# North Dakota SB 2271: 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.

North Dakota SB 2271, 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., is a 2025 Regular Session Senate bill sponsored by Sean Cleary (Republican); status signed, last action 2025-05-02 (Filed with Secretary Of State 05/01) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/ND-SB2271-202501
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: North Dakota SB 2271
- State: North Dakota
- Session: 2025 Regular Session
- Title: 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.
- Status: signed
- Chamber: Senate
- Introduced: 2025-01-20
- Last action: 2025-05-02, Filed with Secretary Of State 05/01
- Sponsor: Sean Cleary (Republican)
- Cosponsors: 5
- Touches household money: no
- Roll calls: 4 (265 yes, 14 no in all)
- Economic provisions PRIA read: 1

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Cost-based payments for adult residential care facilities: benefit, low. 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 mem…

## Sponsors and cosponsors

- Sponsor: Sean Cleary (Republican), Senate
- Cosponsor: Mike Beltz (Republican), House
- Cosponsor: Zachary Ista (Democratic), House
- Cosponsor: Carrie McLeod (Republican), House
- Cosponsor: Dick Dever (Republican), Senate
- Cosponsor: Judy Lee (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-24 | House | Second reading, passed as amended, yeas 88 nays 5 | pass | 88 | 5 |   |
| 2025-04-23 | Senate | Second reading, passed, yeas 47 nays 0 | pass | 47 | 0 |   |
| 2025-04-10 | House | Second reading, passed as amended, yeas 84 nays 8 | pass | 84 | 8 |   |
| 2025-02-19 | Senate | Second reading, passed, yeas 46 nays 1 | pass | 46 | 1 |   |

## Actions (31)

- 2025-05-02: Filed with Secretary Of State 05/01 (House)
- 2025-05-01: Signed by Governor 04/30 (Senate)
- 2025-04-29: Sent to Governor (Senate)
- 2025-04-29: Signed by President (Senate)
- 2025-04-28: Signed by Speaker (House)
- 2025-04-24: Second reading, passed as amended, yeas 88 nays 5 (House)
- 2025-04-24: Conference committee report adopted (House)
- 2025-04-23: Reported back from conference committee, in place of, placed on calendar (House)
- 2025-04-23: Second reading, passed, yeas 47 nays 0 (Senate)
- 2025-04-23: Conference committee report adopted (Senate)
- 2025-04-22: Reported back from conference committee, in place of, placed on calendar (Senate)
- 2025-04-16: Conference committee appointed Beltz Murphy Rohr (House)
- 2025-04-14: Conference committee appointed Roers Hogan Van Oosting (Senate)
- 2025-04-14: Refused to concur (Senate)
- 2025-04-10: Returned to Senate (12) (Senate)
- 2025-04-10: Second reading, passed as amended, yeas 84 nays 8 (House)
- 2025-04-10: Amendment adopted, placed on calendar (House)
- 2025-04-09: Reported back amended, do pass, amendment placed on calendar 20 1 2 (House)
- 2025-03-21: Rereferred to Appropriations (House)
- 2025-03-21: Reported back, do pass 10 1 2 (House)
- 2025-03-18: Committee Hearing 09:45 (House)
- 2025-02-21: Introduced, first reading, referred Human Services Committee (House)
- 2025-02-20: Received from Senate (House)
- 2025-02-19: Second reading, passed, yeas 46 nays 1 (Senate)
- 2025-02-19: Amendment adopted, placed on calendar (Senate)
- 2025-02-18: Reported back amended, do pass, amendment placed on calendar 15 0 1 (Senate)
- 2025-02-06: Rereferred to Appropriations (Senate)
- 2025-02-06: Amendment adopted (Senate)
- 2025-02-05: Reported back amended, do pass, amendment placed on calendar 6 0 0 (Senate)
- 2025-01-28: Committee Hearing 10:30 (Senate)
- 2025-01-20: Introduced, first reading, referred Human Services Committee (Senate)

## Bill text

- Adopted by the Conference Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-03004m.pdf)
- Adopted by the Senate Human Services Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-01001m.pdf)
- Enrollment: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-06000.pdf)
- FIRST ENGROSSMENT: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-02000.pdf)
- INTRODUCED: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-01000.pdf)
- Prepared by the Legislative Council staff for House Appropriations - Human Resources Division Committee: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-03001m.pdf)
- Prepared by the Legislative Council staff for Senator Cleary: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-02001m.pdf)
- SECOND ENGROSSMENT: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-03000.pdf)
- SECOND ENGROSSMENT with Conference Committee Amendments: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-05000.pdf)
- SECOND ENGROSSMENT with House Amendments: [PDF](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-04000.pdf)

## 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 statuto… (signed)
- 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 f… (signed)
- 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, rel… (signed)
- 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 th… (signed)
- 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 subsecti… (signed)
- 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… (signed)

## Sources
- [Adopted by the Conference Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-03004m.pdf)
- [Adopted by the Senate Human Services Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-01001m.pdf)
- [Enrollment (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-06000.pdf)
- [FIRST ENGROSSMENT (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-02000.pdf)
- [INTRODUCED (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-01000.pdf)
- [Prepared by the Legislative Council staff for House Appropriations - Human Resources Division Committee (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-03001m.pdf)
- [Prepared by the Legislative Council staff for Senator Cleary (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-02001m.pdf)
- [SECOND ENGROSSMENT (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-03000.pdf)
- [SECOND ENGROSSMENT with Conference Committee Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-05000.pdf)
- [SECOND ENGROSSMENT with House Amendments (PDF)](https://ndlegis.gov/assembly/69-2025/regular/documents/25-1225-04000.pdf)

## Related
- [HB 1229: AN ACT to create and enact a new subdivision to subsection 2 of section 39-06.1…](https://policyrisk.com/state-bill/ND-HB1229-202501)
- [SB 2390: AN ACT to create and enact three new sections to chapter 54-40.1 of the North D…](https://policyrisk.com/state-bill/ND-SB2390-202501)
- [HB 1298: AN ACT to amend and reenact sections 39-06.1-06, 39-09-02, 39-09-04, and 39-09-…](https://policyrisk.com/state-bill/ND-HB1298-202501)
- [SB 2113: AN ACT to create and enact two new sections to chapter 50-06 of the North Dakot…](https://policyrisk.com/state-bill/ND-SB2113-202501)
- [SB 2147: AN ACT to create and enact a new subsection to section 15-10-38.4, a new subsec…](https://policyrisk.com/state-bill/ND-SB2147-202501)
- [SB 2018: AN ACT to provide an appropriation for defraying the expenses of the department…](https://policyrisk.com/state-bill/ND-SB2018-202501)
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Source: PRIA, https://policyrisk.com/state-bill/ND-SB2271-202501 (as of 2026-10-19).