HB 1154 North Dakota House · 69th Legislative Assembly (2025-26)

AN ACT to amend and reenact subsection 1 of section 23-09.3-01.1 and subsection 1 of section 23-16-01.1 of the North Dakota Century Code, relating to the moratorium on basic care and nursing facility bed capacity.

HB 1154 extends a moratorium on adding new basic care and nursing facility bed capacity in North Dakota from August 1, 2023, through July 31, 2029. It prohibits new licenses for basic care beds unless facilities convert existing beds, demonstrate high demand (90% occupancy within 50 miles for 12 months), or receive department approval. The bill also restricts nursing facilities from changing bed configurations more than twice annually, except for specific conversions or relicensing after July 31, 2011. This law directly affects nursing homes and care facilities seeking to expand or reconfigure bed capacity across the state.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Jan 2025
Senate Passage
Mar 2025
Signed into Law
Mar 2025
Introduced Jan 7, 2025 Signed Mar 24, 2025
Maddy AI version diff · 1 comparison

What changed between versions

INTRODUCED Enrollment · 4 edits
MODERATE
This bill establishes a moratorium on adding new basic care and nursing facility beds in North Dakota from August 1, 2023 to July 31, 2029. The legislation also restricts how facilities can reconfigure their bed capacity to prevent frequent changes. These changes aim to control the growth of long-term care facilities during this period.
Scope change
The bill applies to all licensed nursing facilities and basic care facilities in North Dakota, restricting their ability to add new beds or reconfigure existing capacity during the specified moratorium period.
TIMELINE

Establishes a moratorium period from August 1, 2023 to July 31, 2029 during which no new basic care or nursing facility beds can be added to the state's licensed capacity.

ELIGIBILITY

Creates specific exceptions allowing new basic care beds if facilities convert existing nursing beds, transfer capacity under specific sections, demonstrate lack of available services in the area, or receive department approval.

REQUIREMENT

Limits nursing facilities to no more than two reconfigurations of bed capacity (including delicensing, relicensing, converting between bed types, or reverting changes) within any twelve-month period.

TECHNICAL

Updated bill formatting and page numbering from the original introduction version to the enrolled version with signatures and certification details.

Floor votes · Senate Mar 11, 2025 · House Jan 17, 2025

How they voted

461
Passed
Total votes 47
Mar 11, 2025
D Democratic5
5 Yea
100% Yea
R Republican42
41 Yea 1 Nay
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
15
Key actions
7
Committee
4
Mar 25, 2025
Introduced
Filed with Secretary Of State 03/24
legislature
Mar 24, 2025
Signed into law
Signed by Governor 03/21
lower
Mar 11, 2025
Upper · Passed
Second reading, passed, yeas 46 nays 1
upper
Mar 7, 2025
Upper · Passed
Reported back, do pass, place on calendar 6 0 0
upper
Mar 5, 2025
Upper · Passed
Committee Hearing 02:00
upper
Feb 13, 2025
Introduced
Introduced, first reading, referred Human Services Committee
upper
Jan 17, 2025
Lower · Passed
Second reading, passed, yeas 69 nays 20
lower
Jan 16, 2025
Lower · Passed
Reported back, do pass, place on calendar 13 0 0
lower
Jan 15, 2025
Lower · Passed
Committee Hearing 10:30
lower
Jan 7, 2025
Introduced
Introduced, first reading, referred Human Services Committee
lower
1 primary · 2 co-sponsors

Sponsors