HB 1108 North Dakota House · 69th Legislative Assembly (2025-26)

AN ACT to amend and reenact section 25-03.1-34.2 of the North Dakota Century Code, relating to interstate contracts for treatment of mental illness or a substance use disorder; and to declare an emergency.

HB 1108 amends North Dakota law to update rules for interstate contracts allowing mental health and substance use disorder treatment across state lines. It directly affects patients needing care outside North Dakota and healthcare providers coordinating treatment with other states. The bill establishes clearer requirements for these contracts, ensuring proper legal agreements between states to facilitate seamless patient care. The emergency declaration reflects the urgency of addressing gaps in cross-state treatment access for vulnerable populations.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Jan 2025
Senate Passage
Mar 2025
Signed into Law
Mar 2025
Introduced Jan 7, 2025 Signed Mar 18, 2025
Maddy AI version diff · 1 comparison

What changed between versions

INTRODUCED Enrollment · 6 edits
MODERATE
This bill amends North Dakota's laws governing interstate contracts for mental health and substance use disorder treatment, allowing the state to contract with facilities in bordering states (Minnesota, Montana, or South Dakota) for resident care and permitting residents of those states to receive treatment in North Dakota. The changes clarify eligibility restrictions, contract requirements, and jurisdictional responsibilities to ensure proper legal and financial handling of cross-border treatment placements.
Scope change
Expanded scope to explicitly include contracts with bordering states for both North Dakota residents seeking treatment abroad and out-of-state residents receiving treatment in North Dakota, with specific provisions for emergency holds and involuntary commitments.
SCOPE

Added explicit definition of 'bordering state' as Minnesota, Montana, or South Dakota for interstate treatment contracts.

ELIGIBILITY

Modified eligibility restrictions to include individuals who have been involuntarily committed in North Dakota under chapter 25-03.1, replacing the previous 'presentence investigation' category.

REQUIREMENT

Added requirement for contracts to specify transportation costs, termination means, admission refusal conditions, and placement goals.

Added provision requiring agreements to specify that North Dakota courts retain jurisdiction over ND residents and that payment responsibility remains with the resident's home state.

ENFORCEMENT

Added requirement that public or private entities entering agreements must provide copies to the department within thirty days of entering or amending agreements.

TECHNICAL

Corrected grammatical errors and formatting inconsistencies in the original bill text, including typos like 'individualsan individual' and 'requirerequires'.

Floor votes · Senate Mar 7, 2025 · House Jan 17, 2025

How they voted

461
Passed
Total votes 47
Mar 7, 2025
D Democratic5
5 Yea
100% Yea
R Republican42
41 Yea 1 Nay
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
15
Key actions
7
Committee
4
Mar 19, 2025
Introduced
Filed with Secretary Of State 03/18
legislature
Mar 18, 2025
Signed into law
Signed by Governor 03/17
lower
Mar 7, 2025
Upper · Passed
Second reading, passed, yeas 46 nays 1, Emergency clause carried
upper
Mar 7, 2025
Upper · Passed
Reported back, do pass, place on calendar 6 0 0
upper
Feb 10, 2025
Upper · Passed
Committee Hearing 10:00
upper
Feb 5, 2025
Introduced
Introduced, first reading, (emergency), referred Human Services Committee
upper
Jan 17, 2025
Lower · Passed
Second reading, passed, yeas 89 nays 0, Emergency clause carried
lower
Jan 16, 2025
Lower · Passed
Reported back, do pass, place on calendar 13 0 0
lower
Jan 15, 2025
Lower · Passed
Committee Hearing 10:00
lower
Jan 7, 2025
Introduced
Introduced, first reading, (emergency), referred Human Services Committee
lower
1 primary · 2 co-sponsors

Sponsors