All Roll Calls
Yes: 265 • No: 14
North DakotaSB 22712025 Regular SessionSenateWALLET
AN ACT to create and enact a new section to chapter 50-24.5 of the North Dakota Century Code, relating to adult residential facility payment rates; to amend and reenact section 50-24.5-01 of the North Dakota Century Code, relating to the definition of adult residential facility; to provide for a legislative management report; and to provide an appropriation.
Sponsored By: Sean Cleary (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Cost-based rates for adult homes
The law ties payments to each facility’s current costs. Adult residential facilities must file a cost report by October 31, 2025. The state starts paying based on those costs on January 1, 2026. A second cost report is due December 31, 2026. The state recalculates rates using that data starting July 1, 2027.
Funds to run facility rate system
The government provides $1,709,302 from the general fund and $1,709,302 from other funds. That is $3,418,604 for July 1, 2025 through June 30, 2027. The money lets Health and Human Services run and set adult residential facility rates.
Who qualifies and which homes count
The law defines an “adult residential facility” as a basic care home that meets Medicaid aged and disabled waiver rules. It must serve people with moderate to severe memory loss or major emotional, behavioral, or cognitive needs and provide daily living support. The law also says “Aged” means 65 or older. These definitions guide who qualifies and which homes get program rates and services.
Sponsors & Cosponsors
Sponsor
Sean Cleary
Republican • Senate
Cosponsors
Mike Beltz
Republican • House
Zachary Ista
Democratic • House
Carrie McLeod
Republican • House
Dick Dever
Republican • Senate
Judy Lee
Republican • Senate
Roll Call Votes
House vote • 4/24/2025
Second reading, passed as amended, yeas 88 nays 5
Yes: 88 • No: 5
Senate vote • 4/23/2025
Second reading, passed, yeas 47 nays 0
Yes: 47 • No: 0
House vote • 4/10/2025
Second reading, passed as amended, yeas 84 nays 8
Yes: 84 • No: 8
Senate vote • 2/19/2025
Second reading, passed, yeas 46 nays 1
Yes: 46 • No: 1
Actions Timeline
Filed with Secretary Of State 05/01
5/2/2025HouseSigned by Governor 04/30
5/1/2025SenateSent to Governor
4/29/2025SenateSigned by President
4/29/2025SenateSigned by Speaker
4/28/2025HouseSecond reading, passed as amended, yeas 88 nays 5
4/24/2025HouseConference committee report adopted
4/24/2025HouseReported back from conference committee, in place of, placed on calendar
4/23/2025HouseSecond reading, passed, yeas 47 nays 0
4/23/2025SenateConference committee report adopted
4/23/2025SenateReported back from conference committee, in place of, placed on calendar
4/22/2025SenateConference committee appointed Beltz Murphy Rohr
4/16/2025HouseConference committee appointed Roers Hogan Van Oosting
4/14/2025SenateRefused to concur
4/14/2025SenateReturned to Senate (12)
4/10/2025SenateSecond reading, passed as amended, yeas 84 nays 8
4/10/2025HouseAmendment adopted, placed on calendar
4/10/2025HouseReported back amended, do pass, amendment placed on calendar 20 1 2
4/9/2025HouseRereferred to Appropriations
3/21/2025HouseReported back, do pass 10 1 2
3/21/2025HouseCommittee Hearing 09:45
3/18/2025HouseIntroduced, first reading, referred Human Services Committee
2/21/2025HouseReceived from Senate
2/20/2025HouseSecond reading, passed, yeas 46 nays 1
2/19/2025SenateAmendment adopted, placed on calendar
2/19/2025Senate
Bill Text
Adopted by the Conference Committee
Adopted by the Senate Human Services Committee
Enrollment
FIRST ENGROSSMENT
INTRODUCED
Prepared by the Legislative Council staff for House Appropriations - Human Resources Division Committee
Prepared by the Legislative Council staff for Senator Cleary
SECOND ENGROSSMENT
SECOND ENGROSSMENT with Conference Committee Amendments
SECOND ENGROSSMENT with House Amendments
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