All Roll Calls
Yes: 230 • No: 0
North DakotaHB 11092025 Regular SessionHouse
AN ACT to create and enact three new sections to chapter 25-16 of the North Dakota Century Code, relating to residential care and services for the developmentally disabled; to amend and reenact sections 25-16-01, 25-16-02, 25-16-03, 25-16-03.1, 25-16-04, 25-16-05, 25-16-06, 25-16-07, 25-16-08, 25-16-09, 25-16-12, 25-16-13, 25-16-14, 25-16.1-01, 25-16.1-02, 25-16.1-03, and 25-16.1-04 of the North Dakota Century Code, relating to developmental disability, residential care and services for the developmentally disabled, and receivers for developmentally disabled facilities; to repeal chapter 25-18 of the North Dakota Century Code, relating to fee for service ratesetting for developmentally disabled facilities; and to declare an emergency.
Sponsored By: House Human Services
Signed by Governor
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
4 provisions identified: 3 benefits, 0 costs, 1 mixed.
Yearly licenses and safeguards for disability care
Effective upon enactment, North Dakota requires disability service agencies to renew their licenses each year. Standards cover safe buildings, trained staff, meaningful activities, education, and arrangements for medical and psychological exams. The state can inspect buildings and records, require fixes, limit services or occupancy, and deny, suspend, or revoke licenses. Providers retain hearing rights; a criminal conviction alone does not automatically bar licensing. After license revocation or an operator’s request, the state can seek a court-appointed receiver to run the agency. The court must find a serious threat to clients’ health or safety—not just a lost license or certification. The receiver uses agency income and assets to operate and address dangers, but cannot liquidate assets. Receivership ends when conditions are corrected, licensing is restored, or the agency closes with clients safely served elsewhere.
Residential options for people with disabilities
A licensed group home serving six or fewer people must be allowed in single-family or equivalent lowest-density residential zones. One serving eight or fewer must be allowed in higher-density residential zones. A group home houses more than three people with developmental disabilities. The state may also establish a host home program for Medicaid-eligible people with developmental disabilities. Host homes serve no more than two people needing out-of-home placement for intensive care and support.
Privacy rules for disability care records
Provider agencies and their staff must keep eligible individuals’ records confidential, except for disclosures the law allows. Agencies serving eligible individuals can receive records for treatment, payment, or health care operations that coordinate services. Other exceptions cover courts, law enforcement, parents or guardians, and specified relatives or disclosures involving deceased individuals. Relevant genetic information can also be shared for treatment or family health as the law allows.
Disability care funding and payment changes
The law repeals the fee-for-service rate-setting chapter for developmental-disability facilities, without specifying replacement rates or payment amounts. The state may purchase residential care and related services from provider agencies or Medicaid-enrolled providers. The state and providers may also seek private and government grants for care, treatment, training, and education. Individuals, their estates, or responsible relatives remain responsible for care costs under existing state law. The department must follow federal requirements over conflicting state rules when necessary to secure federal Medicaid funding.
Sponsors & Cosponsors
Sponsor
House Human Services
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/10/2025
Second reading, passed, yeas 92 nays 0, Emergency clause carried
Yes: 92 • No: 0
Senate vote • 3/10/2025
Second reading, passed, yeas 45 nays 0, Emergency clause carried
Yes: 45 • No: 0
House vote • 1/16/2025
Second reading, passed, yeas 93 nays 0
Yes: 93 • No: 0
Actions Timeline
Filed with Secretary Of State 04/23
4/25/2025HouseSigned by Governor 04/23
4/24/2025HouseSent to Governor
4/22/2025HouseSigned by Speaker
4/22/2025HouseSigned by President
4/21/2025SenateConference committee report adopted
4/16/2025SenateReported back from conference committee, placed on calendar (House accept)
4/11/2025SenateSecond reading, passed, yeas 92 nays 0, Emergency clause carried
4/10/2025HouseConference committee report adopted
4/10/2025HouseReported back from conference committee, placed on calendar (House accept)
4/3/2025HouseConference committee appointed Lee Weston Hogan
3/28/2025SenateConference committee appointed Rohr Davis Hendrix
3/19/2025HouseRefused to concur
3/19/2025HouseReturned to House (12)
3/11/2025HouseSecond reading, passed, yeas 45 nays 0, Emergency clause carried
3/10/2025SenateAmendment adopted, placed on calendar
3/7/2025SenateReported back amended, do pass, amendment placed on calendar 6 0 0
3/7/2025SenateCommittee Hearing 09:00
2/11/2025SenateIntroduced, first reading, referred Human Services Committee
2/5/2025SenateReceived from House
1/17/2025SenateSecond reading, passed, yeas 93 nays 0
1/16/2025HouseReported back, do pass, place on calendar 12 0 1
1/15/2025HouseCommittee Hearing 10:00
1/14/2025HouseIntroduced, first reading, referred Human Services Committee
1/7/2025House
Bill Text
Adopted by the Senate Human Services Committee
Enrollment
HOUSE BILL NO. 1109 with Senate Amendments
INTRODUCED
Related Bills
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 statutory fees for traffic offenses and a motor vehicle owner's responsibility regarding a driver who flees a peace officer; and to provide a penalty.
