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)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Paid care for North Dakota families

North Dakota provides up to $7.3 million for a family caregiver pilot from July 1, 2025, through June 30, 2027. The money funds setup and payments to legally responsible caregivers of eligible Medicaid 1915(c) waiver participants. The Home and Community-Based Services Aged and Disabled waiver is excluded. Paid care must exceed ordinary household care and protect the person's health and welfare while helping avoid institutional care. The Department of Health and Human Services sets eligibility rules and exclusions. Its assessment must consider the person's best interests, age, daily activities, medical needs, and social-emotional needs. Payments must be in line with the Aged and Disabled waiver's family-caregiving rate and stay within available funding. Payments cannot duplicate care paid through department-run or supervised services, including Medicaid waiver and state-plan services. Caregivers must attest yearly that they will not seek pilot payment for days when the department pays other 1915(c) waiver services. The cross-disability advisory council must help shape planning, design, implementation, assessments, and future federal children's waiver considerations. The pilot has a contingent expiration; the supplied summary does not identify a fixed end date.

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

All Roll Calls

Yes: 131 • No: 6

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

  1. Filed with Secretary Of State 04/17

    4/18/2025House
  2. Signed by Governor 04/15

    4/17/2025Senate
  3. Sent to Governor

    4/14/2025Senate
  4. Signed by President

    4/14/2025Senate
  5. Signed by Speaker

    4/11/2025House
  6. Returned to Senate

    4/7/2025Senate
  7. Second reading, passed, yeas 84 nays 6

    4/4/2025House
  8. Reported back, do pass, place on calendar 20 0 3

    4/2/2025House
  9. Rereferred to Appropriations

    3/19/2025House
  10. Reported back, do pass 10 0 3

    3/19/2025House
  11. Committee Hearing 03:15

    3/12/2025House
  12. Introduced, first reading, referred Human Services Committee

    2/21/2025House
  13. Received from Senate

    2/20/2025House
  14. Second reading, passed, yeas 47 nays 0

    2/19/2025Senate
  15. Amendment adopted, placed on calendar

    2/19/2025Senate
  16. Reported back amended, do pass, amendment placed on calendar 15 0 1

    2/18/2025Senate
  17. Rereferred to Appropriations

    2/6/2025Senate
  18. Amendment adopted

    2/6/2025Senate
  19. Reported back amended, do pass, amendment placed on calendar 6 0 0

    2/5/2025Senate
  20. Committee Hearing 10:00

    1/27/2025Senate
  21. Introduced, 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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