Relating to a medical facility emergency operating loan program under the medical facility infrastructure loan fund; to provide an appropriation; to provide a transfer; to provide an effective date; and to provide an expiration date.
HB 1454 creates a new procedure allowing individuals to opt out of required vaccines under North Dakota law. It directly affects people subject to vaccine mandates, such as those for school enrollment or certain employment. The bill establishes a formal process for requesting exemptions from these requirements within the state's legal framework. This is a procedural change to the Century Code, not a policy shift on vaccine necessity. The summary is limited to the bill's stated mechanism as described in its title and abstract.
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.
Relating to an extraordinary medical needs housing loan fund; to amend and reenact sections 50‑06‑06.6, 50‑06‑42, 50‑24.5‑02.3, and 50‑33‑05, and subsection 1 of 50‑36‑03 of the North Dakota Century Code and subsection 6 of the new section to chapter 54‑07 of the North Dakota Century Code created in section 1 of Senate Bill No. 2176, as approved by the sixty‑ninth legislative assembly, relating to leases of department of health and human services property, substance use disorder treatment program, basic care payment rates, state of residence for child care assistance, opioid settlement advisory committee, and children's cabinet; to provide for a transfer; to authorize a line of credit; to provide legislative intent; to provide for a legislative management study; to provide an application; to provide an exemption; to provide for a report; and to provide an effective date.
Relating to out‑of‑pocket expenses for prescription drugs; to amend and reenact section 26.1‑36.6‑03 of the North Dakota Century Code, relating to self‑insurance health care plans; to provide for application; and to provide an effective date.
Relating to health insurance benefits coverage provided by the uniform group insurance program; to provide an appropriation; to provide for a statement of legislative intent; and to provide an effective date.
SB 2138 allocates $250,000 from North Dakota's general fund to the Department of Health and Human Services for grants to organizations providing care for elderly residents in rural areas. The funding is designated for the 2025-2027 biennium to support these providers directly. This is a funding measure, not a new policy, and specifically targets rural care organizations. The bill was signed into law on April 7, 2025.
SB 2286 proposes authorizing the University of North Dakota (UND) to borrow up to $55 million through a line of credit from the Bank of North Dakota during 2025-2027, with interest capped at rates for state entities. It also appropriates $95 million in one-time funding for UND to construct a new health sciences facility at its School of Medicine and Health Sciences. The facility aims to expand health workforce capacity in areas like behavioral health and wellness, while supporting research and academic programs. The bill failed to pass in the legislature on April 8, 2025, with 6 votes in favor and 87 against.
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.
SB 2190 would expand North Dakota's medical assistance program to cover five specific services: family training for behavioral therapy support, dental screenings and assessments, dental case management for special populations (like children, elderly, and medically fragile individuals), asynchronous teledentistry to improve access, and applied behavioral analysis (ABA) therapy for behavioral issues. These services would directly affect medical assistance recipients, particularly those with special healthcare needs or in underserved communities. The bill explicitly states these new benefits would not apply to Medicaid expansion programs. The provisions aim to integrate oral health care with general health services and reduce barriers to dental and behavioral support.
