North Dakota
North Dakota Gov. Kelly Armstrong signs bill to put checks on AI health care decisions
BISMARCK — A new North Dakota law is expected to put checks on the influence that artificial intelligence and algorithms have on health care decisions, resulting in fewer delays in treatment and medication for patients.
On Wednesday, April 23, Gov. Kelly Armstrong signed
Senate Bill 2280, which aims to reform the “prior authorization” process for patients needing imaging services, medications and surgeries.
Prior authorization is the approval from a patient’s health insurance provider that may be required for a service, treatment or prescription to be covered by their plan, if it’s not an emergency. Prior authorization does not guarantee payment, but makes it more likely their health plan will cover the cost.
The new North Dakota law puts deadlines on insurance plans for those prior authorization decisions and requires any denials to be made by a licensed physician, not by AI or insurance companies.
The bill passed unanimously in the House and nearly so in the Senate, and with Armstrong’s signature, takes effect Jan. 1, 2026.
Sen. Scott Meyer, R-Grand Forks, the bill’s lead sponsor, said it passed due to proponents and opponents sitting down and working it out.
“Just because it was a vote that led to almost unanimous support, it was still a lot of work to get to that point,” Meyer told The Forum.
Dr. Stefanie Gefroh, president of Essentia Health’s West Market, said North Dakota is one of only a few states without statewide oversight of prior authorization.
“It’s kind of an open book with no guard rails, essentially, around what is an acceptable time frame for a patient to receive clearance to get services,” Gefroh said.
She said some physicians are having to spend up to 14 hours a week trying to justify a medical decision made for a patient.
Meyer said American Medical Association data shows among all of the prior authorization requests in Medicare Advantage plans that were denied and appealed in 2022, more than 83% were overturned.
The result was delays in care, treatment and medications for those patients.
Gefroh said most delays involve higher cost items: MRIs, surgeries, and chemotherapy and immunologic agents.
The law calls for insurance companies to make timely decisions; within seven days for non-urgent requests and 72 hours for urgent ones.
Requests for services that go unmet or unanswered are considered “authorized.”
“That’s why the default to ‘yes’ really is quite extraordinary, because the beautiful part of it is we’re not holding up patient care,” she said.
In addition, any denials for services must be made by licensed physicians experienced in the relevant condition, not by AI or insurance analysts.
Gefroh said insurance companies that don’t adhere to the guidelines will likely have to adjust their internal processes.
“I don’t think they want to be approving by default,” she said.
There was pushback against the bill from representatives of multiple insurance companies, who said it would increase costs.
In the end, the bill prevailed due to support from the North Dakota Hospital Association, and a coalition led by Essentia of 20 health care and patient advocacy organizations representing physicians, pharmacists, hospitals, physical therapists, and advocates for seniors, children, and cancer patients.
“It’s doing the right thing and putting the patients at the center and anytime we can put the highlight on that, I’m pleased,” Gefroh said.
GRAND FORKS, N.D. (AP) — Isaiah Griffin had 18 points in Western Illinois’ 69-66 overtime win against North Dakota on…
GRAND FORKS, N.D. (AP) — Isaiah Griffin had 18 points in Western Illinois’ 69-66 overtime win against North Dakota on Saturday.
Griffin had three steals for the Leathernecks (4-7). Karyiek Dixon scored 17 points while shooting 6 of 10 from the field and 5 for 6 from the line and added 18 rebounds. Lucas Lorenzen shot 3 for 13 (1 for 9 from 3-point range) and 7 of 8 from the free-throw line to finish with 14 points.
Eli King led the way for the Fightin’ Hawks (4-9) with 13 points, two steals and four blocks. Greyson Uelmen added 13 points for North Dakota. Garrett Anderson had 11 points and six rebounds.
___
The Associated Press created this story using technology provided by Data Skrive and data from Sportradar.
Copyright
© 2025 The Associated Press. All rights reserved. This material may not be published, broadcast, written or redistributed.
North Dakota
Community rescues grieving North Dakota widow — by harvesting their late pal’s 1,400 acres of crops
In North Dakota, farmers aren’t neighbors — they’re family.
When a sudden car crash tragically took the life of a beloved community member, the goodhearted folks of Antler came together to carry out one final act of kindness: they harvested his crops.
Randy Fyllesvold was killed in September, and his grieving widow, Kharra, and their two sons were left reeling, in no condition to deal with the 1,400 acres of corn and soybeans still in the fields surrounding their home.
That’s when the close-knit community stepped in.
Two of Randy’s pals — Wyatt Thompson and Andy Gates — decided to organize a large-scale harvest of their late pal’s crops.
First, they put out a call for help.
And the people answered. In a flash, more than 75 volunteers from surrounding communities were rolling onto the farm on 12 combines, in 40 trucks, all loaded with other equipment — along with willing hands.
They worked together like a well-oiled machine, and the massive effort was locked up in just a couple days.
Kharra said being among so many people harvesting her husband’s final crop was “nothing short of breathtaking” and she feels blessed to be the recipient of so much love and support in such a harrowing time.
But they wouldn’t have it any other way.
