All Roll Calls
Yes: 136 • No: 2
North DakotaHB 10672025 Regular SessionHouseWALLET
AN ACT to amend and reenact sections 50-24.1-02.6 and 50-24.1-26 of the North Dakota Century Code, relating to medical assistance benefits and Medicaid waivers; and to provide an effective date.
Sponsored By: House Human Services
Became Law
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 3 benefits, 0 costs, 1 mixed.
Medicaid expands for children and pregnancy
Beginning July 1, 2026, the state does not count assets for children and families groups and for pregnant women. Pregnant women who are lawfully present in the U.S. can get Medicaid if they meet other rules. Lawfully present children can get Medicaid if they meet other rules.
Medicaid opens to medically needy
Beginning July 1, 2026, medically needy people can get Medicaid if their countable income is at or below the state level. The department must set that income level at least as high as federal law requires.
More in-home Medicaid help for kids
The department runs Medicaid waivers that give in-home services to children with extraordinary medical needs. It also serves children diagnosed with autism who would otherwise meet an institutional level of care and are under age twenty-one. The department may put higher-need children first on waiting lists. Beginning July 1, 2026, for children under 18 on a 1915(c) waiver, the state ignores Social Security survivor pay and court-ordered child support when checking income.
Medicaid may require Medicare enrollment
Beginning July 1, 2026, if you are eligible for Medicare Parts A, B, or D, the department may require you to apply for Medicare to get Medicaid. This adds a step but can give you Medicare coverage too.
Sponsors & Cosponsors
Sponsor
House Human Services
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 3/13/2025
Second reading, passed, yeas 47 nays 0
Yes: 47 • No: 0
House vote • 2/18/2025
Second reading, passed, yeas 89 nays 2
Yes: 89 • No: 2
Actions Timeline
Filed with Secretary Of State 03/20
3/24/2025HouseSigned by Governor 03/19
3/21/2025HouseSent to Governor
3/18/2025HouseSigned by Speaker
3/18/2025HouseSigned by President
3/17/2025SenateReturned to House
3/14/2025HouseSecond reading, passed, yeas 47 nays 0
3/13/2025SenateReported back, do pass, place on calendar 6 0 0
3/12/2025SenateCommittee Hearing 10:00
3/10/2025SenateIntroduced, first reading, referred Human Services Committee
2/20/2025SenateReceived from House
2/19/2025SenateSecond reading, passed, yeas 89 nays 2
2/18/2025HouseRequest return from committee
2/14/2025HouseRereferred to Appropriations
2/12/2025HouseAmendment adopted
2/12/2025HouseReported back amended, do pass, amendment placed on calendar 11 0 2
2/11/2025HouseCommittee Hearing 10:30
1/14/2025HouseIntroduced, first reading, referred Human Services Committee
1/7/2025House
Bill Text
Adopted by the House Human Services Committee
Enrollment
FIRST ENGROSSMENT
INTRODUCED
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