# North Dakota HB 1012: 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. North Dakota HB 1012, 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., is a 2025 Regular Session House bill sponsored by House Appropriations; status signed, last action 2025-06-11 (Filed with Secretary Of State 05/19); PRIA reads it as touching household money (as of 2026-10-18). - Canonical: https://policyrisk.com/state-bill/ND-HB1012-202501 - As of: 2026-10-18 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: North Dakota HB 1012 - State: North Dakota - Session: 2025 Regular Session - Title: 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. - Status: signed - Chamber: House - Introduced: 2025-01-07 - Last action: 2025-06-11, Filed with Secretary Of State 05/19 - Sponsor: House Appropriations - Cosponsors: 0 - Touches household money: yes - Roll calls: 4 (187 yes, 80 no in all) - Economic provisions PRIA read: 28 ## Summary No summary available. ## Bill overview: provisions PRIA read - Child care help for cross-border workers: benefit, medium. Workers at North Dakota early childhood programs can receive the state's child care assistance workforce benefit without living in North Dakota. They must be approved for that workforce benefit. The usual physical-residency rule still applies to other applicants. - More treatment voucher options and help: benefit, medium. Beginning July 1, 2026, treatment vouchers can help cover direct medical costs for eligible people who cannot afford them. The department can reimburse licensed addiction treatment programs with more than 16 beds, within the money appropriated for medical costs. Licensed providers in bordering stat… - More payments for infant care providers: benefit, medium. The law provides $11 million in one-time funding for quarterly child care provider payments, beginning January 1, 2026. Monthly payments reach $200 per child from birth through 17 months and $115 per child ages 18–36 months. Licensed North Dakota providers must serve children through age three and… - Funding for behavioral health and disability care: benefit, medium. For July 2025–June 2027, the law provides about $231.95 million for behavioral health clinics. It also provides about $89.88 million for the North Dakota State Hospital. The Life Skills and Transition Center receives about $68.35 million. This funding supports facility operations and care services,… - Funding for local cultural center programs: benefit, low. The law provides a one-time $300,000 grant for a west central community cultural center's programs during 2025–27. The money comes from the Community Health Trust Fund. The applicant must certify that funds will support programs within the center. - Guardianship funding moves to dedicated office: benefit, low. Beginning April 1, 2026, the Office of Guardianship and Conservatorship receives $3.266178 million from the general fund. The money supports guardianship services after March 30, 2026, through the 2025–27 funding period. Unspent department guardianship funding authority also transfers to the office… - More funding for violence prevention programs: benefit, low. For July 1, 2025–June 30, 2027, domestic violence programs receive $4.25 million from the Community Health Trust Fund. Domestic and sexual violence prevention also receives $1.9 million from the charitable gaming operating fund. The money supports programs and organizations, not a new household pay… - Prevention services for at-risk youth: benefit, low. The department must use $750,000 in one-time 2025–27 funding for youth services aimed at preventing juvenile justice involvement. Services must target youth at risk who have not committed legally defined delinquent acts. This funds prevention services rather than household payments. - Funding to study state disability services: benefit, low. The Legislative Council receives a one-time $150,000 appropriation for consultants studying disability services. It comes from otherwise unappropriated Community Health Trust Fund money. Funding is available from July 1, 2025, through June 30, 2027. The study funding itself does not change benefits… - Higher daily payments for basic care: benefit, low. Qualifying basic care facilities receive