“To know Randy was to love Randy,” said buddy Wyatt Thompson told local station KFYR. “..The reach that he had was kind of endless.”
Kharra said she’ll never forget what they did for her.
“As I stood in the shop and looked around before the final Randy Fyllesvold corn harvest started, I was flooded with memories we created with all of you,” she wrote in a heartfelt Facebook post.
“The day was full of emotion, but I found so much peace in watching it unfold … but from the bottom of my heart, thank you. I will always remember this and Randy would be so proud.
“God Bless all of you and the boys and I love each and every one of you. 12 combines, 7 grain carts, over 40 trucks all for you Randy.
“I know you are smiling down.”
Donald R. Snyder Sr. 82 of Grand Forks, North Dakota died Tuesday, December 9, 2026, at Villa St. Vincent in Crookston, Minnesota.
Don was born on June 3, 1943, the son of Harrison and Gladys (Whittier) Snyder in Van Hook, North Dakota. He attended school in Van Hook and New Town, North Dakota. Don served in the United States Navy from 1960 – 1964 and was stationed in Hawaii during his time of service as a Military Police officer. He attended ND Police Academy and where he worked in Wattford City, ND and later was the Chief of Police in Parshall, ND. Don attended Minot State University and received a bachelor’s degree in psychology in 1972.
Don was united in marriage to Greta Huseby on November 22, 1991, in Lake Tahoe, Neveda. He worked as a social worker in child welfare in North Dakota for thirty-five plus years in various roles in the state in Rugby, Minot and Bismarck as a Regional Supervisor to State Director in foster care. Don spent the many years taking care of family’s needs in North Dakota.
After retiring from Human Service in North Dakota, he worked for Multiband Inc. and Orangehook Inc. Don retired from OrangeHook Inc. as the Senior Vice President, responsible for HR Department.
Don enjoyed fishing (deep sea, rivers and lakes), hunting, woodworking (cabinetry and interior), coaching Tee Ball and soccer, and volunteering for the local honor guards. He was proud of his service in the military and always showed his gratitude for fellow veterans.
Don’s faith and family were his priority. He read the Bible six times and shared his faith with his family and friends. Don and Greta were active members of University Lutheran Church.
Don is survived by his wife, Greta Snyder; three sons, Donald Richard Snyder Jr., Scott (Nancy) Snyder and Tracy (Staci) Snyder; grandchildren, Megan (Rory) Selk, Katelyn Snyder, Gavin Snyder, Whitney (Chris) Crofts, Kaylee (Jon) Gappmaier and Jordan (Jen) Snyder, thirteen great-grandchildren, Kinley, Iyla, Jude, Gabby, Rowan, Sophia, Hunter, Kimber, Isaiah, Benjamin, Porshea, Addie and Mollie; numerous nieces and nephews.
Don was preceded in death by his parents, two daughters, Tunya and Mishell Snyder, granddaughter, Jessica Snyder and two infant sisters.
Visitation will be held from 10:00 – 11:00 a.m. Wednesday, December 17, 2025, at Amundson Funeral Home. Memorial service will be held at 11:00 a.m. Wednesday, December 17, 2025, at Amundson Funeral Home.
EPA wrongly found Detroit area safe for smog, judge rules in split decision
San Francisco’s Union Square sees holiday boost as Winter Walk begins
Dallas-Fort Worth might see some sunshine on Sunday. Will the coming week be cloudy?
Charging e-bike suspected in destructive Miami house fire
BU spoils Northeastern final game at Matthews Arena
Florida High School Football Rankings: Top 25 teams – Oct. 21
Cleary's 21 help Le Moyne down Central Connecticut State 69-64 in OT
How old is Bo Nix? What to know about Oregon quarterback ahead of 2024 NFL Draft
99th annual Pony Swim held in Virginia
Video: ‘It Didn’t Have to Happen This Way:’ U.Va. Faculty Call for Review of Police Response to Protests
Video: At Least Two Killed in Shooting at Brown University
FBI ousts reinstated whistleblower over unauthorized media talks, ‘poor judgment’
EU dismisses Russia’s lawsuit against Euroclear as ‘speculative’
Multiple people shot near Brown University, police say
Inside Minnesota’s $1B fraud: fake offices, phony firms and a scandal hiding in plain sight
-
Alaska1 week agoHowling Mat-Su winds leave thousands without power
-
Texas1 week agoTexas Tech football vs BYU live updates, start time, TV channel for Big 12 title
-
Ohio1 week agoWho do the Ohio State Buckeyes hire as the next offensive coordinator?
-
Washington5 days agoLIVE UPDATES: Mudslide, road closures across Western Washington
-
Iowa7 days agoMatt Campbell reportedly bringing longtime Iowa State staffer to Penn State as 1st hire
-
Miami, FL1 week agoUrban Meyer, Brady Quinn get in heated exchange during Alabama, Notre Dame, Miami CFP discussion
-
Cleveland, OH7 days agoMan shot, killed at downtown Cleveland nightclub: EMS
-
World6 days ago
Chiefs’ offensive line woes deepen as Wanya Morris exits with knee injury against Texans
