North Dakota 69-2025 Assembly Status: Enacted

SB 2076 — Relating to prior authorization and certification of medically necessary medication.

Last action — Filed with Secretary Of State 04/16

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 07, 2025. Enacted.

Signed by Governor Kelly Armstrong (Republican) on April 17, 2025.

Prognosis

Likely to advance 70% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

AN ACT to amend and reenact section 50-24.6-04 of the North Dakota Century Code, relating to prior authorization and certification of medically necessary medication.

Bill Text

What changed in the latest version

125 added · 124 removed

Plain-language change summary

The recent amendments to SB 2076 include a clearer outline of the criteria for granting prior authorization for certain medications. Now, the Department of Human Services is required to provide medical and clinical criteria, cost information, and utilization data to the drug use review board for evaluation. This change is important because it aims to enhance transparency and ensure that health care providers have the necessary information to make informed decisions about patient care, ultimately helping patients get the medications they need more effectively.

→
Previous
Latest
25.8085.01001 Adopted by the Human Services Title.02000 Committee March 24, 2025 Sixty-ninth Legislative Assembly of North Dakota PROPOSED AMENDMENTS TO SENATE BILL NO.
Sixty-ninth Legislative Assembly of North Dakota In Regular Session Commencing Tuesday, January 7, 2025 SENATE BILL NO.
2076 Introduced by Human Services Committee (At the request of the Department of Health and Human Services) A BILL for an Act to amend and reenact section 50-24.6-04 of the North Dakota Century Code, relating to prior authorization and certification of medically necessary medication.
2076 (Human Services Committee) (At the request of the Department of Health and Human Services) AN ACT to amend and reenact section 50-24.6-04 of the North Dakota Century Code, relating to prior authorization and certification of medically necessary medication.
The department shall work with the Page No.
The department shall work with the medical assistance recipient's health care provider to assure treatment can be found for diagnoses with no compendia supported medications.
1 25.8085.01001 Sixty-ninth Legislative Assembly medical assistance recipient's health care provider to assure treatment can be found for diagnoses with no compendia supported medications.
b.
S.
B.
NO.
2076 - PAGE 2 b.
Page No.
(5) Antineoplastic agents;
2 25.8085.01001 Sixty-ninth Legislative Assembly (5) Antineoplastic agents;
Page No.
5.
3 25.8085.01001 Sixty-ninth Legislative Assembly 5.
a.
S.
B.
NO.
2076 - PAGE 3 a.
Page No.
S.
4 25.8085.01001
B.
NO.
2076 - PAGE 4 ____________________________ ____________________________ President of the Senate Speaker of the House ____________________________ ____________________________ Secretary of the Senate Chief Clerk of the House This certifies that the within bill originated in the Senate of the Sixty-ninth Legislative Assembly of North Dakota and is known on the records of that body as Senate Bill No.
2076.
Senate Vote:
Yeas 46 Nays 0 Absent 1 House Vote:
Yeas 92 Nays 0 Absent 2 ____________________________ Secretary of the Senate Received by the Governor at ________M.
on _____________________________________, 2025.
Approved at ________M.
on __________________________________________________, 2025.
____________________________ Governor Filed in this office this ___________day of _______________________________________, 2025, at ________ o’clock ________M.
____________________________ Secretary of State
⬇ Download PDF
View plain text versions (4)

How this bill changes current law

6 changes Share ↗

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

This bill amends the prior authorization program for medically necessary medications by clarifying restrictions and processes for approval and certification.

  • 50-24.6-04

    exceptExcept for quantity limits that may be no less than the pharmaceutical manufacturer's package insert → except for quantity limits that may be no less than the pharmaceutical manufacturer's package insert

    Corrects a typographical error in the text regarding exceptions for quantity limits.

  • 50-24.6-04

    b. For individuals under eighteen years of age, except for quantity limits that may be no less than the pharmaceutical manufacturer's package insert → b. For individuals under eighteen years of age, except for quantity limits that may be no less than the pharmaceutical manufacturer's package insert

    Clarifies the text regarding exceptions for individuals under eighteen years old.

  • 50-24.6-04

    c. The restrictions of this subsection do not apply if prior authorization is required by the centers for Medicare and Medicaid services. → e. The restrictions of this subsection do not apply if prior authorization is required by the centers for Medicare and Medicaid services.

    Renumbers the existing provision regarding Medicare and Medicaid prior authorization.

  • 50-24.6-04

    f.c. As used in this subsection, "substantially all" means that all drugs and unique dosage forms in the medication classes outlined in paragraphs 1 through 6 of subdivisionssubdivision a and b are expected to be covered without prior authorization → g.e. As used in this subsection, "substantially all" means that all drugs and unique dosage forms in the medication classes outlined in paragraphs 1 through 6 of subdivisions a and b are expected to be covered without prior authorization

    Renumbers the subsection regarding the definition of 'substantially all'.

