Bill > HB1067

This bill makes two key amendments to North Dakota's medical assistance and Medicaid waiver regulations. First, the bill adds a provision requiring the department to disregard social security survivor income and court-ordered child support when determining Medicaid eligibility for children under 18 who are enrolled in a Medicaid waiver program (specifically under section 1915(c) of the Social Security Act). Second, the bill expands the age range for children with autism spectrum disorders who can receive in-home services through Medicaid waivers, extending eligibility from "up to the age of eighteen" to "under the age of twenty-one" while maintaining the requirement that they would otherwise meet an institutional level of care. The department retains the ability to prioritize waiver applicants for children with extraordinary medical needs based on the degree of need. The changes to the first section will become effective on July 1, 2026, providing ample time for implementation and system adjustments.

Budget and Finance, Government Affairs

Human Services (H)

https://ndlegis.gov/assembly/69-2025/regular/bill-overview/bo1067.html