North DakotaHB 10122025 Regular SessionHouseWALLET

AN ACT to provide an appropriation for defraying the expenses of various divisions of the department of health and human services; to create and enact a new section to chapter 6-09 of the North Dakota Century Code, relating to an extraordinary medical needs housing loan fund; to amend and reenact sections 50-06-06.6, 50-06-42, 50-24.5-02.3, and 50-33-05, and subsection 1 of 50-36-03 of the North Dakota Century Code and subsection 6 of the new section to chapter 54-07 of the North Dakota Century Code created in section 1 of Senate Bill No. 2176, as approved by the sixty-ninth legislative assembly, relating to leases of department of health and human services property, substance use disorder treatment program, basic care payment rates, state of residence for child care assistance, opioid settlement advisory committee, and children's cabinet; to provide for a transfer; to authorize a line of credit; to provide legislative intent; to provide for a legislative management study; to provide an application; to provide an exemption; to provide for a report; and to provide an effective date.

Sponsored By: House Appropriations

Became Law

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Bill Overview

Analyzed Economic Effects

7 provisions identified: 6 benefits, 0 costs, 1 mixed.

Funds to keep DHHS running

The law provides $192,993,318 for DHHS business operations from July 1, 2025 to June 30, 2027. It includes $74,099,008 from the general fund and $118,894,310 from other funds. This keeps core systems, staff, and support in place to run health and human services.

Major funding for Medicaid and care

The law provides $2,776,246,128 for medical services from July 1, 2025 to June 30, 2027. This funds Medicaid coverage and provider payments. It also sets aside $500,000 to help basic care facilities cover unpaid bills.

More money for human services aid

The law provides $1,863,859,882 for human services from July 1, 2025 to June 30, 2027. It funds grants, county social services, and economic assistance. Another $226,950,000 from the Human Service Finance Fund supports state‑paid assistance and social services.

More support for behavioral health care

The law provides $421,861,349 for behavioral health care, including clinics and the state hospital, for July 1, 2025 to June 30, 2027. It also adds $8,000,000 from opioid settlements for treatment, prevention, and remediation. Another $500,000 funds gambling disorder prevention services.

Public health programs get new funds

The law provides $298,196,870 for public health programs for July 1, 2025 to June 30, 2027. It supports WIC, tobacco prevention, and other public health services delivered by state and local public health units.

DHHS budget set and shift flexibility

The law sets DHHS funding at $5.553 billion for July 1, 2025 to June 30, 2027. It authorizes 2,483.83 full‑time jobs. The budget office can move money between DHHS line items in subdivisions 1–5 during the biennium. DHHS must notify the Legislative Council and report moves over $50,000 after June 30, 2026, and to the seventieth legislature’s appropriations committees.

Targeted health grants and rural EMS

The law directs targeted grants for crisis, prevention, and emergency care from July 1, 2025 to June 30, 2027. $1,867,500 supports the 988 crisis line. $27,072,324 from the Community Health Trust Fund funds tobacco prevention, domestic violence prevention, loan repayment, and local public health grants. $1,125,000 funds rural emergency medical services grants.

Sponsors & Cosponsors

Sponsor

  • House Appropriations

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 187 • No: 80

House vote 5/1/2025

Second reading, passed, yeas 61 nays 26

Yes: 61 • No: 26

Senate vote 5/1/2025

Second reading, passed as amended, yeas 37 nays 9

Yes: 37 • No: 9

Senate vote 4/17/2025

Second reading, passed as amended, yeas 37 nays 10

Yes: 37 • No: 10

House vote 2/25/2025

Second reading, passed, yeas 52 nays 35

Yes: 52 • No: 35

Actions Timeline

  1. Filed with Secretary Of State 05/19

    6/11/2025House
  2. Signed by Governor 05/16

    5/17/2025House
  3. Sent to Governor

    5/2/2025House
  4. Signed by Speaker

    5/2/2025House
  5. Signed by President

    5/2/2025Senate
  6. Second reading, passed as amended, yeas 37 nays 9

    5/1/2025Senate
  7. Conference committee report adopted

    5/1/2025Senate
  8. Reported back from conference committee, in place of, placed on calendar

    5/1/2025Senate
  9. Second reading, passed, yeas 61 nays 26

    5/1/2025House
  10. Conference committee report adopted

    5/1/2025House
  11. Reported back from conference committee, in place of, placed on calendar

    5/1/2025House
  12. Conference committee appointed Dever Cleary Davison

    4/22/2025Senate
  13. Conference committee appointed Nelson O'Brien Mitskog

    4/21/2025House
  14. Refused to concur

    4/21/2025House
  15. Returned to House (12)

    4/17/2025House
  16. Second reading, passed as amended, yeas 37 nays 10

    4/17/2025Senate
  17. Amendment failed

    4/17/2025Senate
  18. Amendment proposed on floor

    4/17/2025Senate
  19. Amendment adopted, placed on calendar

    4/17/2025Senate
  20. Reported back amended, do pass, amendment placed on calendar 15 0 1

    4/16/2025Senate
  21. Committee Hearing 08:30

    3/31/2025Senate
  22. Committee Hearing 11:00

    3/27/2025Senate
  23. Committee Hearing 10:00

    3/27/2025Senate
  24. Committee Hearing 09:00

    3/27/2025Senate
  25. Committee Hearing 02:00

    3/26/2025Senate

Bill Text

  • Enrollment

  • FIRST ENGROSSMENT

  • FIRST ENGROSSMENT with Conference Committee Amendments

  • FIRST ENGROSSMENT with Senate Amendments

  • INTRODUCED

  • Prepared by the Legislative Council staff for Conference Committee

  • Prepared by the Legislative Council staff for House Appropriations Committee

  • Prepared by the Legislative Council staff for Senate Appropriations - Human Resources Division Committee

  • Prepared by the Legislative Council staff for Senator Mathern

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