  • 50-24.6-04

    the department may not prior authorize substantially all drugs in the following medication classes: → the department may not prior authorize substantially all drugs in the following medication classes:

    Clarifies the text regarding restrictions on prior authorization.

  • 50-24.6-04

    The certification program shall apply to individuals under the age of twenty-two and may apply to other individuals at the discretion of the department. → The certification program shall apply to individuals under the age of twenty-two and may apply to other individuals at the discretion of the department.

    Clarifies the application of the certification program.

Action History

  1. Filed with Secretary Of State 04/16

  2. Signed by Governor 04/16

  3. Sent to Governor

  4. Signed by President

  5. Signed by Speaker

  6. Second reading, passed, yeas 46 nays 0

  7. Concurred

  8. Returned to Senate (12)

  9. Second reading, passed as amended, yeas 92 nays 0

  10. Amendment adopted, placed on calendar

  11. Reported back amended, do pass, amendment placed on calendar 12 0 1

  12. Committee Hearing 11:00

  13. Introduced, first reading, referred Human Services Committee

  14. Received from Senate

  15. Second reading, passed, yeas 45 nays 2

  16. Reported back, do pass, place on calendar 6 0 0

  17. Committee Hearing 09:30

  18. Introduced, first reading, referred Human Services Committee

Sponsors

  • Senate Human Services · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 147 not signed on · 2 voted No

Sponsors (1)

  • Senate Human Services

Co-sponsors (0)

None.

Not signed on (147)

147 members have not signed on to this bill.

Show all 147 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Final Passage

Passed 46 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 1000
Republican 40001
Democratic 5000
Total 46001
% of votes cast 98%0%0%2%
How each member voted (47)
Member Party Vote
van Oosting — Yea
Boschee, Josh Democratic Yea
Braunberger, Ryan Democratic Yea
Hogan, Kathy Democratic Yea
Marcellais, Richard Democratic Yea
Mathern, Tim Democratic Yea
Axtman, Michelle Republican Yea
Barta, Jeff Republican Yea
Beard, Todd Republican Yea
Bekkedahl, Brad Republican Yea
Boehm, Keith Republican Yea
Burckhard, Randy A. Republican Yea
Castaneda, Jose L. Republican Yea
Cleary, Sean Republican Yea
Clemens, David A. Republican Yea
Conley, Cole Republican Yea
Cory, Claire Republican Yea
Davison, Kyle Republican Yea
Dever, Dick Republican Yea
Dwyer, Michael Republican Yea
Enget, Mark Republican Yea
Erbele, Robert Republican Yea
Gerhardt, Justin Republican Yea
Hogue, David Republican Not Voting
Kessel, Greg Republican Yea
Klein, Jerry Republican Yea
Larson, Diane Republican Yea
Lee, Judy Republican Yea
Lemm, Randy D. Republican Yea
Luick, Larry Republican Yea
Magrum, Jeffery J. Republican Yea
Meyer, Scott Republican Yea
Myrdal, Janne Republican Yea
Patten, Dale Republican Yea
Paulson, Bob Republican Yea
Powers, Michelle Republican Yea
Roers, Kristin Republican Yea
Rummel, Dean Republican Yea
Schaible, Donald Republican Yea
Sickler, Jonathan Republican Yea
Sorvaag, Ronald Republican Yea
Thomas, Paul J. Republican Yea
Walen, Chuck Republican Yea
Wanzek, Terry M. Republican Yea
Weber, Mark F. Republican Yea
Weston, Kent Republican Yea
Wobbema, Mike Republican Yea

