SB 2402 — AN ACT to create and enact two new sections to chapter 43-15 and a new subsection to section 43-48-03 of the North Dakota Century Code, relating to the prescriptive authority of pharmacists and therapeutic substitution; to amend and reenact subsection 1 of section 26.1-36.11-01 and section 43-15-01 of the North Dakota Century Code, relating to the scope of practice of pharmacists; to repeal section 43-15-25.3 of the North Dakota Century Code, relating to approved laboratory tests; and to provide an effective date.
Last action — Filed with Secretary Of State 01/23
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 21, 2026. Enacted.
Signed by Governor Kelly Armstrong (Republican) on January 23, 2026.
Prognosis
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Cleared a recorded vote
Passed 2 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Summary
Relating to the prescriptive authority of pharmacists and therapeutic substitution; to amend and reenact subsection 1 of section 26.1‑36.11‑01 and section 43‑15‑01 of the North Dakota Century Code, relating to the scope of practice of pharmacists; to repeal section 43‑15‑25.3 of the North Dakota Century Code, relating to approved laboratory tests; and to provide an effective date.
Bill Text
What changed in the latest version
365 added · 400 removedPlain-language change summary
The amendments to Senate Bill 2402 add provisions related to the prescriptive authority of pharmacists and therapeutic substitution, which allows pharmacists greater responsibility in managing and recommending medications. The changes also clarify the definition of "comprehensive medication management," emphasizing the need for individual assessments of both prescription and nonprescription medications to ensure their appropriateness and safety for patients. These updates are important as they aim to improve patient care by allowing pharmacists to play a more active role in medication management, potentially leading to better health outcomes.
25.1386.03000 Sixty-ninth Legislative Assembly of North Dakota FIRSTIn ENGROSSMENTSpecial ENGROSSEDSession Commencing Wednesday, January 21, 2026 SENATE BILL NO.
2402 Introduced(Legislative byManagement) Legislative Management (Joint Policy Committee) AAN BILLACT for an Act to create and enact two new sections to chapter 43-15 and a new subsection to section 43-48-03 of the North Dakota Century Code, relating to the prescriptive authority of pharmacists and therapeutic substitution;
Page(4) No.Performing a comprehensive medication review to identify, resolve, and prevent medication-related problems, including adverse drug events;
1 25.1386.03000 Sixty-ninth Legislative Assembly (4) Performing a comprehensive medication review to identify, resolve, and prevent medication-related problems, including adverse drug events;
b.S.
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Immunization and vaccination by injection of an individual who is at least three years of age upon an order by a practitioner authorized to prescribe such a drug Pageor No.by written protocol with a physician or nurse practitioner and subsequently reported as a childhood immunization and other information if required to the state's immunization information system pursuant to section 23-01-05.3;
2 25.1386.03000 Sixty-ninth Legislative Assembly or by written protocol with a physician or nurse practitioner and subsequently reported as a childhood immunization and other information if required to the state's immunization information system pursuant to section 23-01-05.3;
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or Pageb. No.
5 25.1386.03000 Sixty-ninth Legislative Assembly b.
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"PharmacyB. technician" means a person registered by the board who is employed by a pharmacy to assist licensed pharmacists in the practice of pharmacy by performing Page No.
6NO. 25.1386.03000 Sixty-ninth Legislative Assembly specific tasks delegated by and under the immediate personal supervision and control of a licensed pharmacist, as permitted by the board.
2402 - PAGE 5 23.24.
"Pharmacy technician" means a person registered by the board who is employed by a pharmacy to assist licensed pharmacists in the practice of pharmacy by performing specific tasks delegated by and under the immediate personal supervision and control of a licensed pharmacist, as permitted by the board.
and the Pagel. No.
7 25.1386.03000 Sixty-ninth Legislative Assembly l.
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and the offering or performing of those acts, services, Pageoperations, No.or transactions necessary in the conduct, operation, management, and control of radiopharmaceuticals.
8 25.1386.03000 Sixty-ninth Legislative Assembly operations, or transactions necessary in the conduct, operation, management, and control of radiopharmaceuticals.
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2402 - PAGE 7 f.
The Pageplan No.may include follow-up care with the patient and communication with the patient's primary care provider.
