North Dakota requires all practicing Naturopaths to be licensed as of January 1st, 2012. Licensed Naturopaths may diagnose and treat illness and injury. We may do physical exams and order lab tests. We may draw blood for testing. We may treat using the five major modalities of naturopathic medicine: botanical medicine, counseling/education, homeopathy, nutrition/supplements and physical medicine. We may not use radiation therapy. The following FAQ's further clarify the scope of practice & other practice questions.
Graduation from an CNME accredited graduate, 4 year naturopathic medical school and successful passage of the NABNE national board exams part 1 and 2. A jurisprudence seminar will be required for new licensees once developed by the BIHC.
North Dakota has a 2 year licensing cycle that expires December 31st in each odd numbered year. First time applicants must pay a $500 licensing fee, prorated for the licensing cycle, plus a one-time $50 application fee. The license renewal fee is $400.
Forty Continuing Education credits are required per biennial licensing cycle. Of the 40 credits, five must be on pharmacology. Credits must meet BIHC approval. Examples include credits offered through the AANP, AANP state affiliates, and regionally accredited/DOE recognized Universities and Colleges. Compliance is verified by random audit.
No. Insurance coverage for naturopathic care is not mandatory in North Dakota. Insurers can voluntary choose to cover naturopathic services but as of June, 2012 none do. In the past, some individual health insurance carriers offered alternative care riders that covered naturopathic services. However, we don't know if any carriers are actively selling those riders. Some ERISA plans do cover naturopathic services, such as Microsoft. Sometimes patients may use their flex spending accounts or medical savings accounts for naturopathic care. They need to check with the administrators of those accounts.
Yes. You may order labs. You may also draw blood for labs. If drawing blood, follow all federal CLIA requirements for laboratory standards (see http://wwwn.cdc.gov/clia/regs/toc.aspx)
No. Our scope of practice does not include prescription drugs at this time. This includes homeopathics made from legend drugs. You can however prescribe prescriptive devices such as diabetic supplies, orthotics, etc. You may also prescribe topical non-prescription drugs.
Yes. You may administer B12 injections in your office, but you may not write a pharmacy prescription for B12 for self injection by patients. Our scope of practice includes vitamins and minerals in all routes of administration taught in CNME accredited naturopathic medical schools, including IV. You must certify that specific training requirements have been met before you may do IV administration.
No. You may not do stitches, wart or skin tag removal, biopsies or any other minor surgery technique taught in naturopathic medical schools.
You may NOT do manipulation of the spine. You may manipulate all other joints, do visceral manipulation and all other forms of physical manual therapies. In addition, you may do hydrotherapy and the mechanical therapies taught in accredited naturopathic medical schools.
No, obstetrics is not in our scope of practice. However, North Dakota does not prohibit nor regulate midwifery practices. We hope at some future point to officially add naturopathic midwifery to our scope of practice. Professional midwifery is not yet licensed in North Dakota - several legislative attempts have failed.
Yes, if you meet one of the two training and testing requirements. As of July 1, 2015, If you have a separate graduate degree in acupuncture from an NCCAOM accredited school and have passed their national exam, you can apply to the BIHC to become a licensed acupuncturist (LAc). Licensed acupuncturists may advertise as acupuncturists and use the LAc designation. Or, if you graduated from SCNM or CCNM (naturopathic colleges that integrate acupuncture into the 4 year academic and clinical curriculum) and passed the NABNE acupuncture exam, you may practice naturopathic acupuncture. SCNM and CCNM graduates may advertise acupuncture services but may NOT advertise themselves as acupuncturists, nor use an LAc designation.
No. You may identify yourself as a Naturopath, a Doctor of Naturopathic Medicine or as an ND. Although we may practice primary care with our patients, we are prohibited from advertising or identifying ourselves as primary care doctors.
The regulatory board is the Board of Integrative Health Care. BIHC is considered an incubator board for new health care professions. Currently Acupuncturists, Naturopaths, and Music Therapists are regulated under the Board. It is anticipated that Professional Midwives will come under the Board in the future, once they become licensed.
BIHC has 5-7 members appointed by the Governor. One member of the Board is a licensed Naturopath. An appointed working group of licensed Naturopaths provides recommendations on all matters pertaining to Naturopaths. Presently, other board members include one MD/DO, one ARNP, one pharmacist, one Music Therapist, one LAc, and one public member..