administrative burdens for professionals and states, and maintain each state's authority to regulate practice and protect public health and safety.
HB 1252 creates a dedicated tribal health care coordination fund in North Dakota's state treasury, providing ongoing state funding to tribal governments for public health services. Funds are distributed based on each tribe's federal care coordination funding, with strict requirements: tribes must use funds for core public health services (limiting capital construction to 50% until 2027, then 35%), submit annual reports, and undergo biennial independent audits. The state department of health withholds funds for missing reports or improper use, and can restore distributions once compliance is verified. This bill directly affects North Dakota's tribal nations by establishing formalized, accountable funding for health programs aligned with federal public health priorities.
SB 2332 creates a new $25 million annual fund from state legacy earnings to support emergency services and public safety across North Dakota. The bill establishes an advisory board with representatives from fire, police, EMS, local governments, and tribal entities to award grants for specific priorities like recruiting personnel, modernizing response systems, expanding mental health crisis teams, and improving communications technology. These grants will directly assist local emergency services providers, rural fire districts, tribal governments, and communities seeking to enhance public safety coverage. The fund is funded through a dedicated annual transfer from the legacy earnings fund, with the Department of Emergency Services administering the grant program.
HB 1471 requires dental benefit plans in North Dakota to offer payment methods other than credit cards to dentists, preventing plans from requiring credit card payments only. It mandates that plans notify dentists about any fees for specific payment methods, explain available options, and provide clear instructions for selecting fee-free alternatives. The bill also prohibits charging transmission fees for electronic payments unless the dentist consents, and restricts plans from sharing credit card company profits to cover claim payments. This directly affects dental benefit plans, their vendors, and health maintenance organizations when paying dentists in North Dakota.
HB 1039 amends a North Dakota law to clarify which medical professionals can join the state's Physician Health Program. It specifically updates the definition of "licensee" eligible for participation in this program, ensuring only certain licensed healthcare providers qualify. The change directly affects doctors and other medical license holders seeking support for health issues without jeopardizing their licenses. The bill was enacted into law after passing through the state legislature and receiving the governor's signature in March 2025.
HB 1030 renames "drug court" programs to "treatment court" across multiple North Dakota statutes, focusing on rehabilitation rather than punitive measures. It directly affects courts, judges, and individuals participating in these specialized programs by updating terminology in legal codes. The bill does not create new programs or funding but adjusts existing court procedures to align with the treatment-focused approach. The legislation was signed into law by the Governor on March 14, 2025, and is now effective.
