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)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 0 benefits, 0 costs, 4 mixed.
Occupational therapy workers gain interstate practice
North Dakota joins the occupational therapy compact, which takes effect when the tenth state enacts it. Eligible occupational therapists and assistants can practice across member states, including through telehealth, without separate standard licenses. They need an active home-state license without restrictions, required background checks, and any required test on the other state's laws. Applicants pay applicable privilege and background-check fees; the law sets no dollar amounts. Each privilege lasts until the home-state license expires, subject to continued eligibility.
Moving therapy workers face licensing rules
Occupational therapists and assistants can have only one compact home-state license at a time. Moving between member states requires a new home-state application and applicable fees; the new state can require background and state-law checks. Practitioners who do not qualify under the compact must meet the new state's standard licensing rules. Those standard rules also apply when moving between a member and a nonmember state. Active-duty service members and spouses can keep a designated home state during active duty with a current license in good standing there.
States share oversight of therapy licenses
Member states establish a joint commission, with one delegate chosen by each state's occupational therapy licensing board. Its uniform rules bind member states. States must license therapists and assistants, use the shared data system, investigate complaints, and report required disciplinary and investigative records. They must also meet exam, continuing education, and fingerprint-based background-check requirements, including required FBI checks within the commission's timeframe. States can charge a compact-privilege fee, but the law sets no amount.
Therapy patients gain shared disciplinary safeguards
Practitioners must follow the patient's state's laws, and assistants need supervision by a therapist licensed or holding a privilege there. Only the home state can discipline its license; other states can remove local privileges or impose fines, with due process. States must report disciplinary actions to the shared system and share materials for joint investigations. Home-state discipline deactivates privileges elsewhere until license restrictions end; some cases also require a two-year wait after disciplinary conditions are completed. States can charge practitioners for investigation and case costs only when state law allows.
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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