All Roll Calls
Yes: 147 • No: 38
North DakotaSB 22322025 Regular SessionSenate
AN ACT to create and enact a new section to chapter 50-25.1 of the North Dakota Century Code, relating to an exemption for postpartum exposure to controlled substances and alcohol; to amend and reenact sections 50-25.1-16 and 50-25.1-17 of the North Dakota Century Code, relating to reporting requirements for prenatal exposure to controlled substances and alcohol abuse and toxicology test requirements; and to repeal section 50-25.1-18 of the North Dakota Century Code, relating to reporting requirements for prenatal exposure to alcohol misuse.
Sponsored By: Scott Meyer (Republican)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 1 benefits, 0 costs, 3 mixed.
Medical staff gain testing liability protection
Doctors and other medical staff have civil and criminal liability protection for good-faith decisions not to perform covered tests. Protection for giving a test requires the ordering doctor to believe in good faith that the test is required. The test must also follow reasonable medical practice. The law removes the prior reference to an established testing protocol from this protection.
Care exempts some reports after childbirth
The law creates a reporting exemption for suspected controlled-substance abuse or alcohol misuse after childbirth. Required reporters qualify while providing or coordinating postpartum care or substance-use services for the woman or her infant. This includes a woman’s voluntary entry into a licensed treatment program. Reporting becomes required if regular postnatal care stops or the woman fails to cooperate with infant services. Reporting is also required if she does not follow treatment advice or continues substance abuse or alcohol misuse.
Doctors gain mother and newborn testing options
Doctors may order drug or alcohol testing when pregnancy complications suggest nonmedical controlled-substance use or alcohol misuse. They may also test a woman under their care within eight hours after delivery. Her consent is required unless a sample is already available. Doctors may test newborns without parental or guardian consent when a medical assessment gives reason to suspect prenatal misuse. Positive results may be reported, including a newborn result as neglect. A negative result or refusal of maternal consent does not remove reporting duties supported by other evidence.
Pregnancy reporting expands with care exemptions
North Dakota adds alcohol misuse to required reporting of suspected substance abuse during pregnancy, replacing its separate alcohol-reporting section. Required reporters must report suspicions based on knowledge or reasonable cause gained through official or professional duties. Providers offering or coordinating prenatal care or substance-use treatment are exempt while services continue, including voluntary licensed treatment. They must report if regular prenatal care stops, treatment advice is not followed, or misuse continues. Anyone may report voluntarily. Reports must identify the woman, known details of use, and the reporter’s name and address. The department or its agent must immediately start an assessment and refer the woman for substance-use assessment and prenatal care. Following treatment recommendations is expected.
Sponsors & Cosponsors
Sponsor
Scott Meyer
Republican • Senate
Cosponsors
Gretchen Dobervich
Democratic • House
Emily O'Brien
Republican • House
Gregory Stemen
Republican • House
Judy Lee
Republican • Senate
Kristin Roers
Republican • Senate
Roll Call Votes
Senate vote • 4/15/2025
Second reading, passed, yeas 44 nays 2
Yes: 44 • No: 2
House vote • 4/8/2025
Second reading, passed as amended, yeas 57 nays 36
Yes: 57 • No: 36
Senate vote • 2/4/2025
Second reading, passed, yeas 46 nays 0
Yes: 46 • No: 0
Actions Timeline
Filed with Secretary Of State 04/22
4/24/2025HouseSigned by Governor 04/21
4/23/2025SenateSent to Governor
4/18/2025SenateSigned by President
4/18/2025SenateSigned by Speaker
4/18/2025HouseSecond reading, passed, yeas 44 nays 2
4/15/2025SenateConcurred
4/15/2025SenateReturned to Senate (12)
4/9/2025SenateSecond reading, passed as amended, yeas 57 nays 36
4/8/2025HouseAmendment adopted, placed on calendar
4/3/2025HouseReported back amended, do pass, amendment placed on calendar 7 6 0
4/1/2025HouseCommittee Hearing 02:30
3/17/2025HouseIntroduced, first reading, referred Human Services Committee
2/18/2025HouseReceived from Senate
2/5/2025HouseSecond reading, passed, yeas 46 nays 0
2/4/2025SenateReported back, do pass, place on calendar 6 0 0
2/3/2025SenateCommittee Hearing 09:00
2/3/2025SenateIntroduced, first reading, referred Human Services Committee
1/17/2025Senate
Bill Text
Adopted by the House Human Services Committee
Enrollment
INTRODUCED
SENATE BILL NO. 2232 with House Amendments
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