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9 25.1386.03000 Sixty-ninth Legislative Assembly plan may include follow-up care with the patient and communication with the patient's primary care provider.
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10 25.1386.03000 Sixty-ninth Legislative Assembly a.
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PageTherapeutic No.substitution.
11 25.1386.03000 Sixty-ninth Legislative Assembly Therapeutic substitution.
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2402 - PAGE 10 ____________________________ ____________________________ 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.
2402.
Senate Vote:
Yeas 46 Nays 0 Absent 1 House Vote:
Yeas 91 Nays 1 Absent 2 ____________________________ Secretary of the Senate Received by the Governor at ________M.
on _____________________________________, 2026.
Approved at ________M.
on __________________________________________________, 2026.
____________________________ Governor Filed in this office this ___________day of _______________________________________, 2026, at ________ o’clock ________M.
____________________________ Secretary of State
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View plain text versions (3)
- Enrolled Enrollment Current pdf
- Engrossed FIRST ENGROSSMENT pdf
- Introduced View text pdf
Action History
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Filed with Secretary Of State 01/23
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Signed by Governor 01/23
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Sent to Governor
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Signed by President
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Signed by Speaker
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Returned to Senate
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Second reading, passed, yeas 91 nays 1
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Engrossment placed on calendar 14 0 0
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Introduced, first reading, referred Joint Policy Committee
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Received from Senate
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Second reading, passed, yeas 46 nays 0
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Amendment adopted, placed on calendar
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Reported back amended, do pass, amendment placed on calendar 14 0 0
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Committee Hearing 01:00
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Introduced, first reading, referred Joint Policy Committee
Sponsors
- Legislative Management · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 147 not signed on · 1 voted No
Sponsors (1)
- Legislative Management
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 81 | 1 | 0 | 1 |
| Democratic | 10 | 0 | 0 | 1 |
| Total | 91 | 1 | 0 | 2 |
| % of votes cast | 97% | 1% | 0% | 2% |
How each member voted (94)
| Member | Party | Vote |
|---|---|---|
| Brown, Collette | Democratic | Yea |
| Conmy, Liz | Democratic | Yea |
| Davis, Jayme | Democratic | Yea |
| 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 | Not Voting |
| 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 | Not Voting |
| 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 | Yea |
| Karls, Karen | Republican | Nay |
| 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 |
| McNally, Dustin | 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 |
| 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 |
| Skroch, Kathy | Republican | Yea |
| Steiner, Vicky | Republican | Yea |
| Stemen, Gregory | Republican | Yea |
| Swiontek, Steve | Republican | Yea |
| Timmons, Kelby | 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 |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 41 | 0 | 0 | 1 |
| Democratic | 5 | 0 | 0 | 0 |
| Total | 46 | 0 | 0 | 1 |
| % of votes cast | 98% | 0% | 0% | 2% |
How each member voted (47)
| Member | Party | Vote |
|---|---|---|
| Boschee, Josh | Democratic | Yea |
| Braunberger, Ryan | Democratic | Yea |
| Hogan, Kathy | Democratic | Yea |
| Marcellais, Richard | Democratic | Yea |
| Mathern, Tim | Democratic | Yea |
| Axtman, Michelle | Republican | Not Voting |
| 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 | 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 | Yea |
| Walen, Chuck | Republican | Yea |
| Wanzek, Terry M. | Republican | Yea |
| Weber, Mark F. | Republican | Yea |
| Weston, Kent | Republican | Yea |
| Wobbema, Mike | Republican | Yea |
| van Oosting, Desiree | Republican | Yea |
Subjects
Frequently asked questions
- What does SB 2402 do?
- Relating to the prescriptive authority of pharmacists and therapeutic substitution; to amend and reenact subsection 1 of section 26.1‑36.11‑01 and section 43‑15‑01 of the North Dakota Century Code, relating to the scope of practice of pharmacists; to repeal section 43‑15‑25.3 of the North Dakota Century Code, relating to approved laboratory tests; and to provide an effective date.
- Who sponsors SB 2402?
- SB 2402 is sponsored by Legislative Management.
- What is the current status of SB 2402?
- This bill has been enacted into law. Introduced January 21, 2026. Enacted.
- Where can I track SB 2402?
- Track SB 2402 free on One Click Politics — get push/email alerts when it moves.
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