# North Dakota SB 2280: AN ACT to create and enact chapter 26.1-36.12 of the North Dakota Century Code, relating to prior authorization for health insurance; to provide for a legislative management study; to provide for a legislative management report; and to provide an effective date. North Dakota SB 2280, AN ACT to create and enact chapter 26.1-36.12 of the North Dakota Century Code, relating to prior authorization for health insurance; to provide for a legislative management study; to provide for a legislative management report; and to provide an effective date., is a 2025 Regular Session Senate bill sponsored by Scott Meyer (Republican); status signed, last action 2025-04-24 (Filed with Secretary Of State 04/22); PRIA reads it as touching household money (as of 2026-10-18). - Canonical: https://policyrisk.com/state-bill/ND-SB2280-202501 - 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 2280 - State: North Dakota - Session: 2025 Regular Session - Title: AN ACT to create and enact chapter 26.1-36.12 of the North Dakota Century Code, relating to prior authorization for health insurance; to provide for a legislative management study; to provide for a legislative management report; and to provide an effective date. - Status: signed - Chamber: Senate - Introduced: 2025-01-20 - Last action: 2025-04-24, Filed with Secretary Of State 04/22 - Sponsor: Scott Meyer (Republican) - Cosponsors: 5 - Touches household money: yes - Roll calls: 3 (179 yes, 7 no in all) - Economic provisions PRIA read: 6 ## Summary No summary available. ## Bill overview: provisions PRIA read - Emergency patients need no advance approval: benefit, medium. Beginning January 1, 2026, covered North Dakota plans cannot require advance approval for prehospital transport or emergency care. An emergency means symptoms a reasonable person would expect to seriously threaten health or bodily function without care. Reviewers must allow at least 2 business days… - Longer approvals protect patients' ongoing care: benefit, medium. Beginning January 1, 2026, covered North Dakota plans must keep approvals valid at least 6 months after providers receive them. Approvals for chronic or long-term conditions must last at least 12 months. Reviewers cannot revoke, limit, condition, or restrict approval for care provided within 45 bus… - Opioid treatment needs no advance approval: benefit, medium. Beginning January 1, 2026, covered North Dakota plans cannot require prior approval for medication-assisted treatment for opioid use disorder. This treatment combines FDA-approved medicines with counseling and behavioral therapies. Medicaid and the Public Employees Retirement System uniform group i… - Clearer health approval rules for patients: benefit, low. Beginning January 1, 2026, covered North Dakota plans' review organizations must post approval requirements, restrictions, and clinical criteria online. The information must be detailed, in plain language, and accessible to patients, providers, and the public. Reviewers must update the website befo… - Patients gain stronger health denial appeals: benefit, low. Beginning January 1, 2026, covered North Dakota plans must offer written appeal procedures to patients and their attending providers. Patients can review information used, present evidence and testimony, and receive continued coverage while an appeal is pending. Initial denials must come from a lic… - Faster health approval decisions for patients: mixed, medium. Beginning January 1, 2026, covered North Dakota plans must decide routine requests within 7 calendar days and urgent requests within 72 hours. Both deadlines start after reviewers receive all needed information, including any required exam or second opinion. Reviewers must notify the patient and pr… ## Sponsors and cosponsors - Sponsor: Scott Meyer (Republican), Senate - Cosponsor: Jon O. Nelson (Republican), House - Cosponsor: Jonathan Warrey (Republican), House - Cosponsor: Jeff Barta (Republican), Senate - Cosponsor: Brad Bekkedahl (Republican), Senate - Cosponsor: Sean Cleary (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-15 | Senate | Second reading, passed, yeas 43 nays 3 | pass | 43 | 3 | | | 2025-04-08 | House | Second reading, passed as amended, yeas 93 nays 0 | pass | 93 | 0 | | | 2025-02-19 | Senate | Second reading, passed, yeas 43 nays 4 | pass | 43 | 4 | | ## Actions (20) - 2025-04-24: Filed with Secretary Of State 04/22 (House) - 2025-04-23: Signed by Governor 04/21 (Senate) - 2025-04-18: Sent to Governor (Senate) - 2025-04-18: Signed by President (Senate) - 2025-04-18: Signed by Speaker (House) - 2025-04-15: Second reading, passed, yeas 43 nays 3 (Senate) - 2025-04-15: Concurred (Senate) - 2025-04-09: Returned to Senate (12) (Senate) - 2025-04-08: Second reading, passed as amended, yeas 93 nays 0 (House) - 2025-04-03: Amendment adopted, placed on calendar (House) - 2025-04-01: Reported back amended, do pass, amendment placed on calendar 10 0 4 (House) - 2025-03-24: Committee Hearing 09:45 (House) - 2025-03-17: Committee Hearing 02:30 (House) - 2025-02-21: Introduced, first reading, referred Industry, Business and Labor Committee (House) - 2025-02-20: Received from Senate (House) - 2025-02-19: Second reading, passed, yeas 43 nays 4 (Senate) - 2025-02-17: Amendment adopted, placed on calendar (Senate) - 2025-02-14: Reported back amended, do pass, amendment placed on calendar 5 0 0 (Senate) - 2025-02-05: Committee Hearing 02:30 (Senate) - 2025-01-20: Introduced, first reading, referred Industry and Business Committee (Senate) ## Bill text - Adopted by the House Industry, Business and Labor Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-03003m.pdf) - Adopted by the Senate Industry and Business Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-02005m.pdf) - Enrollment: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-05000.pdf) - FIRST ENGROSSMENT: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-03000.pdf) - FIRST ENGROSSMENT with House Amendments: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-04000.pdf) - INTRODUCED: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-02000.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 - [Adopted by the House Industry, Business and Labor Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-03003m.pdf) - [Adopted by the Senate Industry and Business Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-02005m.pdf) - [Enrollment (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-05000.pdf) - [FIRST ENGROSSMENT (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-03000.pdf) - [FIRST ENGROSSMENT with House Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-04000.pdf) - [INTRODUCED (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1180-02000.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-SB2280-202501 (as of 2026-10-18).