North DakotaNorth Dakota requires updated payments rules for psychiatric treatment facilities
North Dakota’s Health and Human Services Department must amend payment rules for psychiatric residential treatment facilities and report on those rules by October 2026.
What it does
The department must amend payment rules for psychiatric residential treatment facilities, covering direct care costs such as clinical supervision, family involvement, and therapeutic leave.
Payments for therapeutic leave days may not exceed $500 per day, and the department must use service approval controls for those days.
The department must report on facility payment rules and progress toward care that ties payment to the value of services.
The department receives up to $647,149 from the general fund and up to $660,025 from federal and special funds for facility payments.
Argument forPayment rules that account for direct care costs could help facilities cover clinical supervision and family involvement in patient care.
Argument againstThe daily payment cap and required service approval could make it harder for facilities to receive payment for therapeutic leave.
More detail
The Health and Human Services Department must amend payment rules for psychiatric residential treatment facilities. The rules cover direct care costs, including clinical supervision, medical directors, family involvement in care, therapeutic leave, and administrative costs.
The department must use service authorization controls for therapeutic leave days. These rules apply to payments for psychiatric residential treatment facilities. Medical assistance payments for therapeutic leave days may not exceed $500 per day.
The department must report to Legislative Management on facility payment rules and progress toward value-based care. The report covers direct care costs, including clinical supervision, medical directors, family involvement, therapeutic leave, and an administrative cost cap. The report is due to Legislative Management by October 1, 2026.
The law provides state, federal, and special funds to the department for facility payments. The funds are for psychiatric residential treatment facility reimbursement. The amounts may be used only to the extent necessary. The funding covers the two-year period from July 1, 2025, through June 30, 2027.
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Where it stands
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2025
- May 2Filed with Secretary Of State 05/01Latest
- May 1Signed by Governor Kelly Armstrong 04/30Became Law
- Apr 29Sent to GovernorTo Governor
- Apr 29Signed by President
- Apr 28Signed by Speaker
- Apr 24Second reading, passed as amended, yeas 90 nays 3Major
- Vote recorded Motion for Final Passage on SB 2399. Result: pass.Lower
- Apr 24Conference committee report adopted
- Apr 23Reported back from conference committee, in place of, placed on calendarMinor
- Vote recorded Motion for Final Passage on SB 2399. Result: pass.Upper
- Apr 23Second reading, passed, yeas 45 nays 2Major
- Apr 23Conference committee report adopted
- Apr 21Reported back from conference committee, in place of, placed on calendarMinor
- Apr 16Conference committee appointed Stemen Wagner Holle
- Apr 15New conference committee appointed Lee Hogan Van Oosting
- Apr 15Conference committee dissolved
- Apr 14Conference committee appointed Weston Clemens Van Oosting
- Apr 14Refused to concur
- Apr 10Returned to Senate (12)
- Vote recorded Motion for Final Passage on SB 2399. Result: pass.Lower
- Apr 10Second reading, passed as amended, yeas 84 nays 8Passed House
- Apr 10Amendment adopted, placed on calendar
- Apr 9Reported back amended, do pass, amendment placed on calendar 18 2 3Minor
- Mar 19Rereferred to Appropriations
- Mar 19Reported back, do pass 10 0 3Minor
- Mar 17Committee Hearing 03:00
- Feb 25Introduced, first reading, referred Human Services CommitteeMinor
- Feb 21Received from Senate
- Feb 20Second reading, passed, yeas 45 nays 2Passed Senate
- Vote recorded Motion for Final Passage on SB 2399. Result: pass.Upper
- Feb 18Reported back, do pass, place on calendar 14 0 2Minor
- Feb 14Committee Hearing 09:15
- Feb 6Rereferred to Appropriations
- Feb 6Amendment adopted
- Feb 5Reported back amended, do pass, amendment placed on calendar 6 0 0Minor
- Feb 4Committee Hearing 10:15
- Jan 29Introduced, first reading, referred Human Services CommitteeIntroduced
HealthcareMental HealthTaxes & Budget