---
type: "Bill"
title: "AN ACT to create and enact section 19‑02.1‑16.3 of the North Dakota Century Code, relating to pharmacy benefits manager step therapy protocols."
description: "AN ACT to create and enact section 19‑02.1‑16.3 of the North Dakota Century Code, relating to pharmacy benefits manager step therapy protocols."
jurisdiction: "us/states/nd"
legislature: "North Dakota Legislative Assembly"
session: "66"
identifier: "HB 1469"
citation: "North Dakota HB 1469 (66)"
classification: ["bill"]
subjects: ["DRUGS - SEE ALSO ALCOHOL", "HEALTH", "PHARMACISTS - SEE ALSO OCCUPATIONS AND PROFESSIONS", "STATE DEPARTMENT OF HEALTH"]
status: "enacted"
primary_sponsors: ["Anderson", "D. Ruby", "Dever", "Devlin", "Heckaman", "J. Lee", "Kasper", "Louser", "Mock"]
version_count: 11
action_count: 28
vote_count: 0
first_action: "2019-01-14"
last_action: "2019-04-25"
source: "openstates"
source_identifier: "ocd-bill/a2379fd8-cac9-49d7-a93d-7b9db75ef1de"
source_url: "http://www.legis.nd.gov/assembly/66-2019/bill-actions/ba1469.html"
source_hash: "eeba29b234ff0fe7cc622f5ab6aa9c6ff354a263c7238d771a1e4109a64579b2"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nd"]
---

# North Dakota HB 1469 (66) — AN ACT to create and enact section 19‑02.1‑16.3 of the North Dakota Century Code, relating to pharmacy benefits manager step therapy protocols.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **INTRODUCED** (filed) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-01000.pdf)
2. **Adopted by the Conference Committee** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-02002a.pdf)
3. **Adopted by the Conference Committee (Marked Up)** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-02002m.pdf)
4. **Adopted by the House Industry, Business and Labor Committee** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-01003a.pdf)
5. **Adopted by the House Industry, Business and Labor Committee (Marked Up)** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-01003m.pdf)
6. **Adopted by the Senate Human Services Committee** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-02001a.pdf)
7. **Adopted by the Senate Human Services Committee (Marked Up)** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-02001m.pdf)
8. **Enrollment** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-05000.pdf)
9. **FIRST ENGROSSMENT** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-02000.pdf)
10. **FIRST ENGROSSMENT with Conference Committee Amendments** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-04000.pdf)
11. **FIRST ENGROSSMENT with Senate Amendments** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0343-03000.pdf)

## Sponsors

- Anderson — primary (person)
- D. Ruby — primary (person)
- Dever — primary (person)
- Devlin — primary (person)
- Heckaman — primary (person)
- J. Lee — primary (person)
- Kasper — primary (person)
- Louser — primary (person)
- Mock — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-01-14** Introduced, first reading, referred Industry, Business and Labor Committee `introduction`
- **2019-01-21** Committee Hearing 08:00
- **2019-02-05** Reported back amended, do pass, amendment placed on calendar 13 0 1 `committee-passage, committee-passage-favorable`
- **2019-02-06** Amendment adopted, placed on calendar
- **2019-02-11** Second reading, passed, yeas 93 nays 0 `reading-2, passage`
- **2019-02-12** Received from House
- **2019-02-18** Introduced, first reading, referred Industry, Business and Labor Committee `introduction`
- **2019-02-27** Request return from committee
- **2019-02-27** Rereferred to Human Services
- **2019-03-19** Committee Hearing 09:30
- **2019-03-26** Reported back amended, do pass, amendment placed on calendar 5 1 0 `committee-passage, committee-passage-favorable`
- **2019-03-27** Amendment adopted, placed on calendar
- **2019-03-27** Second reading, passed as amended, yeas 46 nays 1 `reading-2, passage`
- **2019-03-28** Returned to House (12)
- **2019-04-02** Refused to concur
- **2019-04-02** Conference committee appointed Kasper Schauer Adams
- **2019-04-04** Conference committee appointed Anderson K. Roers O. Larsen
- **2019-04-10** Reported back from conference committee, amend, placed on calendar `committee-passage`
- **2019-04-16** Conference committee report adopted
- **2019-04-16** Second reading, passed, yeas 91 nays 0 `reading-2, passage`
- **2019-04-16** Reported back from conference committee, amend, placed on calendar `committee-passage`
- **2019-04-16** Conference committee report adopted
- **2019-04-16** Second reading, passed as amended, yeas 47 nays 0 `reading-2, passage`
- **2019-04-17** Signed by President
- **2019-04-18** Signed by Speaker
- **2019-04-18** Sent to Governor `executive-receipt`
- **2019-04-24** Signed by Governor 04/23 `executive-signature`
- **2019-04-25** Filed with Secretary Of State 04/24 `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a2379fd8-cac9-49d7-a93d-7b9db75ef1de`. Confidence: reported (aggregated from official North Dakota legislature records).