Healthcare (Mental Health)

HB 1337 would provide $10 million in state funds to counties for mental health and substance use disorder treatment services for people in jail. The bill requires counties receiving grants to report annually on how funds were used and outcomes, and the health department to submit a summary report to lawmakers by 2026. This funding would cover the 2025-2027 biennium and aim to expand access to mental health care for incarcerated individuals.

SB 2171 amends North Dakota's emergency mental health procedures to clarify timelines and requirements for individuals detained due to mental health crises. It requires mental health facilities to examine individuals within 24 hours (or 72 hours for serious physical conditions) and either release them or file a court petition if emergency standards are met. Courts must schedule a hearing within four days (excluding weekends/holidays) with appointed legal counsel if the person hasn't been released or voluntarily admitted. This affects mental health facilities, individuals in emergency detention, and local courts handling these cases. The bill establishes a streamlined process for temporary detention while ensuring timely judicial review.

Relating to a child in need of protection and termination of parental rights; to create a workgroup under the children's cabinet to study out‑of‑home placement or treatment of children with behavioral health issues; to provide for a report; to provide an expiration date; and to declare an emergency.

Relating to the establishment of the North Dakota center for aerospace medicine for mental health support and certification assistance; and to provide an appropriation.

Relating to medical assistance reimbursement of psychiatric residential treatment facilities; to provide for a legislative management report; and to provide an appropriation.

SB 2200 appropriates $500,000 from North Dakota's community health trust fund to the Department of Health and Human Services for the 988 crisis hotline program. This funding directly supports the state's implementation and operation of the 988 suicide and mental health crisis hotline service. The appropriation covers the biennium starting July 1, 2025, and ending June 30, 2027, ensuring sustained financial backing for the program during that period.

Relating to certified community behavioral health clinics and the financing of health and human services; to amend and reenact section 12.1‑04‑06, subsection 4 of section 20.1‑03‑04, sections 25‑03.1‑03.1 and 25‑03.1‑04, subsection 3 of section 25‑03.1‑08, section 25‑03.1‑10, subsection 3 of section 25‑03.1‑11, subsection 1 of section 25‑03.1‑19, subsection 2 of section 25‑03.1‑26, subdivision b of subsection 2 of section 26.1‑36‑08, subdivisions c and d of subsection 2 of section 26.1‑36‑09, subsection 9 of section 43‑12.1‑04, subsection 6 of section 43‑41‑02, subdivision b of subsection 1 of section 44‑04‑18.30, sections 50‑06‑01, 50‑06‑01.4, 50‑06‑01.7, 50‑06‑05.1, 50‑06‑05.2, 50‑06‑05.3, 50‑06‑05.4, 50‑06‑05.5, 50‑06‑06.2, 50‑06‑06.5, and 50‑06‑06.13, subsections 1 and 3 of section 50‑06‑15, sections 50‑06‑33 and 50‑06‑41.3, subsection 1 of section 50‑06‑42, subsection 1 of section 50‑06‑42.1, and sections 50‑06‑46, 50‑06.2‑01, 50‑06.2‑02, 50‑06.2‑03, 50‑06.3‑02, and 50‑06.3‑04 of the North Dakota Century Code, relating to the powers and duties of the department of health and human services, treatment hearing timelines, and membership of the cross-disability advisory council; to provide for a legislative management study; and to provide an expiration date.

SB 2096 provides $5 million for renovating state hospital buildings to serve individuals with mental illness under correctional custody, involuntary commitment, or court-ordered forensic exams. It also appropriates $100 million to establish four regional acute psychiatric treatment and residential supportive housing services across North Dakota. The funds will allow the Department of Health and Human Services to build up to 24-bed facilities in each region or contract with private providers for these services. The bill directly affects individuals requiring acute psychiatric care and supportive housing, with funding allocated for the 2025-2027 biennium.