All Roll Calls
Yes: 137 • No: 0
North DakotaSB 21462025 Regular SessionSenateWALLET
AN ACT to create and enact chapter 43-40.1 of the North Dakota Century Code, relating to the occupational therapy licensure compact.
Sponsored By: Kristin Roers (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 2 benefits, 0 costs, 3 mixed.
Moving or military, easier license transfer
If you move to another member state, you can convert your status and get a new home‑state license. Apply, pay fees, and tell both states; the new state verifies eligibility through the compact system. If you do not meet compact criteria, you get a single‑state license. Active‑duty service members and spouses may keep their home‑state license during active duty. After active duty, you change home state by applying or using the compact transfer process.
Keep or lose your compact privilege
Your home state controls your license, but any remote state can act on your compact privilege there. If your home‑state license is encumbered, your compact privileges deactivate in all states until you clear the encumbrance and two years have passed after completing all terms. Remote states may remove privileges for a set time and fine you. Reinstatement needs the waiting period, payment of fines, and updates in the compact data system. Member states can issue subpoenas, run joint investigations, share files, and must treat out‑of‑state reports like in‑state ones and finish investigations even after you move.
Work across states with one OT license
This law creates an interstate compact for occupational therapy. If you hold a valid, unencumbered OT or OTA license in a member state, you can get a compact privilege to work in other member states. Care is considered delivered where the patient is, and you must follow that state’s laws and rules. To qualify, you need a home‑state license, a U.S. Social Security number or national practitioner ID, no encumbrances, a criminal background check, any required state jurisprudence, and payment of fees. If you had prior discipline, you must finish all terms and wait two years. A compact privilege lasts until your home‑state license expires. OTAs practicing remotely must be supervised by an OT who is licensed or holds a compact privilege in that state. The compact takes effect once ten states enact it.
States share OT license and discipline data
The compact commission runs a shared database on licenses, denials, alternative program participation (nonconfidential), adverse actions, and current investigations. Member states must license both OTs and OTAs, send a uniform data set, and keep complaint and investigation systems. States must complete FBI and state criminal background checks with fingerprints or biometrics on compact applicants, on the commission’s timeline. Investigative data is shared only among member states unless the source state allows public release, and expunged items must be removed.
Compact commission powers, rules, and funding
The law creates the Occupational Therapy Compact Commission to run the compact. The commission adopts binding rules with public notice and hearings, keeps a budget, hires staff, and may accept grants. It may assess member states or charge fees to cover costs and must keep audited records. Member states must enforce the compact; the commission can mediate disputes, intervene in cases, and sue a defaulting state. The compact takes effect when ten states enact it; later joiners follow existing rules, and a state can withdraw six months after repeal.
Sponsors & Cosponsors
Sponsor
Kristin Roers
Republican • Senate
Cosponsors
Kathy Frelich
Republican • House
Dawson Holle
Republican • House
Emily O'Brien
Republican • House
Matthew Ruby
Republican • House
Jeff Barta
Republican • Senate
Roll Call Votes
House vote • 3/27/2025
Second reading, passed, yeas 90 nays 0
Yes: 90 • No: 0
Senate vote • 1/17/2025
Second reading, passed, yeas 47 nays 0
Yes: 47 • No: 0
Actions Timeline
Filed with Secretary Of State 04/03
4/4/2025HouseSigned by Governor 04/02
4/3/2025SenateSent to Governor
4/1/2025SenateSigned by President
4/1/2025SenateSigned by Speaker
4/1/2025HouseReturned to Senate
3/28/2025SenateSecond reading, passed, yeas 90 nays 0
3/27/2025HouseReported back, do pass, place on calendar 12 0 2
3/24/2025HouseCommittee Hearing 09:00
3/24/2025HouseIntroduced, first reading, referred Industry, Business and Labor Committee
2/13/2025HouseReceived from Senate
1/20/2025HouseSecond reading, passed, yeas 47 nays 0
1/17/2025SenateReported back, do pass, place on calendar 5 0 0
1/16/2025SenateCommittee Hearing 10:00
1/16/2025SenateIntroduced, first reading, referred Workforce Development Committee
1/7/2025Senate
Bill Text
Enrollment
INTRODUCED
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