All Roll Calls
Yes: 158 • No: 24
North DakotaSB 23752025 Regular SessionSenateWALLET
AN ACT to create and enact a new section to chapter 43-28 of the North Dakota Century Code, relating to joint negotiations by dental providers with dental insurers.
Sponsored By: Jose L. Castaneda (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 0 benefits, 0 costs, 3 mixed.
Insurers pay costs for state hearings
The Office of Administrative Hearings charges for administrative law judge services and related staff support. Dental insurers must pay the Office’s costs for these dental negotiation cases, following state payment rules. Agencies, local and tribal governments, courts, and nongovernmental entities that use the Office also pay these costs. All payments go into a special administrative hearings fund that pays salaries, operating costs, and travel set by state rates.
Dentists can jointly negotiate with limits
Dentists in an insurer’s service area can work together to negotiate non-fee contract terms, like medical-necessity rules, reviews, quality programs, referrals, and other plan rules. They can bargain over fees only after the Office of Administrative Hearings finds the insurer has substantial market power and the terms threaten care. A joint negotiation representative needs permission from the Office. Any deal must be filed with the Office, which has 30 days to approve or require fixes; it does not take effect until approved. All talks must be in good faith, and the Office may sanction bad-faith conduct. The law does not apply to plans that mainly serve Medicaid enrollees. The law defines fee topics, such as payment amounts, discounts, paid procedure codes, and code groupings. The Office will set detailed rules and procedures.
Voluntary dentist talks need AG approval
Before starting voluntary joint talks on non-fee issues, the representative must notify the Attorney General in writing with required details. The Attorney General has 90 days to decide, with one 30-day extension if all parties agree. If authorized, providers may negotiate through a representative the Attorney General approves. Any proposed terms must be sent back to the Attorney General for review; contracts take effect only after approval within the 90-day window.
Sponsors & Cosponsors
Sponsor
Jose L. Castaneda
Republican • Senate
Cosponsors
Mitch Ostlie
Republican • House
Don Vigesaa
Republican • House
Jeff Barta
Republican • Senate
Brad Bekkedahl
Republican • Senate
Judy Lee
Republican • Senate
Roll Call Votes
Senate vote • 4/15/2025
Second reading, passed, yeas 44 nays 2
Yes: 44 • No: 2
House vote • 3/28/2025
Second reading, passed as amended, yeas 78 nays 14
Yes: 78 • No: 14
Senate vote • 2/14/2025
Second reading, passed, yeas 36 nays 8
Yes: 36 • No: 8
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)
3/31/2025SenateSecond reading, passed as amended, yeas 78 nays 14
3/28/2025HouseAmendment adopted, placed on calendar
3/27/2025HouseReported back amended, do not pass, placed on calendar 8 5 1
3/26/2025HouseCommittee Hearing 10:00
3/11/2025HouseIntroduced, first reading, referred Industry, Business and Labor Committee
2/18/2025HouseReceived from Senate
2/17/2025HouseSecond reading, passed, yeas 36 nays 8
2/14/2025SenateAmendment adopted, placed on calendar
2/13/2025SenateReported back amended, do pass, amendment placed on calendar 5 0 1
2/12/2025SenateCommittee Hearing 09:00
2/10/2025SenateCommittee Hearing 09:30
2/3/2025SenateIntroduced, first reading, referred Human Services Committee
1/27/2025Senate
Bill Text
Adopted by the House Industry, Business and Labor Committee
Enrollment
FIRST ENGROSSMENT
FIRST ENGROSSMENT with House Amendments
INTRODUCED
Prepared by the Legislative Council staff for Senator Castaneda
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