Bill > SB2271

This bill updates the definition of an adult residential facility and establishes new reporting and payment rate requirements for such facilities in North Dakota. Specifically, the bill defines an adult residential facility as a licensed basic care facility that specializes in caring for individuals with chronic memory loss or significant cognitive impairments, providing therapeutic and daily living assistance under Medicaid home and community-based services waivers. The bill requires the Department of Health and Human Services to collect cost reports from these facilities in 2025 and 2026 to establish and recalculate payment rates, with the first rate implementation beginning January 1, 2026. Additionally, the department must develop recommendations for a comprehensive payment model for basic care, assisted living, and adult residential facilities, including methods for reimbursing property costs, calculating operating margins, and determining rates for specialized services like dementia care. The bill also mandates two reports to the Legislative Management in 2026 about the basic care study recommendations and the proposed payment model. To support these activities, the bill appropriates $1,709,302 from the general fund and federal/special funds for the 2025-2027 biennium.

Budget and Finance, Government Affairs

https://ndlegis.gov/assembly/69-2025/regular/bill-overview/bo2271.html