HB 1154 extends a moratorium on adding new basic care and nursing facility bed capacity in North Dakota from August 1, 2023, through July 31, 2029. It prohibits new licenses for basic care beds unless facilities convert existing beds, demonstrate high demand (90% occupancy within 50 miles for 12 months), or receive department approval. The bill also restricts nursing facilities from changing bed configurations more than twice annually, except for specific conversions or relicensing after July 31, 2011. This law directly affects nursing homes and care facilities seeking to expand or reconfigure bed capacity across the state.
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.
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.
HB 1108 amends North Dakota law to update rules for interstate contracts allowing mental health and substance use disorder treatment across state lines. It directly affects patients needing care outside North Dakota and healthcare providers coordinating treatment with other states. The bill establishes clearer requirements for these contracts, ensuring proper legal agreements between states to facilitate seamless patient care. The emergency declaration reflects the urgency of addressing gaps in cross-state treatment access for vulnerable populations.
HB 1457 would create a new exemption allowing individuals to avoid required vaccines (for school, work, or licensing) if the vaccine doesn't meet specific safety and effectiveness standards. These standards require the FDA-approved vaccine to have undergone at least one year of safety testing against a placebo, with injury data publicly posted, a lower risk of serious harm than the disease itself, and manufacturer liability for deaths or injuries. The North Dakota Department of Health must publicize this exemption and prohibit state agencies from requiring conditions inconsistent with it. The bill failed to pass during its second reading in February 2025.
HB 1349 proposes capping noneconomic damages (like pain and suffering) in North Dakota health care malpractice lawsuits at $500,000 initially, with scheduled annual increases to $1.5 million (2026), $2 million (2027), and $2.5 million (2028). It directly affects patients filing malpractice claims and healthcare providers facing such lawsuits, while exempting claims involving unborn fetuses. The bill requires courts to reduce jury awards to meet the cap without informing juries of the limit. The legislation failed to pass in the North Dakota legislature on February 7, 2025, with 30 votes in favor and 61 against.
