North DakotaSB 20702025 Regular SessionSenateWALLET

AN ACT to amend and reenact sections 50-10.2-01, 50-10.2-02, and 50-10.2-02.1 of the North Dakota Century Code, relating to the rights of health care facility residents.

Sponsored By: Senate Human Services

Became Law

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 1 costs, 1 mixed.

Facilities can require proof of payment

A facility may ask you or your representative for financial information, including income, assets, and transfers. If you cannot verify a viable way to pay, the facility may deny admission. If denied for this reason, the facility must tell you in writing.

Install room monitors with rules and costs

The law lets you or your representative install a fixed monitoring device in your room. You must give the facility a written plan, record only your area, and include a date and time on recordings. Roommates must sign HIPAA‑compliant consent before recording. The facility must help with placement unless it is an undue burden and must post a clear sign where monitoring is used. You pay all device costs, including buying, installing, repairs, removal, and any room damage; the facility covers electricity. The facility cannot deny admission, remove you, or retaliate just because you use authorized monitoring. The law clarifies which devices count as monitors and which are personal communication devices. If the facility follows these rules, it is not criminally or civilly liable for privacy violations tied to allowing a compliant device.

Clearer rights and inspection access

The facility must explain your rights within 14 days of admission and again every year. If you cannot understand, the facility must explain the rights to your family, guardian, or representative. The facility must also tell the public that inspection records exist and provide full inspection, deficiency, and correction reports from the past three years on request.

Stronger privacy for in-room recordings

In a shared room, a roommate must sign to allow monitoring and can limit audio, video, times, direction, and focus. A roommate may withdraw their consent in writing, and the device must then be disabled. If a new roommate moves in, monitoring must stop unless the new roommate authorizes it. When roommates disagree, the facility must try to accommodate both residents. Staff cannot access recordings without your written consent or a court order. No one may intercept or share recordings without your written consent. Intentionally tampering with a device or its recordings can be a class B misdemeanor, and tampered material may be excluded from proceedings.

Sponsors & Cosponsors

Sponsor

  • Senate Human Services

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 186 • No: 0

Senate vote 4/21/2025

Second reading, passed, yeas 47 nays 0

Yes: 47 • No: 0

House vote 3/26/2025

Second reading, passed as amended, yeas 92 nays 0

Yes: 92 • No: 0

Senate vote 1/27/2025

Second reading, passed, yeas 47 nays 0

Yes: 47 • No: 0

Actions Timeline

  1. Filed with Secretary Of State 05/01

    5/2/2025House
  2. Signed by Governor 04/30

    5/1/2025Senate
  3. Sent to Governor

    4/29/2025Senate
  4. Signed by President

    4/29/2025Senate
  5. Signed by Speaker

    4/28/2025House
  6. Conference committee report adopted

    4/24/2025House
  7. Reported back from conference committee, placed on calendar (Senate accept)

    4/21/2025House
  8. Second reading, passed, yeas 47 nays 0

    4/21/2025Senate
  9. Conference committee report adopted

    4/21/2025Senate
  10. Reported back from conference committee, placed on calendar (Senate accept)

    4/16/2025Senate
  11. Conference committee appointed Frelich M. Ruby Rios

    4/3/2025House
  12. Conference committee appointed Roers Van Oosting Hogan

    4/2/2025Senate
  13. Refused to concur

    4/2/2025Senate
  14. Returned to Senate (12)

    3/27/2025Senate
  15. Second reading, passed as amended, yeas 92 nays 0

    3/26/2025House
  16. Amendment adopted, placed on calendar

    3/24/2025House
  17. Reported back amended, do pass, amendment placed on calendar 11 0 2

    3/21/2025House
  18. Committee Hearing 10:30

    3/11/2025House
  19. Introduced, first reading, referred Human Services Committee

    2/18/2025House
  20. Received from Senate

    1/28/2025House
  21. Second reading, passed, yeas 47 nays 0

    1/27/2025Senate
  22. Amendment adopted, placed on calendar

    1/24/2025Senate
  23. Reported back amended, do pass, amendment placed on calendar 6 0 0

    1/23/2025Senate
  24. Committee Hearing 10:00

    1/14/2025Senate
  25. Introduced, first reading, referred Human Services Committee

    1/7/2025Senate

Bill Text

  • Adopted by the House Human Services Committee

  • Adopted by the Senate Human Services Committee

  • Enrollment

  • FIRST ENGROSSMENT

  • FIRST ENGROSSMENT with House Amendments

  • INTRODUCED

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