ND SB2181

Adds posttraumatic stress disorder (PTSD) as a compensable injury under North Dakota workers' compensation when the employee proves the triggering condition was extraordinary, involving unusual stress beyond day-to-day emotional strain experienced by similarly situated employees

Requires PTSD diagnosis by a licensed psychiatrist or psychologist meeting DSM-5 (2022 text revision) criteria, with the condition determined not to pre-exist the employment event and to be at least 50% of the cause compared to all other contributing factors

Excludes PTSD claims resulting from good-faith employer actions including disciplinary actions, work evaluations, job transfers, layoffs, demotions, or terminations

Limits PTSD disability benefits to 32 weeks from first report of injury and caps claims at two per employee's lifetime

Applies to injuries sustained on or after August 1, 2025, with the entire Act set to expire on July 31, 2029