# North Dakota SB 2146: AN ACT to create and enact chapter 43-40.1 of the North Dakota Century Code, relating to the occupational therapy licensure compact. North Dakota SB 2146, AN ACT to create and enact chapter 43-40.1 of the North Dakota Century Code, relating to the occupational therapy licensure compact., is a 2025 Regular Session Senate bill sponsored by Kristin Roers (Republican); status signed, last action 2025-04-04 (Filed with Secretary Of State 04/03); PRIA reads it as touching household money (as of 2026-10-18). - Canonical: https://policyrisk.com/state-bill/ND-SB2146-202501 - As of: 2026-10-18 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: North Dakota SB 2146 - State: North Dakota - Session: 2025 Regular Session - Title: AN ACT to create and enact chapter 43-40.1 of the North Dakota Century Code, relating to the occupational therapy licensure compact. - Status: signed - Chamber: Senate - Introduced: 2025-01-07 - Last action: 2025-04-04, Filed with Secretary Of State 04/03 - Sponsor: Kristin Roers (Republican) - Cosponsors: 5 - Touches household money: yes - Roll calls: 2 (137 yes, 0 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - Occupational therapy workers gain interstate practice: mixed, medium. 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… - Moving therapy workers face licensing rules: mixed, low. 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 m… - States share oversight of therapy licenses: mixed, low. 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 in… - Therapy patients gain shared disciplinary safeguards: mixed, low. 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 act… ## Sponsors and cosponsors - Sponsor: Kristin Roers (Republican), Senate - Cosponsor: Kathy Frelich (Republican), House - Cosponsor: Dawson Holle (Republican), House - Cosponsor: Emily O'Brien (Republican), House - Cosponsor: Matthew Ruby (Republican), House - Cosponsor: Jeff Barta (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-03-27 | House | Second reading, passed, yeas 90 nays 0 | pass | 90 | 0 | | | 2025-01-17 | Senate | Second reading, passed, yeas 47 nays 0 | pass | 47 | 0 | | ## Actions (15) - 2025-04-04: Filed with Secretary Of State 04/03 (House) - 2025-04-03: Signed by Governor 04/02 (Senate) - 2025-04-01: Sent to Governor (Senate) - 2025-04-01: Signed by President (Senate) - 2025-04-01: Signed by Speaker (House) - 2025-03-28: Returned to Senate (Senate) - 2025-03-27: Second reading, passed, yeas 90 nays 0 (House) - 2025-03-24: Reported back, do pass, place on calendar 12 0 2 (House) - 2025-03-24: Committee Hearing 09:00 (House) - 2025-02-13: Introduced, first reading, referred Industry, Business and Labor Committee (House) - 2025-01-20: Received from Senate (House) - 2025-01-17: Second reading, passed, yeas 47 nays 0 (Senate) - 2025-01-16: Reported back, do pass, place on calendar 5 0 0 (Senate) - 2025-01-16: Committee Hearing 10:00 (Senate) - 2025-01-07: Introduced, first reading, referred Workforce Development Committee (Senate) ## Bill text - Enrollment: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0274-03000.pdf) - INTRODUCED: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0274-02000.pdf) ## Related bills - SB 2390: AN ACT to create and enact three new sections to chapter 54-40.1 of the North Dakota Century Code, relating to a rural catalyst committee, grant program, and f… (signed) - HB 1298: AN ACT to amend and reenact sections 39-06.1-06, 39-09-02, 39-09-04, and 39-09-07.1, and subsection 2 of section 40-05-06 of the North Dakota Century Code, rel… (signed) - HB 1229: AN ACT to create and enact a new subdivision to subsection 2 of section 39-06.1-06 and section 39-10-71.1 of the North Dakota Century Code, relating to statuto… (signed) - SB 2113: AN ACT to create and enact two new sections to chapter 50-06 of the North Dakota Century Code, relating to certified community behavioral health clinics and th… (signed) - SB 2147: AN ACT to create and enact a new subsection to section 15-10-38.4, a new subsection to section 15-62.4-03, a new section to chapter 15-62.4, and a new subsecti… (signed) - SB 2018: AN ACT to provide an appropriation for defraying the expenses of the department of commerce; to provide an appropriation to the attorney general; to provide an… (signed) ## Sources - [Enrollment (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0274-03000.pdf) - [INTRODUCED (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0274-02000.pdf) ## Related - [SB 2390: AN ACT to create and enact three new sections to chapter 54-40.1 of the North D…](https://policyrisk.com/state-bill/ND-SB2390-202501) - [HB 1298: AN ACT to amend and reenact sections 39-06.1-06, 39-09-02, 39-09-04, and 39-09-…](https://policyrisk.com/state-bill/ND-HB1298-202501) - [HB 1229: AN ACT to create and enact a new subdivision to subsection 2 of section 39-06.1…](https://policyrisk.com/state-bill/ND-HB1229-202501) - [SB 2113: AN ACT to create and enact two new sections to chapter 50-06 of the North Dakot…](https://policyrisk.com/state-bill/ND-SB2113-202501) - [SB 2147: AN ACT to create and enact a new subsection to section 15-10-38.4, a new subsec…](https://policyrisk.com/state-bill/ND-SB2147-202501) - [SB 2018: AN ACT to provide an appropriation for defraying the expenses of the department…](https://policyrisk.com/state-bill/ND-SB2018-202501) - [North Dakota bills](https://policyrisk.com/states/north-dakota/bills) - [North Dakota state hub](https://policyrisk.com/states/north-dakota) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/ND-SB2146-202501 (as of 2026-10-18).