All Roll Calls
Yes: 264 • No: 15
North DakotaSB 23992025 Regular SessionSenateWALLET
AN ACT to create and enact a new section to chapter 50-24.1 of the North Dakota Century Code, relating to medical assistance reimbursement of psychiatric residential treatment facilities; to provide for a legislative management report; and to provide an appropriation.
Sponsored By: Judy Lee (Republican)
Became Law
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 1 costs, 0 mixed.
More Medicaid support for PRTF care
The Department of Health and Human Services updates Medicaid payment rules for psychiatric residential treatment facilities. Payments now cover more direct care costs, including clinical supervisors and medical directors. The rules also support family engagement in care. An administrative cost cap applies to keep overhead in check.
Cap and preapproval for PRTF leave days
Medicaid pays no more than $500 per therapeutic leave day from a PRTF. Providers must get service authorization before those days are paid. This can add paperwork and may delay or limit approval of some leave days.
2025-27 funding for PRTF Medicaid
The state provides $647,149 from the general fund and $660,025 from federal and special funds. The money supports PRTF Medicaid payments from July 1, 2025 through June 30, 2027. This helps keep payments flowing to facilities that serve Medicaid youth.
Sponsors & Cosponsors
Sponsor
Judy Lee
Republican • Senate
Cosponsors
Alisa Mitskog
Democratic • House
Matthew Ruby
Republican • House
Diane Larson
Republican • Senate
Kristin Roers
Republican • Senate
Roll Call Votes
House vote • 4/24/2025
Second reading, passed as amended, yeas 90 nays 3
Yes: 90 • No: 3
Senate vote • 4/23/2025
Second reading, passed, yeas 45 nays 2
Yes: 45 • No: 2
House vote • 4/10/2025
Second reading, passed as amended, yeas 84 nays 8
Yes: 84 • No: 8
Senate vote • 2/20/2025
Second reading, passed, yeas 45 nays 2
Yes: 45 • No: 2
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 90 nays 3
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 45 nays 2
4/23/2025SenateConference committee report adopted
4/23/2025SenateReported back from conference committee, in place of, placed on calendar
4/21/2025SenateConference committee appointed Stemen Wagner Holle
4/16/2025HouseNew conference committee appointed Lee Hogan Van Oosting
4/15/2025SenateConference committee dissolved
4/15/2025SenateConference committee appointed Weston Clemens 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 18 2 3
4/9/2025HouseRereferred to Appropriations
3/19/2025HouseReported back, do pass 10 0 3
3/19/2025HouseCommittee Hearing 03:00
3/17/2025HouseIntroduced, first reading, referred Human Services Committee
2/25/2025HouseReceived from Senate
2/21/2025House
Bill Text
Adopted by the Conference Committee
Adopted by the Senate Human Services Committee
Enrollment
FIRST ENGROSSMENT
FIRST ENGROSSMENT with Conference Committee Amendments
FIRST ENGROSSMENT with House Amendments
INTRODUCED
Prepared by the Legislative Council staff for House Appropriations - Human Resources Division Committee
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