North Dakota
North Dakota District judge upholds ban on gender-affirming care for minors
BISMARCK, N.D. (Valley News Live) – A North Dakota district court has upheld the state’s ban on gender-affirming medical treatments for minors, rejecting constitutional challenges from families and a physician who argued the law violated equal protection and parental rights.
The court’s ruling for T.D. vs. Wrigley, handed down on October 8, dismissed most of the plaintiff’s claims while allowing the law to remain in effect. The court found that North Dakota’s Health Care Law, passed in 2023, does not violate the state constitution’s equal protection clause or fundamental rights provisions.
Law prohibits multiple treatments
The Health Care Law prohibits providers from performing specific procedures or prescribing certain medications to minors for gender affirmation purposes. Banned treatments include puberty blockers, cross-sex hormones, and surgeries such as castration, hysterectomy and mastectomy.
Healthcare providers who violate the law face Class B felony or Class A misdemeanor charges. The law includes exceptions for minors with certain genetic disorders or those who began treatment before April 21, 2023.
Standing issues limit case
The court dismissed most plaintiffs, including minor patients and their parents, finding they lacked standing to challenge the law. Many were already receiving care before the law’s effective date, placing them under the grandfather exception, while others sought procedures not performed on minors in North Dakota.
Court applies rational basis review
The court determined the Health Care Law classifies based on age and medical purpose rather than sex, rejecting arguments that it discriminated against transgender individuals. The judge found that age is not a “suspect classification” because it changes over time, and concluded that transgender status is not a suspect classification under the North Dakota Constitution.
Applying rational basis review, the court found the law had a reasonable relationship to legitimate government purposes, citing recognized medical risks of puberty blockers and cross-sex hormones for minors, concerns about minors’ capacity to understand long-term irreversible effects like sterility, and ongoing international debate among medical experts about treatment safety and effectiveness.
Personal autonomy claims rejected
While acknowledging that a right to personal autonomy and self-determination exists under the North Dakota Constitution, the court found that this right traditionally applies to competent adults refusing unwanted medical treatment, not to minors seeking statutorily prohibited treatments.
The court ruled that there is no affirmative right to obtain specific medical treatment when the government has reasonably prohibited it and found that the Health Care Law satisfies rational basis review on grounds of personal autonomy.
Final ruling preserves grandfather clause
The court denied requests for a declaratory judgment that the Health Care Law violates the North Dakota Constitution and denied a permanent injunction to stop enforcement. However, the court granted a declaratory judgment confirming the law does not apply to minors who were receiving gender-affirming care before April 21, 2023.
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North Dakota
Video: A look at North Dakota’s 2026-2028 Fishing Guide
Greg Power, fisheries division chief with the North Dakota Game and Fish Department, shares information about the new 2026-2028 Fishing Guide and a few new regulations starting April 1, 2026.
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North Dakota
Summit League tournament: Omaha women bounce North Dakota
SIOUX FALLS — Ali Stephens had 17 points and 13 rebounds and 8th-seeded Omaha defeated 9th-seeded North Dakota 49-39 in the first round of the Summit League women’s tournament.
The Fighting Hawks had a tough time putting the ball in the hoop all night long, scoring just three points in the first quarter and having only marginally better luck from there.
UND (7-24) shot just 23.5 percent from the floor (12-for-51) and made 1-of-20 shots from outside the arc. Walker Demers and Mackenzie Hughes had 10 points each to lead the Hawks, with Demers adding eight rebounds.
Matt Zimmer/Sioux Falls Live
Regan Juenemann had 10 points and five rebounds for the Mavericks while Avril Smith had seven points and 16 rebounds and Sarai Estupinan eight points, five assists and three rebounds. Omaha (6-26) shot the ball slightly better than the Hawks, going 16-of-53 from the field (30 percent) and 8-of-23 (35 percent) on 3-pointers.
With the win, the Mavs earn a date with top-seed North Dakota State on Thursday at 2:30 p.m.
The Bison won both regular season matchups by more than 50 points.
Matt Zimmer/Sioux Falls Live
Oral Roberts 84, Kansas City 62 — Don’t look now but the team that started the conference season 0-10 and at one point lost 15 of 16 games might be the hottest in the Summit League.
Oral Roberts picked up their fourth straight victory on Wednesday night in the conference tournament opener, routing Kansas City at the Premier Center in the 8/9 “play-in” game.
Ty Harper had 22 points to lead the Golden Eagles (10-22), who took a 44-21 lead by halftime and never looked back. ORU shot 50 percent from the floor and made 13-of-27 3-pointers while the Kangaroos shot just 34 percent and made 6-of-24 from deep. Martins Kilups had 17 points for the Eagles and Connor Dow added 14.
Jayson Petty had 14 points to lead the Kagaroos, who finish the season 4-27. It was their final game under coach Marvin Menzies, whom the school announced earlier this season would not return next year.
With the win ORU advances to face top-seed North Dakota State on Thursday at 6 p.m.
The Golden Eagles lost to NDSU 86-58 in Tulsa on Jan. 24 but they took the Bison to overtime in Fargo on Jan. 3 in a 79-77 loss.
Matt Zimmer is a Sioux Falls native and longtime sports writer. He graduated from Washington High School where he played football, legion baseball and developed his lifelong love of the Minnesota Twins and Vikings. After graduating from St. Cloud State University, he returned to Sioux Falls, and began a long career in amateur baseball and sports reporting. Email Matt at mzimmer@siouxfallslive.com.
North Dakota
The North Dakota Attorney General issued an opinion to the ND State Auditor – North Dakota Attorney General
04 Mar The North Dakota Attorney General issued an opinion to the ND State Auditor
in Opinions
March 4, 2026
Media Contact: Suzie Weigel, 701.328.2210
BISMARCK, ND – It is the opinion that federal law does not prevent the state from auditing P&A and even though P&A possesses confidential records, N.D.C.C. § 54-10-22.1 and 42 C.F.R. § 51.45(c) authorize the state auditor and the employees of the auditor’s office, to review the records without detriment to P &A.
Also, whether Rule 1.6 of the North Dakota Rules of Professional Conduct for licensed attorneys prohibits P&A from disclosing to the State Auditor the contents of a client file for the purpose of conducting a non-financial performance audit under N.D.C.C. ch. 54-10 when the requested file includes information about individuals and businesses in the private sector who chose to contact P &A.
This issue was already addressed in a 1995 opinion of this office regarding P&A. The 1995 opinion highlighted that P&A has authority to contract with private attorneys to represent private individuals. 17 During that performance audit, auditors asked to see billings from the contracted attorneys. 18 P&A redacted the names of the individuals represented by the contract attorneys under the rules for attorney-client privilege or attorney-client confidentiality. 19 The names of individuals seeking services of P&A are protected under N.D.C.C. § 25-01.3. The opinion stated:
Thus, P&A’s records which indicate to whom its services were provided are available to the State Auditor for performance audit purposes. The State Auditor has
been given access by P&A to its records other than the attorney’s billings. Therefore, the State Auditor already has access to the names of the persons to whom P&A
provides services. State law requires that the State Auditor and his employees must keep such information confidential.
Here, P&A has not identified a specific record. Given that, I rely on the past opinions declaring that records made confidential by N.D.C.C. § 25-01.3-10 are available under N.D.C.C. § 54-10-22 to the State Auditor and the Auditor’s employees for audit purposes.
Link to opinion 2026-L-01
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