All Roll Calls
Yes: 131 • No: 6
North DakotaSB 23052025 Regular SessionSenateWALLET
AN ACT to amend and reenact section 50-24.1-47 of the North Dakota Century Code, relating to the family paid caregiver service pilot project and the cross-disability advisory council; and to provide an appropriation.
Sponsored By: Kathy Hogan (Democratic)
Became Law
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 3 benefits, 1 costs, 1 mixed.
Caregiver pay tied to waiver wage
Pilot payments to family caregivers use the same hourly wage used for self‑directed workers in the aged and disabled waiver. The Department uses that rate as the benchmark for pilot payments.
Medicaid paid family caregiver pilot
The Department of Health and Human Services runs a Family Paid Caregiver Service Pilot. It pays a legally responsible family member for extraordinary care. The person getting care must be in a Medicaid 1915(c) waiver, not the aged and disabled waiver. Extraordinary care means more than normal household help and is needed to keep the person healthy and out of an institution. The Department uses an evidence‑based assessment that looks at age, daily living help, medical needs, and social‑emotional needs to set the level of care. The pilot does not pay for care already covered by a Medicaid waiver or the state plan, and caregivers must attest each year they will not seek pay on days other waiver services are paid. The Department sets rules, seeks needed Medicaid waiver approvals, and runs the pilot within the funds the Legislature provides.
$9 million to fund caregiver pilot
Beginning July 1, 2025, the state provides $9 million from the general fund to run the pilot and make payments. The money is available through June 30, 2027.
Disability council guides program design
The cross‑disability advisory council works with the Department to plan and run the caregiver pilot. It also helps build the assessment used to decide who needs extraordinary care and gives input on a future children’s waiver.
Limited appeals when pilot lacks funds
You can appeal most application decisions under chapter 28‑32. But you cannot appeal a denial, cut, or end of payments when the reason is that the pilot ran out of money for the biennium.
Sponsors & Cosponsors
Sponsor
Kathy Hogan
Democratic • Senate
Cosponsors
Gretchen Dobervich
Democratic • House
Sean Cleary
Republican • Senate
Judy Lee
Republican • Senate
Kent Weston
Republican • Senate
Roll Call Votes
House vote • 4/4/2025
Second reading, passed, yeas 84 nays 6
Yes: 84 • No: 6
Senate vote • 2/19/2025
Second reading, passed, yeas 47 nays 0
Yes: 47 • No: 0
Actions Timeline
Filed with Secretary Of State 04/17
4/18/2025HouseSigned by Governor 04/15
4/17/2025SenateSent to Governor
4/14/2025SenateSigned by President
4/14/2025SenateSigned by Speaker
4/11/2025HouseReturned to Senate
4/7/2025SenateSecond reading, passed, yeas 84 nays 6
4/4/2025HouseReported back, do pass, place on calendar 20 0 3
4/2/2025HouseRereferred to Appropriations
3/19/2025HouseReported back, do pass 10 0 3
3/19/2025HouseCommittee Hearing 03:15
3/12/2025HouseIntroduced, first reading, referred Human Services Committee
2/21/2025HouseReceived from Senate
2/20/2025HouseSecond reading, passed, yeas 47 nays 0
2/19/2025SenateAmendment adopted, placed on calendar
2/19/2025SenateReported back amended, do pass, amendment placed on calendar 15 0 1
2/18/2025SenateRereferred to Appropriations
2/6/2025SenateAmendment adopted
2/6/2025SenateReported back amended, do pass, amendment placed on calendar 6 0 0
2/5/2025SenateCommittee Hearing 10:00
1/27/2025SenateIntroduced, first reading, referred Human Services Committee
1/20/2025Senate
Bill Text
Adopted by the Senate Human Services Committee
Enrollment
FIRST ENGROSSMENT
INTRODUCED
Prepared by the Legislative Council staff for Senate Appropriations Committee
SECOND ENGROSSMENT
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