---
type: "Bill"
title: "AN ACT to provide for a legislative management study of the prior authorization process for health insurance."
description: "AN ACT to provide for a legislative management study of the prior authorization process for health insurance."
jurisdiction: "us/states/nd"
legislature: "North Dakota Legislative Assembly"
session: "68"
identifier: "SB 2389"
citation: "North Dakota SB 2389 (68)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Shawn Vedaa"]
version_count: 3
action_count: 21
vote_count: 2
first_action: "2023-01-23"
last_action: "2023-04-07"
source: "openstates"
source_identifier: "ocd-bill/403c5fb5-d96d-443a-a69c-df634841ba46"
source_url: "https://ndlegis.gov/api/assembly/68-2023/data/bills.json"
source_hash: "4348e8aed518186d09a1ecfb45c9f1e3a3dc52ae5058439acffd7558ab606724"
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 SB 2389 (68) — AN ACT to provide for a legislative management study of the prior authorization process for health insurance.

## Version chain

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

1. **INTRODUCED** (filed) — [source](https://ndlegis.gov/assembly/68-2023/regular/documents/23-1108-01000.pdf)
2. **Enrollment** (committee substitute) — [source](https://ndlegis.gov/assembly/68-2023/regular/documents/23-1108-03000.pdf)
3. **FIRST ENGROSSMENT** (committee substitute) — [source](https://ndlegis.gov/assembly/68-2023/regular/documents/23-1108-02000.pdf)

## Votes

- Motion for Final Passage on SB 2389 — **88–3** (pass) · lower
- Motion for Final Passage on SB 2389 — **47–0** (pass) · upper

## Sponsors

- Shawn Vedaa — primary (person)
- Jim P. Roers — cosponsor (person)
- Jon O. Nelson — cosponsor (person)

## Timeline

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

- **2023-01-23** Introduced, first reading, referred Human Services Committee `introduction`
- **2023-02-15** Committee Hearing 11:00
- **2023-02-15** Committee Hearing 03:46
- **2023-02-16** Reported back, do not pass, placed on calendar 4 1 1 `committee-passage, committee-passage-unfavorable`
- **2023-02-16** Rereferred to Human Services
- **2023-02-17** Committee Hearing 08:30
- **2023-02-17** Reported back amended, do pass, amendment placed on calendar 5 0 1 `committee-passage, committee-passage-favorable`
- **2023-02-20** Amendment adopted, placed on calendar
- **2023-02-20** Second reading, passed, yeas 47 nays 0 `passage, reading-2`
- **2023-02-21** Received from Senate
- **2023-02-22** Introduced, first reading, referred Industry, Business and Labor Committee `introduction`
- **2023-03-20** Committee Hearing 09:00
- **2023-03-28** Committee Hearing 11:00
- **2023-03-28** Reported back, do pass, place on calendar 10 3 1 `committee-passage, committee-passage-favorable`
- **2023-03-30** Second reading, passed, yeas 88 nays 3 `passage, reading-2`
- **2023-03-31** Returned to Senate
- **2023-04-03** Signed by Speaker
- **2023-04-03** Signed by President
- **2023-04-03** Sent to Governor `executive-receipt`
- **2023-04-05** Signed by Governor 04/04 `executive-signature`
- **2023-04-07** Filed with Secretary Of State 04/05 `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/403c5fb5-d96d-443a-a69c-df634841ba46`. Confidence: reported (aggregated from official North Dakota legislature records).