AN ACT to create and enact a new section to chapter 50-24.5 of the North Dakota Century Code, relating to adult residential facility payment rates; to amend and reenact section 50-24.5-01 of the North Dakota Century Code, relating to the definition of adult residential facility; to provide for a legislative management report; and to provide an appropriation.

Removed automatic rate increases of 4% for July 1, 2025, and 3% for July 1, 2026, replacing them with a cost report submission deadline of October 31, 2025, to establish current costs for January 1, 2026.

Added requirement for the Department of Health and Human Services to submit reports on basic care study recommendations and asset limit reviews by January 31, 2026, and August 31, 2026.

Changed section number from 25.1225.02000 to 25.1225.03000 and updated bill designation from 'ENGROSSED' to 'REENGROSSED'.

The definition of 'adult residential facility' was modified to require that the facility meet Medicaid 1915(c) home and community-based services aged and disabled waiver program and provider requirements.

Reporting requirements were changed from 'simplified cost reports' to 'cost reports and supplemental information' for both the 2025 and 2026 submission deadlines.

A new requirement was added for the department to provide a legislative management report on basic care facility asset limits.

The bill was renumbered from 25.1225.01000 to 25.1225.02000 to reflect its progression through the legislative process.