All Roll Calls
Yes: 254 • No: 12
North DakotaSB 21132025 Regular SessionSenateWALLET
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.
Sponsored By: Senate Human Services
Became Law
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Bill Overview
Analyzed Economic Effects
13 provisions identified: 9 benefits, 0 costs, 4 mixed.
At least 120 days of treatment
Benefits for partial hospitalization and residential treatment must cover at least 120 days each calendar year. Partial hospitalization must be from a licensed addiction program, a hospital, or a licensed regional state clinic. Charges at regional clinics must be reasonably similar to hospital charges.
Full care continuum for serious mental illness
The department plans an integrated continuum for serious mental illness. It may include housing supports, job help, medication delivery, peer recovery, and 24/7 crisis response. Care should be in the least restrictive setting and use regional centers when appropriate. Funding depends on legislative appropriations.
Help for kids needing out-of-home care
The department provides out-of-home treatment for Medicaid-eligible children with serious emotional disorders. Parents do not have to give up custody to get care. A custodial parent can seek department approval for services, and a noncustodial parent may ask a judge to decide. The department can also run programs to prevent out-of-home placement.
Regional behavioral clinics: access and oversight
The state runs regional behavioral health clinics. Clinics must be licensed or certified to operate and seek national accreditation. The department can use Medicaid (Title XIX) and Title XX funds to pay for eligible clinic services. Each clinic must offer prevention, outpatient, crisis, and reentry supports and have an advisory group. Appointed members get $45 per day, up to 25 days a year. Clinics are led by a regional director and a medical director (a psychiatrist when one can be hired). Some department administration rules in this area apply through June 30, 2027.
Regional dementia help for families
The department hires private providers to run dementia care services in each region. The program maps local services, gives information to families, assesses needs, trains care providers, offers consultation, and makes referrals. This helps seniors and caregivers find and use local support.
Vouchers for addiction treatment access
The department runs a voucher program to help pay for addiction treatment in underserved areas. Vouchers pay licensed programs, but not state regional clinics or hospital-based withdrawal management. Some licensed programs in nearby states can be paid for outpatient and community services after a need review and approval. Funding depends on legislative appropriations.
Statewide system to match open beds
The department runs a behavioral health bed management system. Most residential and inpatient providers must report bed availability every day. Geropsychiatric facilities report weekly and within 48 hours when a bed opens. This helps place patients faster and use capacity better.
Fairer, faster civil treatment process
Regional clinics must screen people for admission where they are, in person when reasonable. On request by a court, law enforcement, a guardian, a parent, or the person, the clinic must screen and arrange treatment or a referral. If a petition lacks a recent supportive exam, the court must order an expert exam; state hospital exams require clinic screening and approval, and the person’s county pays the cost. Courts may order exams in the least restrictive appropriate setting, including a state clinic if it has the needed resources. Providers can share identifiable health information for treatment to coordinate care and carry out the law.
More internal data sharing to coordinate care
The department may share identifiable information within and between its divisions to help deliver services. Any sharing must follow federal privacy laws. The law also clarifies that the department, regional behavioral clinics, and local human service entities are public social services agencies.
Clinic patients can fish without license
Patients and clients of state-operated behavioral health clinics may fish without buying a resident license. The clinic must identify eligible people, and the department must authorize the clinic for this purpose.
Clinic staff and medication rules updated
State-run clinics can give medicines by non-injection when staff are trained and consent rules are followed. People with graduate degrees in mental health counseling may serve as counselors or therapists in state clinics. They cannot present themselves as social workers.
Small treatment providers: grants and fees
Small licensed substance use programs can apply for a one-time competitive grant if they have fewer than 17 beds and serve an underserved area. Programs must apply, sign a grant agreement, share data, and follow grant terms. State regional clinics and hospital withdrawal programs cannot get these grants. The division may also charge up to a $300 nonrefundable application fee to process licensing and certification.
Disability council strengthened, ends in 2027
The cross-disability council has up to 15 voting members and must meet at least quarterly. Most members must be family of people with disabilities or represent many disability types and regions. Members can be reimbursed for travel and lodging at state rates. The council ends August 1, 2027.
Sponsors & Cosponsors
Sponsor
Senate Human Services
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/28/2025
Second reading, passed as amended, yeas 83 nays 6
Yes: 83 • No: 6
Senate vote • 4/25/2025
Second reading, passed, yeas 43 nays 2
Yes: 43 • No: 2
House vote • 4/1/2025
Second reading, passed as amended, yeas 85 nays 3
Yes: 85 • No: 3
Senate vote • 2/14/2025
Second reading, passed, yeas 43 nays 1
Yes: 43 • No: 1
Actions Timeline
Filed with Secretary Of State 05/02
6/11/2025HouseSigned by Governor 05/02
5/2/2025SenateSent to Governor
5/1/2025SenateSigned by President
5/1/2025SenateSigned by Speaker
5/1/2025HouseSecond reading, passed as amended, yeas 83 nays 6
4/28/2025HouseConference committee report adopted
4/28/2025HouseReported back from conference committee, in place of, placed on calendar
4/25/2025HouseSecond reading, passed, yeas 43 nays 2
4/25/2025SenateConference committee report adopted
4/25/2025SenateReported back from conference committee, in place of, placed on calendar
4/25/2025SenateConference committee appointed Stemen Wagner Holle
4/9/2025HouseConference committee appointed Weston Hogan Van Oosting
4/9/2025SenateRefused to concur
4/9/2025SenateConference committee appointed Weston Hogan Van Oosting
4/7/2025SenateRefused to concur
4/7/2025SenateReturned to Senate (12)
4/2/2025SenateSecond reading, passed as amended, yeas 85 nays 3
4/1/2025HouseAmendment adopted, placed on calendar
3/31/2025HouseReported back amended, do pass, amendment placed on calendar 23 0 0
3/28/2025HouseRereferred to Appropriations
3/19/2025HouseReported back, do pass 10 0 3
3/19/2025HouseCommittee Hearing 02:30
3/12/2025HouseIntroduced, first reading, referred Human Services Committee
2/18/2025HouseReceived from Senate
2/17/2025House
Bill Text
Adopted by the Senate Human Services Committee
Enrollment
FIRST ENGROSSMENT
FOURTH ENGROSSMENT
FOURTH ENGROSSMENT with Conference Committee Amendments
FOURTH ENGROSSMENT with House Amendments
INTRODUCED
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 Hogan
SECOND ENGROSSMENT
THIRD ENGROSSMENT
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