a $5 daily rate increase from July 1, 2023, through June 30, 2027. Facilities must qualify as providers in the program for aged, blind, and disabled people. The $5 increase cannot count toward inflation-increase calculations. The law also provides about $1.4… - Higher payments for human service providers: benefit, low. The law funds 2% inflation increases for human service providers in each year from July 1, 2025, through June 30, 2027. Nursing facilities are excluded. These are provider payment increases, not direct payments to households. - Local health and tobacco prevention funding: benefit, low. For July 1, 2025–June 30, 2027, the Community Health Trust Fund provides $3.275 million for local public health grants. Local public health units also get $6.25 million for tobacco prevention and control. Separate grants provide $500,000 for help quitting tobacco and $300,000 for youth vaping preve… - More behavioral health facilities and services: benefit, low. For 2025–27, a northeast behavioral health facility gets $12.96 million, requiring a $3.24 million match. A northwest facility gets up to $3.45 million: $1.5 million new and up to $1.95 million carried forward. Northwest matching funds must reach $1.75 million; both facilities must operate for ten… - More funding for community crisis help: benefit, low. For July 1, 2025–June 30, 2027, the law provides $1.8675 million for the 988 crisis hotline. It also provides $1 million for rural law enforcement crisis support, both from the Community Health Trust Fund. General fund grants add $300,000 for crisis organizations serving young adults at risk of hom… - More support for medically complex children: benefit, low. For 2025–27, a licensed south central intermediate care facility gets a one-time $4.4 million grant. It must serve at least eight communities for people with intellectual or developmental disabilities. Funds cover only services for children and young adults with medically and behaviorally complex c… - More support for rural emergency care: benefit, low. For July 1, 2025–June 30, 2027, the law provides $7 million for rural ambulance grants. Another $1.125 million from the insurance tax distribution fund supports rural emergency medical services grants. Critical access hospital networking receives $2 million. The ambulance and hospital networking fu… - Opioid response funding and recovery representation: benefit, low. The law provides $8 million from opioid settlements for opioid harm reduction and response during July 1, 2025–June 30, 2027. The governor also appoints one person in recovery to the opioid settlement advisory committee. That member replaces the managing director of the Office of Recovery Reinvente… - Grants fund housing with support services: benefit, low. The law provides about $4.67 million in general fund grants for permanent supportive housing. The Department of Health and Human Services must set a method for distributing money to qualified groups. Recipients must use proven practices and provide services focused on each person's needs and recove… - Health facilities gain spending and leasing authority: benefit, low. During July 1, 2025–June 30, 2027, the department can spend up to $10 million on facility projects, maintenance, and demolition. Higher spending needs Emergency Commission and Budget Section approval; the state budget director can transfer related funding among specified budget lines. The departmen… - New disability facility beds remain blocked: cost, medium. From July 1, 2025, through June 30, 2027, the department cannot add licensed intermediate care facility beds for people with intellectual disabilities. This blocks growth in licensed bed capacity during those two years. It does not require current residents to leave. - Spending cap for expanded Medicaid coverage: cost, medium. North Dakota caps Medicaid expansion spending at $662.09934 million from July 1, 2025, through June 30, 2027. That includes $66.209934 million from the general fund. Spending can exceed appropriations for specified caseload increases, section 1915(i) coverage, changes in service use, or reduced fed… - Fewer appeals over lost pandemic funding: cost, low. From July 1, 2025, through June 30, 