Duty LXD-3099
Makes insurance decisions, in North Dakota
North Dakota SB 2280 — Prior Authorization Reform (Prohibition on AI-Only Adverse Determinations)since 3 lines
N.D. SB 2280, 69th Legislative Assembly (2025); codified at N.D. Cent. Code ch. 26.1-36.12
- Have adverse determinations and appeals in prior authorization reviewed by a licensed physician or pharmacist with relevant clinical expertise.
- Do not let an AI system or a non-clinical business analyst make a coverage denial on its own.
- Publish clinical criteria online.