SB 2375 North Dakota Senate · 69th Legislative Assembly (2025-26)

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.

SB 2375 creates a new section in chapter 43-28 of the North Dakota Century Code. This bill allows dental providers to engage in joint negotiations with dental insurers. Essentially, it permits dentists to collectively negotiate terms and conditions with insurance companies. The bill directly affects dental practices and health insurance providers operating in North Dakota.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
Senate Passage
Apr 2025
House Passage
Mar 2025
Signed into Law
Apr 2025
Introduced Jan 27, 2025 Signed Apr 23, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

FIRST ENGROSSMENT Enrollment · 6 edits
MODERATE
The bill was revised to shift oversight of joint dental provider negotiations from the office of administrative hearings to the attorney general, adding a mandatory pre-negotiation notice requirement and expanding the scope of allowable non-fee-related negotiations. The changes also clarify that fee-related matters (like payment amounts) remain prohibited from joint negotiation unless specific market power conditions are met.
Scope change
The bill now applies to voluntary non-fee-related negotiations between dental providers and insurers, with expanded authority for fee-related negotiations only when the insurer has substantial market power and poses a threat to patient care quality.
REQUIREMENT

Added a mandatory written notice requirement to the attorney general before voluntary joint negotiations can begin, including details about participating providers, the insurer, and anticipated benefits.

Added a 90-day review period for the attorney general to approve or deny proposed joint negotiations, with a possible 30-day extension.

ENFORCEMENT

Transferred oversight authority from the office of administrative hearings to the attorney general for reviewing and approving joint negotiation agreements.

SCOPE

Expanded the list of allowable non-fee-related negotiation topics to include additional items like administrative procedures and dispute resolution mechanisms.

DEFINITION

Added a specific definition for 'fee-related matters' to clarify that payment amounts, discounts, and procedure codes cannot be jointly negotiated unless market power conditions are met.

ELIGIBILITY

Added a requirement that all participating dental providers and a duly authorized officer of the dental insurer must provide written consent before negotiations can proceed.

Floor votes · Senate Apr 15, 2025 · House Mar 28, 2025

How they voted

442
Passed · 1 other
Total votes 47
Apr 15, 2025
D Democratic5
3 Yea 2 Nay
60% Yea
R Republican42
41 Yea 1
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
12
Committee
5
Apr 24, 2025
Introduced
Filed with Secretary Of State 04/22
legislature
Apr 23, 2025
Signed into law
Signed by Governor 04/21
upper
Apr 15, 2025
Upper · Passed
Second reading, passed, yeas 44 nays 2
upper
Apr 15, 2025
Upper · Passed
Concurred
upper
Mar 28, 2025
Lower · Passed
Second reading, passed as amended, yeas 78 nays 14
lower
Mar 27, 2025
Lower · Passed
Amendment adopted, placed on calendar
lower
Mar 26, 2025
Lower · Passed
Reported back amended, do not pass, placed on calendar 8 5 1
lower
Mar 11, 2025
Lower · Passed
Committee Hearing 10:00
lower
Feb 18, 2025
Introduced
Introduced, first reading, referred Industry, Business and Labor Committee
lower
Feb 14, 2025
Upper · Passed
Second reading, passed, yeas 36 nays 8
upper
Feb 13, 2025
Upper · Passed
Amendment adopted, placed on calendar
upper
Feb 12, 2025
Upper · Passed
Reported back amended, do pass, amendment placed on calendar 5 0 1
upper
Feb 10, 2025
Upper · Passed
Committee Hearing 09:00
upper
Feb 3, 2025
Upper · Passed
Committee Hearing 09:30
upper
Jan 27, 2025
Introduced
Introduced, first reading, referred Human Services Committee
upper
1 primary · 5 co-sponsors

Sponsors