All Roll Calls
Yes: 183 • No: 2
North DakotaSB 20762025 Regular SessionSenateWALLET
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.
Sponsored By: Senate Human Services
Signed by Governor
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
Fewer Medicaid drug approval hurdles
North Dakota Medical Assistance limits prior approval requirements for nearly all drugs in six groups, regardless of patient age. These include antipsychotics, antidepressants, seizure medicines, HIV medicines, cancer medicines, and drugs that prevent organ transplant rejection. The law removes separate rules for patients under 18, including the five-prescription prior approval requirement. The state can still set quantity limits, but not below the manufacturer's package directions. Approval exceptions remain for brand-name or generic equivalents favored by costs after rebates, and for new drug formulations. Abuse-deterrent formulations do not count as new formulations under this exception. Exceptions also cover federally required approvals and classes whose manufacturers withhold supplemental rebate or value-based purchasing offers because of these protections. The protection need not cover duplicate brands, extended-release versions when immediate-release versions are covered, products sharing an active ingredient, or dosage forms without a unique route of use.
Yearly Medicaid prescription checks for youth
North Dakota Medical Assistance requires yearly medical-need checks for patients under 22 taking five or more qualifying prescriptions at once. Qualifying drugs include antipsychotics, antidepressants, anticonvulsants, benzodiazepines, mood stabilizers, sedative-hypnotics, and attention deficit hyperactivity disorder medicines. Each prescriber must certify every year that each medicine they prescribe in the qualifying regimen is medically necessary. The state may deny payment for a medicine until its prescriber provides certification. The state may also extend this program to other patients.
Sponsors & Cosponsors
Sponsor
Senate Human Services
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/9/2025
Second reading, passed, yeas 46 nays 0
Yes: 46 • No: 0
House vote • 3/28/2025
Second reading, passed as amended, yeas 92 nays 0
Yes: 92 • No: 0
Senate vote • 1/15/2025
Second reading, passed, yeas 45 nays 2
Yes: 45 • No: 2
Actions Timeline
Filed with Secretary Of State 04/16
4/18/2025HouseSigned by Governor 04/16
4/17/2025SenateSent to Governor
4/15/2025SenateSigned by President
4/14/2025SenateSigned by Speaker
4/14/2025HouseSecond reading, passed, yeas 46 nays 0
4/9/2025SenateConcurred
4/9/2025SenateReturned to Senate (12)
3/31/2025SenateSecond reading, passed as amended, yeas 92 nays 0
3/28/2025HouseAmendment adopted, placed on calendar
3/26/2025HouseReported back amended, do pass, amendment placed on calendar 12 0 1
3/25/2025HouseCommittee Hearing 11:00
3/11/2025HouseIntroduced, first reading, referred Human Services Committee
2/13/2025HouseReceived from Senate
1/16/2025HouseSecond reading, passed, yeas 45 nays 2
1/15/2025SenateReported back, do pass, place on calendar 6 0 0
1/14/2025SenateCommittee Hearing 09:30
1/14/2025SenateIntroduced, first reading, referred Human Services Committee
1/7/2025Senate
Bill Text
Adopted by the House Human Services Committee
Enrollment
INTRODUCED
SENATE BILL NO. 2076 with House Amendments
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