All Roll Calls
Yes: 121 • No: 9
North DakotaSB 22492025 Regular SessionSenateWALLET
AN ACT to provide for a legislative management study relating to health care mandates.
Sponsored By: Jeff Barta (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Faster step therapy overrides for patients
If your health plan uses step therapy, your clinician can request an exception. Plans, PBMs, and review agents must approve when the required drug is contraindicated, likely to cause harm due to your condition or past reaction, or is expected to be ineffective. They must also approve if a prior trial at a comparable dose failed, or you previously did well on the clinician’s chosen drug. If approved and the drug is on your plan’s covered list, the plan must cover it. Non-urgent decisions are due in five calendar days, urgent or emergency decisions in 72 hours. If they do not answer on time, the request is approved. Beginning July 1, 2025, the law applies to new coverage and remains in effect through June 30, 2027.
Sponsors & Cosponsors
Sponsor
Jeff Barta
Republican • Senate
Cosponsors
Landon Bahl
Republican • House
Karen Karls
Republican • House
Carrie McLeod
Republican • House
Jonathan Sickler
Republican • Senate
Roll Call Votes
House vote • 3/21/2025
Second reading, passed, yeas 75 nays 9
Yes: 75 • No: 9
Senate vote • 2/4/2025
Second reading, passed, yeas 46 nays 0
Yes: 46 • No: 0
Actions Timeline
Filed with Secretary Of State 03/31
4/1/2025HouseSigned by Governor 03/27
3/31/2025SenateSent to Governor
3/26/2025SenateSigned by President
3/26/2025SenateSigned by Speaker
3/26/2025HouseReturned to Senate
3/24/2025SenateSecond reading, passed, yeas 75 nays 9
3/21/2025HouseReported back, do pass, placed on consent calendar 12 0 1
3/20/2025HouseCommittee Hearing 10:15
3/20/2025HouseIntroduced, first reading, referred Political Subdivisions Committee
2/18/2025HouseReceived from Senate
2/5/2025HouseSecond reading, passed, yeas 46 nays 0
2/4/2025SenateAmendment adopted, placed on calendar
2/4/2025SenateReported back amended, do pass, amendment placed on calendar 6 0 0
2/3/2025SenateCommittee Hearing 10:30
1/29/2025SenateIntroduced, first reading, referred Human Services Committee
1/20/2025Senate
Bill Text
Adopted by the Senate Human Services Committee
Enrollment
FIRST ENGROSSMENT
INTRODUCED
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