2027, people generally cannot appeal department decisions caused by unavailable federal coronavirus funding. This covers service denials or revocations, service or payment reductions, and program or service terminations. The funding must come from federal laws ti… - Medicaid provider payment floors and limits: mixed, medium. Medicaid expansion managed care must pay providers consistently within each type and specialty, including ASAM level 2.5 addiction providers. Urban and rural providers can be separate types; incentive, quality, or supplemental payments require a department-approved value-based program. Federal paym… - Health department gains staffing budget flexibility: mixed, low. During 2025–27, the department can increase or decrease authorized staffing within available funds. It can transfer up to $14.771038 million in funding authority to its salaries and wages budget. It cannot add positions to move human service zone employees into state employment. Listed unspent proj… - State borrowing supports child welfare technology: mixed, low. During 2025–27, the department can borrow up to $8.411218 million from the Bank of North Dakota for child welfare technology. Interest cannot exceed the bank's prevailing rate for North Dakota government entities. If the department borrows, it must request an additional appropriation to repay the c… - Larger treatment centers get higher allocation: mixed, low. Beginning July 1, 2026, larger residential addiction programs can receive up to 50% of treatment voucher funding, up from 45%. This raises their allowed share while keeping a fixed ceiling. The rule applies to programs with more than 16 beds. During the biennium's last quarter, the department can a… - Nursing home payments fund care incentives: mixed, low. The department and North Dakota Long Term Care Association must design a nursing facility payment holdback. Withheld payments fund a value-based care incentive program. The department cannot start the holdback before July 1, 2027. The law does not state the holdback rate. - Disability housing loans carry construction deadlines: mixed, low. The Bank of North Dakota runs an ongoing loan program for new housing for people with disabilities and extraordinary medical needs. Loans can cover land purchases and reach $3.3 million per project, with interest capped at 2% and repayment within 20 years. Projects must meet state health and housin… ## Sponsors and cosponsors - Sponsor: House Appropriations ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-01 | Senate | Second reading, passed as amended, yeas 37 nays 9 | pass | 37 | 9 | | | 2025-05-01 | House | Second reading, passed, yeas 61 nays 26 | pass | 61 | 26 | | | 2025-04-17 | Senate | Second reading, passed as amended, yeas 37 nays 10 | pass | 37 | 10 | | | 2025-02-25 | House | Second reading, passed, yeas 52 nays 35 | pass | 52 | 35 | | ## Actions (110) - 2025-06-11: Filed with Secretary Of State 05/19 (House) - 2025-05-17: Signed by Governor 05/16 (House) - 2025-05-02: Sent to Governor (House) - 2025-05-02: Signed by Speaker (House) - 2025-05-02: Signed by President (Senate) - 2025-05-01: Second reading, passed as amended, yeas 37 nays 9 (Senate) - 2025-05-01: Conference committee report adopted (Senate) - 2025-05-01: Reported back from conference committee, in place of, placed on calendar (Senate) - 2025-05-01: Second reading, passed, yeas 61 nays 26 (House) - 2025-05-01: Conference committee report adopted (House) - 2025-05-01: Reported back from conference committee, in place of, placed on calendar (House) - 2025-04-22: Conference committee appointed Dever Cleary Davison (Senate) - 2025-04-21: Conference committee appointed Nelson O'Brien Mitskog (House) - 2025-04-21: Refused to concur (House) - 2025-04-17: Returned to House (12) (House) - 2025-04-17: Second reading, passed as amended, yeas 37 nays 10 (Senate) - 2025-04-17: Amendment failed (Senate) - 2025-04-17: Amendment proposed on floor (Senate) - 2025-04-17: Amendment adopted, placed on calendar (Senate) - 2025-04-16: Reported back amended, do pass, amendment placed on calendar 15 0 1 (Senate) - 2025-03-31: Committee Hearing 08:30 (Senate) - 2025-03-27: Committee Hearing 11:00 (Senate) - 2025-03-27: Committee