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North Dakota appropriates $7.3 million for family paid caregiver pilot project and cross-disability council

Original title: AN ACT to amend and reenact section 50-24.1-47 of the North Dakota Century Code, relating to the family paid caregiver service pilot project and the cross-disability advisory council; and to provide an appropriation.

Last action · April 18, 2025: Filed with Secretary Of State 04/17Sponsors: Kathy Hogan and 4 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Does

North Dakota appropriates $7.3 million in one-time general funds for the family paid caregiver service pilot project through June 30, 2027. The measure requires the Department of Health and Human Services to manage the project, make payments to eligible s providing extraordinary care, and collaborate with the cross-disability advisory council.

Why it matters

Family members providing extraordinary care to eligible Medicaid waiver participants can receive state payments aligned with home and community-based services rates, backed by $7.3 million in state funding.

Background
  • The North Dakota Century Code is the codification of the general and permanent laws of North Dakota. context
  • Medicaid 1915(c) home and community-based services waivers allow states to provide long-term care services to individuals in home and community settings rather than institutions. context

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

Legally responsible individuals providing extraordinary care

Eligible caregivers can receive payments commensurate with home and community-based services rates, subject to annual attestation and eligibility rules.

Directly affected

Department of Health and Human Services

The department must manage and operate the pilot project, establish eligibility rules, conduct assessments, and administer the $7,300,000 appropriation.

Directly affected

Cross-Disability Advisory Council

The council must participate with and provide feedback to the department on the planning, design, and implementation of the pilot project.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Who is eligible to receive payments under the family paid caregiver service pilot project?
s who provide extraordinary care to an eligible individual participating in (excluding the home and community-based services aged and disabled waiver) may receive payments, subject to department rules and assessments.
How much funding is allocated for the pilot project?
The bill appropriates $7,300,000 in one-time funding from the general fund for the beginning July 1, 2025, and ending June 30, 2027.
Can a caregiver appeal a decision if funding runs out?
No. An individual may not appeal a denial, revocation, reduction in payment, or termination of the pilot project caused by the unavailability of funding for the .

What else do you want to know?

News Coverage

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Where This Stands

Current status: Signed into law.

Procedural history

21 actions
  1. Apr 18, 2025
    Filed with Secretary Of State 04/17
  2. Apr 17, 2025SenateEnrolled
    Signed by Governor 04/15
  3. Apr 14, 2025SenateEnrolled
    Sent to Governor
  4. Apr 14, 2025Senate
    Signed by President
  5. Apr 11, 2025House
    Signed by Speaker
  6. Apr 7, 2025Senate
    Returned to Senate
Show 15 earlier actions
  1. Apr 4, 2025HouseFloor
    Second reading, passed, yeas 84 nays 6
  2. Apr 2, 2025HouseCommittee
    Reported back, do pass, place on calendar 20 0 3
  3. Mar 19, 2025House
    Rereferred to Appropriations
  4. Mar 19, 2025HouseCommittee
    Reported back, do pass 10 0 3
  5. Mar 12, 2025HouseCommittee
    Committee Hearing 03:15
  6. Feb 21, 2025HouseIntroduced
    Introduced, first reading, referred Human Services Committee
  7. Feb 20, 2025House
    Received from Senate
  8. Feb 19, 2025SenateFloor
    Second reading, passed, yeas 47 nays 0
  9. Feb 19, 2025SenateCommittee
    Amendment adopted, placed on calendar
  10. Feb 18, 2025SenateCommittee
    Reported back amended, do pass, amendment placed on calendar 15 0 1
  11. Feb 6, 2025Senate
    Rereferred to Appropriations
  12. Feb 6, 2025SenateCommittee
    Amendment adopted
  13. Feb 5, 2025SenateCommittee
    Reported back amended, do pass, amendment placed on calendar 6 0 0
  14. Jan 27, 2025SenateCommittee
    Committee Hearing 10:00
  15. Jan 20, 2025SenateIntroduced
    Introduced, first reading, referred Human Services Committee

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Formalization of Family Caregiver Payments

The legislation establishes explicit funding and operational rules for paying legally responsible individuals for extraordinary care under specific Medicaid waiver constraints.

Connected Entities

Cross-Disability Advisory Council, Department of Health and Human Services, North Dakota Century Code
OrganizationCross-Disability Advisory Council“Participates in the planning and ongoing implementation of the pilot project”Map →
OrganizationDepartment of Health and Human Services“Responsible for managing the pilot project and administering the appropriation”Map →
OrganizationNorth Dakota Century Code“Statutory code being amended”Map →

Sources

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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