HB 1154 extends a moratorium on adding new basic care and nursing facility bed capacity in North Dakota from August 1, 2023, through July 31, 2029. It prohibits new licenses for basic care beds unless facilities convert existing beds, demonstrate high demand (90% occupancy within 50 miles for 12 months), or receive department approval. The bill also restricts nursing facilities from changing bed configurations more than twice annually, except for specific conversions or relicensing after July 31, 2011. This law directly affects nursing homes and care facilities seeking to expand or reconfigure bed capacity across the state.
SB 2223 creates North Dakota's adoption of the Dietitian Licensure Compact, enabling licensed dietitians from participating states to practice across state lines without obtaining separate licenses in each state. This directly affects licensed dietitians seeking to work in multiple states and healthcare facilities serving patients in those states. The key mechanism establishes a "compact privilege" that functions like a license in other member states, while requiring uniform education and examination standards and allowing states to share disciplinary information. The compact aims to increase patient access to dietetic services, reduce administrative burdens for professionals and states, and maintain each state's authority to regulate practice and protect public health and safety.
SB 2332 creates a new $25 million annual fund from state legacy earnings to support emergency services and public safety across North Dakota. The bill establishes an advisory board with representatives from fire, police, EMS, local governments, and tribal entities to award grants for specific priorities like recruiting personnel, modernizing response systems, expanding mental health crisis teams, and improving communications technology. These grants will directly assist local emergency services providers, rural fire districts, tribal governments, and communities seeking to enhance public safety coverage. The fund is funded through a dedicated annual transfer from the legacy earnings fund, with the Department of Emergency Services administering the grant program.
HB 1457 would create a new exemption allowing individuals to avoid required vaccines (for school, work, or licensing) if the vaccine doesn't meet specific safety and effectiveness standards. These standards require the FDA-approved vaccine to have undergone at least one year of safety testing against a placebo, with injury data publicly posted, a lower risk of serious harm than the disease itself, and manufacturer liability for deaths or injuries. The North Dakota Department of Health must publicize this exemption and prohibit state agencies from requiring conditions inconsistent with it. The bill failed to pass during its second reading in February 2025.
HB 1339 amends North Dakota law to clarify which licensed ambulance services are exempt from forming rural ambulance service districts. It specifically exempts county-owned, city-owned, jointly operated (with cities/counties), tribal/federal government-owned, hospital-owned, and existing rural ambulance service districts from these requirements. The bill directly affects local ambulance providers by removing a regulatory burden for these specific service types. This is a procedural change to existing code, not a new policy requiring public funding or service expansion.
HB 1337 would provide $10 million in state funds to counties for mental health and substance use disorder treatment services for people in jail. The bill requires counties receiving grants to report annually on how funds were used and outcomes, and the health department to submit a summary report to lawmakers by 2026. This funding would cover the 2025-2027 biennium and aim to expand access to mental health care for incarcerated individuals.
HB 1595 requires North Dakota pregnancy resource centers receiving state funding to meet specific health care and transparency standards. The bill mandates that funded centers must employ at least one licensed health care provider (like a nurse or physician), provide medically accurate and comprehensive pregnancy counseling, maintain HIPAA-compliant client records, and publish detailed organizational policies. Centers must also submit annual reports to the state including financial data, staff details, client service statistics (like pregnancy tests or ultrasounds provided), and material support given (e.g., diapers, baby supplies). These requirements apply directly to centers receiving state grants for pregnancy-related services. The bill was introduced in 2025 but failed to pass in committee.
Relating to public employee fertility health benefits; to provide for a report to the legislative assembly; to provide for application; and to provide an expiration date.
HB 1590 would create a pilot program allowing North Dakota parents to open student education services accounts for K-12 children. Parents could deposit up to $2,000 annually per child, with the Bank of North Dakota matching 50% of those deposits. Funds could cover authorized expenses like career courses, tutoring, mental health services, and approved educational materials, with unused funds rolling over yearly. The pilot, running 2025-2027 with $41.2 million in state funding, would close accounts if students leave the state or don't pursue higher education, requiring parent refunds for contributed amounts.
Relating to the statewide property tax levy of one mill for support of the state medical center at the University of North Dakota; and to provide an effective date.