Hearing 10:00 (Senate) - 2025-03-27: Committee Hearing 09:00 (Senate) - 2025-03-26: Committee Hearing 02:00 (Senate) - 2025-03-26: Committee Hearing 08:30 (Senate) - 2025-03-25: Committee Hearing 03:00 (Senate) - 2025-03-25: Committee Hearing 02:00 (Senate) - 2025-03-25: Committee Hearing 10:00 (Senate) - 2025-03-25: Committee Hearing 08:31 (Senate) - 2025-03-24: Committee Hearing 11:16 (Senate) - 2025-03-24: Committee Hearing 10:01 (Senate) - 2025-03-24: Committee Hearing 08:31 (Senate) - 2025-03-21: Committee Hearing 11:00 (Senate) - 2025-03-21: Committee Hearing 10:30 (Senate) - 2025-03-21: Committee Hearing 10:00 (Senate) - 2025-03-21: Committee Hearing 09:30 (Senate) - 2025-03-20: Committee Hearing 11:00 (Senate) - 2025-03-20: Committee Hearing 09:30 (Senate) - 2025-03-19: Committee Hearing 02:00 (Senate) - 2025-03-19: Committee Hearing 08:30 (Senate) - 2025-03-18: Committee Hearing 02:00 (Senate) - 2025-03-18: Committee Hearing 08:30 (Senate) - 2025-03-18: Committee Hearing 08:00 (Senate) - 2025-03-17: Committee Hearing 09:00 (Senate) - 2025-03-14: Committee Hearing 09:00 (Senate) - 2025-03-12: Committee Hearing 02:00 (Senate) - 2025-03-12: Committee Hearing 09:00 (Senate) - 2025-03-11: Committee Hearing 02:00 (Senate) - 2025-03-11: Committee Hearing 09:00 (Senate) - 2025-03-10: Committee Hearing 02:00 (Senate) - 2025-03-07: Introduced, first reading, referred Appropriations Committee (Senate) - 2025-02-25: Received from House (Senate) - 2025-02-25: Second reading, passed, yeas 52 nays 35 (House) - 2025-02-25: Amendment adopted, placed on calendar (House) - 2025-02-25: Reported back amended, do pass, amendment placed on calendar 23 0 0 (House) - 2025-02-07: Committee Hearing 11:00 (House) - 2025-02-05: Committee Hearing 02:30 (House) - 2025-02-05: Committee Hearing 08:30 (House) - 2025-02-04: Committee Hearing 03:30 (House) - 2025-02-04: Committee Hearing 02:30 (House) - 2025-02-04: Committee Hearing 11:00 (House) - 2025-02-04: Committee Hearing 10:00 (House) - 2025-02-04: Committee Hearing 08:30 (House) - 2025-02-03: Committee Hearing 03:30 (House) - 2025-02-03: Committee Hearing 02:30 (House) - 2025-01-31: Committee Hearing 08:30 (House) - 2025-01-30: Committee Hearing 03:15 (House) - 2025-01-30: Committee Hearing 02:15 (House) - 2025-01-30: Committee Hearing 10:30 (House) - 2025-01-29: Committee Hearing 02:15 (House) - 2025-01-29: Committee Hearing 10:30 (House) - 2025-01-29: Committee Hearing 08:30 (House) - 2025-01-28: Committee Hearing 03:45 (House) - 2025-01-28: Committee Hearing 02:15 (House) - 2025-01-28: Committee Hearing 10:00 (House) - 2025-01-28: Committee Hearing 08:30 (House) - 2025-01-27: Committee Hearing 02:15 (House) - 2025-01-27: Committee Hearing 09:00 (House) - 2025-01-24: Committee Hearing 08:30 (House) - 2025-01-23: Committee Hearing 02:45 (House) - 2025-01-23: Committee Hearing 02:00 (House) - 2025-01-23: Committee Hearing 10:30 (House) - 2025-01-23: Committee Hearing 08:30 (House) - 2025-01-22: Committee Hearing 04:00 (House) - 2025-01-22: Committee Hearing 03:00 (House) - 2025-01-22: Committee Hearing 02:45 (House) - 2025-01-22: Committee Hearing 02:00 (House) - 2025-01-22: Committee Hearing 09:00 (House) - 2025-01-21: Committee Hearing 04:30 (House) - 2025-01-21: Committee Hearing 04:00 (House) - 2025-01-21: Committee Hearing 03:00 (House) - 2025-01-21: Committee Hearing 02:30 (House) - 2025-01-21: Committee Hearing 10:30 (House) - 2025-01-21: Committee Hearing 09:00 (House) - 2025-01-20: Committee Hearing 03:30 (House) - 2025-01-20: Committee Hearing 02:45 (House) - 2025-01-20: Committee Hearing 02:00 (House) - 2025-01-20: Committee Hearing 10:00 (House) - 2025-01-20: Committee Hearing 09:00 (House) - 2025-01-17: Committee Hearing 10:15 (House) - 2025-01-17: Committee Hearing 09:15 (House) - 2025-01-17: Committee Hearing 08:30 (House) - 2025-01-16: Committee Hearing 02:30 (House) - 2025-01-16: Committee Hearing 08:30 (House) - 2025-01-15: Committee Hearing 02:00 (House) - 2025-01-14: Committee Hearing 02:00 (House) - 2025-01-13: Committee Hearing 02:00 (House) - 2025-01-13: Committee Hearing 09:00 (House) - 2025-01-07: Introduced, first reading, referred Appropriations Committee (House) ## Bill text - Enrollment: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-06000.pdf) - FIRST ENGROSSMENT: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-02000.pdf) - FIRST ENGROSSMENT with Conference Committee Amendments: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-05000.pdf) - FIRST ENGROSSMENT with Senate Amendments: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-03000.pdf) - INTRODUCED: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-01000.pdf) - Prepared by the Legislative Council staff for Conference Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-02035m.pdf) - Prepared by the Legislative Council staff for House Appropriations Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-01018m.pdf) - Prepared by the Legislative Council staff for Senate Appropriations - Human Resources Division Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-02028m.pdf) - Prepared by the Legislative Council staff for Senator Mathern: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-02029m.pdf) ## Related bills - SB 2390: AN ACT to create and enact three new sections to chapter 54-40.1 of the North Dakota Century Code, relating to a rural catalyst committee, grant program, and f… (signed) - HB 1298: AN ACT to amend and reenact sections 39-06.1-06, 39-09-02, 39-09-04, and 39-09-07.1, and subsection 2 of section 40-05-06 of the North Dakota Century Code, rel… (signed) - HB 1229: AN ACT to create and enact a new subdivision to subsection 2 of section 39-06.1-06 and section 39-10-71.1 of the North Dakota Century Code, relating to statuto… (signed) - SB 2113: AN ACT to create and enact two new sections to chapter 50-06 of the North Dakota Century Code, relating to certified community behavioral health clinics and th… (signed) - SB 2147: AN ACT to create and enact a new subsection to section 15-10-38.4, a new subsection to section 15-62.4-03, a new section to chapter 15-62.4, and a new subsecti… (signed) - SB 2018: AN ACT to provide an appropriation for defraying the expenses of the department of commerce; to provide an appropriation to the attorney general; to provide an… (signed) ## Sources - [Enrollment (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-06000.pdf) - [FIRST ENGROSSMENT (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-02000.pdf) - [FIRST ENGROSSMENT with Conference Committee Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-05000.pdf) - [FIRST ENGROSSMENT with Senate Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-03000.pdf) - [INTRODUCED (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-01000.pdf) - [Prepared by the Legislative Council staff for Conference Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-02035m.pdf) - [Prepared by the Legislative Council staff for House Appropriations Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-01018m.pdf) - [Prepared by the Legislative Council staff for Senate Appropriations - Human Resources Division Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-02028m.pdf) - [Prepared by the Legislative Council staff for Senator Mathern (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-0156-02029m.pdf) ## Related - [SB 2390: AN ACT to create and enact three new sections to chapter 54-40.1 of the North D…](https://policyrisk.com/state-bill/ND-SB2390-202501) - [HB 1298: AN ACT to amend and reenact sections 39-06.1-06, 39-09-02, 39-09-04, and 39-09-…](https://policyrisk.com/state-bill/ND-HB1298-202501) - [HB 1229: AN ACT to create and enact a new subdivision to subsection 2 of section 39-06.1…](https://policyrisk.com/state-bill/ND-HB1229-202501) - [SB 2113: AN ACT to create and enact two new sections to chapter 50-06 of the North Dakot…](https://policyrisk.com/state-bill/ND-SB2113-202501) - [SB 2147: AN ACT to create and enact a new subsection to section 15-10-38.4, a new subsec…](https://policyrisk.com/state-bill/ND-SB2147-202501) - [SB 2018: AN ACT to provide an appropriation for defraying the expenses of the department…](https://policyrisk.com/state-bill/ND-SB2018-202501) - [North Dakota bills](https://policyrisk.com/states/north-dakota/bills) - [North Dakota state hub](https://policyrisk.com/states/north-dakota) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/ND-HB1012-202501 (as of 2026-10-18).