North DakotaSB 22712025 Regular SessionSenate

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)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Cost-based payments for adult residential care facilities

North Dakota defines adult residential facilities as licensed basic care facilities meeting Medicaid aged and disabled home- and community-based waiver rules. They must specialize in serving people eligible for that waiver or a similar program. Those people must have chronic, moderate to severe memory loss or significant emotional, behavioral, or thinking impairments. Facilities must submit cost reports and added information by October 31, 2025, for payments covering current costs starting January 1, 2026. Another submission is due December 31, 2026, for rates recalculated starting July 1, 2027. The law does not set payment amounts or specify changes to residents’ bills.

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

All Roll Calls

Yes: 265 • No: 14

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

  1. Filed with Secretary Of State 05/01

    5/2/2025House
  2. Signed by Governor 04/30

    5/1/2025Senate
  3. Sent to Governor

    4/29/2025Senate
  4. Signed by President

    4/29/2025Senate
  5. Signed by Speaker

    4/28/2025House
  6. Second reading, passed as amended, yeas 88 nays 5

    4/24/2025House
  7. Conference committee report adopted

    4/24/2025House
  8. Reported back from conference committee, in place of, placed on calendar

    4/23/2025House
  9. Second reading, passed, yeas 47 nays 0

    4/23/2025Senate
  10. Conference committee report adopted

    4/23/2025Senate
  11. Reported back from conference committee, in place of, placed on calendar

    4/22/2025Senate
  12. Conference committee appointed Beltz Murphy Rohr

    4/16/2025House
  13. Conference committee appointed Roers Hogan Van Oosting

    4/14/2025Senate
  14. Refused to concur

    4/14/2025Senate
  15. Returned to Senate (12)

    4/10/2025Senate
  16. Second reading, passed as amended, yeas 84 nays 8

    4/10/2025House
  17. Amendment adopted, placed on calendar

    4/10/2025House
  18. Reported back amended, do pass, amendment placed on calendar 20 1 2

    4/9/2025House
  19. Rereferred to Appropriations

    3/21/2025House
  20. Reported back, do pass 10 1 2

    3/21/2025House
  21. Committee Hearing 09:45

    3/18/2025House
  22. Introduced, first reading, referred Human Services Committee

    2/21/2025House
  23. Received from Senate

    2/20/2025House
  24. Second reading, passed, yeas 46 nays 1

    2/19/2025Senate
  25. Amendment 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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