Official roll call →

Final Passage

Passed 92 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 1000
Republican 81001
Democratic 10001
Total 92002
% of votes cast 98%0%0%2%
How each member voted (94)
Member Party Vote
Olson — Yea
Brown, Collette Democratic Yea
Conmy, Liz Democratic Yea
Davis, Jayme Democratic Not Voting
Dobervich, Gretchen Democratic Yea
Finley-DeVille, Lisa Democratic Yea
Foss, Austin Democratic Yea
Hager, LaurieBeth Democratic Yea
Hanson, Karla Rose Democratic Yea
Ista, Zachary Democratic Yea
Mitskog, Alisa Democratic Yea
Schneider, Mary Democratic Yea
Anderson, Bert Republican Yea
Anderson, Dick Republican Yea
Anderson, Karen A. Republican Yea
Bahl, Landon Republican Yea
Beltz, Mike Republican Yea
Berg, Mike Republican Yea
Bolinske, Macy Republican Yea
Bosch, Glenn Republican Yea
Brandenburg, Mike Republican Yea
Brown, TJ Republican Yea
Christianson, Nels Republican Yea
Dockter, Jason Republican Yea
Dressler, Ty Republican Yea
Fegley, Clayton Republican Yea
Fisher, Jay Republican Yea
Frelich, Kathy Republican Yea
Grindberg, Karen Republican Yea
Grueneich, Jim Republican Yea
Hagert, Jared C. Republican Yea
Hatlestad, Patrick R. Republican Yea
Hauck, Dori Republican Yea
Headland, Craig Republican Yea
Heilman, Matthew Republican Yea
Heinert, Pat D. Republican Yea
Henderson, Donna Republican Yea
Hendrix, Jared Republican Yea
Holle, Dawson Republican Yea
Hoverson, Jeff Republican Yea
Johnson, Jorin Republican Yea
Johnston, Daniel Republican Yea
Jonas, Jim Republican Not Voting
Karls, Karen Republican Yea
Kasper, Jim Republican Yea
Kempenich, Keith Republican Yea
Kiefert, Dwight Republican Yea
Klemin, Lawrence R. Republican Yea
Koppelman, Ben Republican Yea
Lefor, Mike Republican Yea
Longmuir, Donald W. Republican Yea
Louser, Scott Republican Yea
Maki, Roger A. Republican Yea
Marschall, Andrew Republican Yea
Martinson, Bob Republican Yea
McLeod, Carrie Republican Yea
Meier, Lisa Republican Yea
Monson, David Republican Yea
Morton, Desiree Republican Yea
Motschenbacher, Mike Republican Yea
Murphy, Eric J. Republican Yea
Nathe, Mike Republican Yea
Nehring, Dennis Republican Yea
Nelson, Jon O. Republican Yea
Novak, Anna S. Republican Yea
O'Brien, Emily Republican Yea
Olson, Jeremy Republican Yea
Osowski, Doug Republican Yea
Ostlie, Mitch Republican Yea
Porter, Todd Republican Yea
Pyle, Brandy L. Republican Yea
Richter, David Republican Yea
Rios, Nico Republican Yea
Rohr, Karen M. Republican Yea
Ruby, Dan Republican Yea
Ruby, Matthew Republican Yea
Sanford, Mark Republican Yea
Satrom, Bernie Republican Yea
Schatz, Mike Republican Yea
Schauer, Austen Republican Yea
Schreiber-Beck, Cynthia Republican Yea
Steiner, Vicky Republican Yea
Stemen, Gregory Republican Yea
Swiontek, Steve Republican Yea
Toman, Nathan Republican Yea
Tveit, Bill Republican Yea
VanWinkle, Lori Republican Yea
Vetter, Steve Republican Yea
Vigesaa, Don Republican Yea
Vollmer, Daniel R. Republican Yea
Wagner, Scott Republican Yea
Warrey, Jonathan Republican Yea
Weisz, Robin Republican Yea
Wolff, Christina Republican Yea

Official roll call →

Final Passage

Passed 45 Yea · 2 Nay
Party YeaNayPresentNot Voting
Republican 39200
Democratic 5000
Unaffiliated 1000
Total 45200
% of votes cast 96%4%0%0%
How each member voted (47)
Member Party Vote
van Oosting — Yea
Boschee, Josh Democratic Yea
Braunberger, Ryan Democratic Yea
Hogan, Kathy Democratic Yea
Marcellais, Richard Democratic Yea
Mathern, Tim Democratic Yea
Axtman, Michelle Republican Yea
Barta, Jeff Republican Yea
Beard, Todd Republican Yea
Bekkedahl, Brad Republican Yea
Boehm, Keith Republican Yea
Burckhard, Randy A. Republican Yea
Castaneda, Jose L. Republican Yea
Cleary, Sean Republican Yea
Clemens, David A. Republican Yea
Conley, Cole Republican Nay
Cory, Claire Republican Yea
Davison, Kyle Republican Yea
Dever, Dick Republican Yea
Dwyer, Michael Republican Yea
Enget, Mark Republican Yea
Erbele, Robert Republican Yea
Gerhardt, Justin Republican Yea
Hogue, David Republican Yea
Kessel, Greg Republican Yea
Klein, Jerry Republican Yea
Larson, Diane Republican Yea
Lee, Judy Republican Yea
Lemm, Randy D. Republican Yea
Luick, Larry Republican Yea
Magrum, Jeffery J. Republican Yea
Meyer, Scott Republican Yea
Myrdal, Janne Republican Yea
Patten, Dale Republican Yea
Paulson, Bob Republican Yea
Powers, Michelle Republican Yea
Roers, Kristin Republican Yea
Rummel, Dean Republican Yea
Schaible, Donald Republican Yea
Sickler, Jonathan Republican Yea
Sorvaag, Ronald Republican Yea
Thomas, Paul J. Republican Nay
Walen, Chuck Republican Yea
Wanzek, Terry M. Republican Yea
Weber, Mark F. Republican Yea
Weston, Kent Republican Yea
Wobbema, Mike Republican Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 2076 do?
AN ACT to amend and reenact section 50-24.6-04 of the North Dakota Century Code, relating to prior authorization and certification of medically necessary medication.
Who sponsors SB 2076?
SB 2076 is sponsored by Senate Human Services.
What is the current status of SB 2076?
This bill has been enacted into law. Introduced January 07, 2025. Enacted.
Where can I track SB 2076?
Track SB 2076 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SB 2076

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of SB 2076

Last checked for changes 4 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →