All Roll Calls
Yes: 115 • No: 21
North DakotaHB 11542025 Regular SessionHouseWALLET
AN ACT to amend and reenact subsection 1 of section 23-09.3-01.1 and subsection 1 of section 23-16-01.1 of the North Dakota Century Code, relating to the moratorium on basic care and nursing facility bed capacity.
Sponsored By: Matthew Ruby (Republican)
Became Law
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
2 provisions identified: 0 benefits, 0 costs, 2 mixed.
Four-year pause on senior care beds
From August 1, 2025 through July 31, 2029, North Dakota stops adding new basic care and nursing facility beds to the state’s licensed capacity. Basic care beds can still be added when a nursing home converts nursing beds to basic care, when capacity is transferred and licensed as basic care under state transfer rules, when an area lacks basic care or beds within 50 miles were 90% full for the past 12 months, or when the department approves new beds. When judging a shortage, the department may prefer entities that agree to serve people covered by Medicaid (Title XIX). Department-approved basic care beds must be licensed within 48 months of approval. For nursing homes, new beds are allowed only by reverting basic care beds back to nursing beds or by relicensing nursing beds that were delicensed after July 31, 2011.
Limits on nursing home bed changes
A nursing facility cannot change its licensed nursing bed count more than two times in any 12 months. Actions that count include delicensing or relicensing beds, switching nursing beds to basic care, switching basic care beds back to nursing, or any other reconfiguration.
Sponsors & Cosponsors
Sponsor
Matthew Ruby
Republican • House
Cosponsors
Kathy Frelich
Republican • House
Judy Lee
Republican • Senate
Roll Call Votes
Senate vote • 3/11/2025
Second reading, passed, yeas 46 nays 1
Yes: 46 • No: 1
House vote • 1/17/2025
Second reading, passed, yeas 69 nays 20
Yes: 69 • No: 20
Actions Timeline
Filed with Secretary Of State 03/24
3/25/2025HouseSigned by Governor 03/21
3/24/2025HouseSent to Governor
3/20/2025HouseSigned by Speaker
3/20/2025HouseSigned by President
3/14/2025SenateReturned to House
3/12/2025HouseSecond reading, passed, yeas 46 nays 1
3/11/2025SenateReported back, do pass, place on calendar 6 0 0
3/7/2025SenateCommittee Hearing 02:00
3/5/2025SenateIntroduced, first reading, referred Human Services Committee
2/13/2025SenateReceived from House
1/20/2025SenateSecond reading, passed, yeas 69 nays 20
1/17/2025HouseReported back, do pass, place on calendar 13 0 0
1/16/2025HouseCommittee Hearing 10:30
1/15/2025HouseIntroduced, first reading, referred Human Services Committee
1/7/2025House
Bill Text
Enrollment
INTRODUCED
Related Bills
HB 1022 — AN ACT to provide an appropriation for defraying the expenses of the retirement and investment office.
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.
SB 2323 — AN ACT to amend and reenact sections 57-51-15 and 57-51.1-07.5 of the North Dakota Century Code, relating to oil and gas gross production tax allocations and the state share of oil and gas tax allocations; to provide for a legislative management report; to provide an exemption; and to provide an effective date.
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.
SB 2397 — AN ACT to create and enact a new subsection to section 57-51.1-03 of the North Dakota Century Code, relating to a limited exemption for development incentive wells; to amend and reenact sections 57-51-02.6, 57-51-05, and 57-51.1-01 of the North Dakota Century Code, relating to the temporary exemption for oil and gas wells employing a system to avoid flaring, an exemption from gross production tax for gas produced from certain enhanced oil recovery projects, and the definition of development incentive well; to provide an effective date; and to provide an expiration date.
SB 2370 — AN ACT to provide for a legislative management study regarding prescription drug transparency reporting under the federal drug discount program.