Last verified: May 2026
The Recognized Conditions
The list as expanded through 2019 HB 1519 and subsequent legislation:
- Cancer
- Glaucoma
- HIV/AIDS
- Hepatitis C
- Amyotrophic lateral sclerosis (ALS)
- Post-traumatic stress disorder (PTSD)
- Agitation of Alzheimer’s disease or related dementia
- Anxiety disorder
- Autism spectrum disorder
- Brain injury
- Crohn’s disease
- Epilepsy
- Fibromyalgia
- Multiple sclerosis (MS)
- Ulcerative colitis
- Tourette syndrome
- Spinal stenosis or chronic back pain (with objective neurological indication of intractable spasticity)
- Severe debilitating pain unresponsive to other treatments for >3 months
- Intractable nausea
- Severe and persistent muscle spasms
- Seizures
- Neuropathy
- Migraine
- Endometriosis
- Interstitial cystitis
- Anorexia / bulimia / cachexia or wasting syndrome
- Rheumatoid arthritis
- Ehlers-Danlos syndrome
- Terminally ill patients admitted to hospice care
Petition Process
The petition-to-add-a-condition process exists administratively, although patient utilization is limited. SB 2344 (2017) had originally eliminated the patient petition process; subsequent legislation has partially restored it.
Practitioner Certification
Certifying providers must be a licensed physician (MD/DO), advanced practice registered nurse (APRN), or physician assistant (PA), and must register with NDDHHS through the BioTrack THC online registration system. They must establish a "bona fide provider-patient relationship."
Telehealth Certification — HB 1203 (2025)
After 2025 HB 1203, telehealth is now permitted for initial evaluations — previously, only renewals could be done remotely. This change is critical for patients in rural counties (e.g., Williston, where no in-person providers were certifying as of 2025).
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Related on this site: North Dakota Compassionate Care Act (..., HB 1203 (2025) Low-Dose THC Lozenge E..., North Dakota Patient Application Process.