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 fund; to amend and reenact section 54-40.1-02 of the North Dakota Century Code, relating to definitions for regional planning councils; to provide an appropriation; and to provide for a transfer.
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, relating to the amount of statutory fees, speed limitations on multilane highways, variable speed limits, alteration of maximum speed limits on state highways, speed zone reduction limitations, and city fines and penalties; to provide for a legislative management report; and to provide a penalty.
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 the financing of health and human services; to amend and reenact section 12.1-04-06, subsection 4 of section 20.1-03-04, sections 25-03.1-03.1 and 25-03.1-04, subsection 3 of section 25-03.1-08, section 25-03.1-10, subsection 3 of section 25-03.1-11, subsection 1 of section 25-03.1-19, subsection 2 of section 25-03.1-26, subdivision b of subsection 2 of section 26.1-36-08, subdivisions c and d of subsection 2 of section 26.1-36-09, subsection 9 of section 43-12.1-04, subsection 6 of section 43-41-02, subdivision b of subsection 1 of section 44-04-18.30, sections 50-06-01, 50-06-01.4, 50-06-01.7, 50-06-05.1, 50-06-05.2, 50-06-05.3, 50-06-05.4, 50-06-05.5, 50-06-06.2, 50-06-06.5, and 50-06-06.13, subsections 1 and 3 of section 50-06-15, sections 50-06-33 and 50-06-41.3, subsection 1 of section 50-06-42, subsection 1 of section 50-06-42.1, and sections 50-06-46, 50-06.2-01, 50-06.2-02, 50-06.2-03, 50-06.3-02, and 50-06.3-04 of the North Dakota Century Code, relating to the powers and duties of the department of health and human services, treatment hearing timelines, and membership of the cross-disability advisory council; to provide for a legislative management study; and to provide an expiration date.
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 subsection to section 15-62.5-04 of the North Dakota Century Code, relating to student financial assistance grants, dual-credit tuition scholarships, and the scholars program; to amend and reenact sections 15-10-38.1, 15-10-38.2, 15-63-05, and 15.1-21-02.6 of the North Dakota Century Code, relating to the skilled workforce student loan repayment and scholarship programs, Native American scholarships, and the North Dakota scholarship; and to provide an appropriation.
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 appropriation to the department of career and technical education; to provide an appropriation to the state fair association; to provide a contingent appropriation; to create and enact a new section to chapter 54-60 of the North Dakota Century Code, relating to department of commerce grant reporting requirements; to amend and reenact subsection 1 of section 10-30.5-02, sections 54-60-09, 54-60-19, 54-60-28, 54-60-29, 54-60-29.1, and 54-60-31 of the North Dakota Century Code, relating to the purpose of the North Dakota development fund, duties and talent strategy of the division of workforce development, the uncrewed aircraft systems program, the uncrewed aircraft systems program fund, the beyond visual line of sight uncrewed aircraft system program, and changing the name of the office of legal immigration to the global talent office; to authorize a Bank of North Dakota line of credit; to provide for a transfer; to provide an application; to provide an exemption; and to provide for a legislative management report.