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.
Summary
Relating to medical assistance reimbursement of psychiatric residential treatment facilities; to provide for a legislative management report; and to provide an appropriation.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 29, 2025
Signed May 1, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
FIRST ENGROSSMENT
→
Enrollment
·
4 edits
MODERATE
This bill updates North Dakota's medical reimbursement rules for psychiatric residential treatment facilities by allowing the Department of Health and Human Services to adjust direct care costs, including clinical supervision, medical director services, family engagement, and therapeutic leave days. It sets a $500 daily cap on therapeutic leave reimbursements and requires utilization controls. The legislation also mandates a legislative management report by October 1, 2026, and appropriates approximately $1.3 million over two years to fund these changes.
Scope change
The bill expands the department's authority to modify reimbursement rules for psychiatric residential treatment facilities and adds specific cost categories and caps that were not previously detailed in the statute.
REQUIREMENT
Department must now amend rules for direct care costs including clinical supervisors, medical directors, family engagement, therapeutic leave days, and administrative costs cap
Therapeutic leave day reimbursements capped at $500 per day with required utilization controls and service authorization
TIMELINE
Legislative management report required by October 1, 2026, covering changes and progress toward value-based care
FISCAL
$647,149 from general fund and $660,025 from federal/special funds appropriated for biennium July 1, 2025 through June 30, 2027
Floor votes · Senate Apr 23, 2025 · House Apr 10, 2025
How they voted
45–2
Passed
Total votes 47
Apr 23, 2025
D
Democratic5
100% Yea
R
Republican42
95% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
33
Key actions
22
Committee
17
May 2, 2025
Introduced
Filed with Secretary Of State 05/01
legislature
May 1, 2025
Signed into law
Signed by Governor 04/30
upper
Apr 24, 2025
Lower · Passed
Second reading, passed as amended, yeas 90 nays 3
lower
Apr 24, 2025
Lower · Passed
Conference committee report adopted
lower
Apr 23, 2025
Lower · Passed
Reported back from conference committee, in place of, placed on calendar
lower
Apr 23, 2025
Upper · Passed
Second reading, passed, yeas 45 nays 2
upper
Apr 23, 2025
Upper · Passed
Conference committee report adopted
upper
Apr 21, 2025
Upper · Passed
Reported back from conference committee, in place of, placed on calendar
upper
Apr 16, 2025
Lower · Passed
Conference committee appointed Stemen Wagner Holle
lower
Apr 15, 2025
Upper · Passed
New conference committee appointed Lee Hogan Van Oosting
upper
Apr 15, 2025
Upper · Passed
Conference committee dissolved
upper
Apr 14, 2025
Upper · Passed
Conference committee appointed Weston Clemens Van Oosting
upper
Apr 10, 2025
Lower · Passed
Second reading, passed as amended, yeas 84 nays 8
lower
Apr 10, 2025
Lower · Passed
Amendment adopted, placed on calendar
lower
Apr 9, 2025
Lower · Passed
Reported back amended, do pass, amendment placed on calendar 18 2 3
lower
Mar 19, 2025
Committee
Rereferred to Appropriations
lower
Mar 19, 2025
Lower · Passed
Reported back, do pass 10 0 3
lower
Mar 17, 2025
Lower · Passed
Committee Hearing 03:00
lower
Feb 25, 2025
Introduced
Introduced, first reading, referred Human Services Committee
lower
Feb 20, 2025
Upper · Passed
Second reading, passed, yeas 45 nays 2
upper
Feb 18, 2025
Upper · Passed
Reported back, do pass, place on calendar 14 0 2
upper
Feb 14, 2025
Upper · Passed
Committee Hearing 09:15
upper
Feb 6, 2025
Committee
Rereferred to Appropriations
upper
Feb 6, 2025
Upper · Passed
Amendment adopted
upper
Feb 5, 2025
Upper · Passed
Reported back amended, do pass, amendment placed on calendar 6 0 0
upper
Feb 4, 2025
Upper · Passed
Committee Hearing 10:15
upper
Jan 29, 2025
Introduced
Introduced, first reading, referred Human Services Committee
upper
1 primary · 4 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Judy Lee
RRepublican
Co
Alisa Mitskog
DDemocratic
Co
Diane Larson
RRepublican
Co
Kristin Roers
RRepublican
Co
Matt Ruby
RRepublican
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