North DakotaAdult care facilities report costs for payment calculations
Adult residential facilities must send cost reports to the health department for payments based on current costs in 2026 and a rate recalculation in 2027.
What it does
Adult residential facilities must send cost reports and other information to the health department for payment calculations.
The health department reports on basic care payment studies and the home care asset limit, and develops payment model recommendations with providers and other stakeholders.
The health department receives up to $1,709,302 from general funds and up to $1,709,302 from federal and special funds to administer adult residential facility rates.
Argument forUsing facility cost reports may help the state base payments on current costs and recalculate rates with newer information.
Argument againstFacilities could face extra work gathering cost reports and other information for two submission deadlines.
More detail
The health department requires adult residential facilities to submit cost reports and other information for payment calculations. The requirements apply to adult residential facilities. Facilities must submit reports by October 31, 2025, for payments based on current costs beginning January 1, 2026. They must submit another report by December 31, 2026, for a rate recalculation beginning July 1, 2027.
The health department reports on payment study progress and develops recommendations for a payment model. Reports cover basic care payment study recommendations and the home and community based services asset limit. Recommendations cover payment methods for basic care, assisted living, and adult residential facilities, including specialized basic care and licensing. The department must work with providers and other key stakeholders on its recommendations. The department must report on study progress by January 31 and August 31, 2026. It must develop payment model recommendations during the period from July 1, 2025, through June 30, 2027, and report them by August 30, 2026.
The health department receives money to administer adult residential facility rates. The funding is for the health department's administration of adult residential facility rates. Each listed amount is limited to the amount 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 88 nays 5Major
- Vote recorded Motion for Final Passage on SB 2271. 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 2271. Result: pass.Upper
- Apr 23Second reading, passed, yeas 47 nays 0Major
- Apr 23Conference committee report adopted
- Apr 22Reported back from conference committee, in place of, placed on calendarMinor
- Apr 16Conference committee appointed Beltz Murphy Rohr
- Apr 14Conference committee appointed Roers Hogan Van Oosting
- Apr 14Refused to concur
- Apr 10Returned to Senate (12)
- Vote recorded Motion for Final Passage on SB 2271. 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 20 1 2Minor
- Mar 21Rereferred to Appropriations
- Mar 21Reported back, do pass 10 1 2Minor
- Mar 18Committee Hearing 09:45
- Feb 21Introduced, first reading, referred Human Services CommitteeMinor
- Feb 20Received from Senate
- Feb 19Second reading, passed, yeas 46 nays 1Passed Senate
- Vote recorded Motion for Final Passage on SB 2271. Result: pass.Upper
- Feb 19Amendment adopted, placed on calendar
- Feb 18Reported back amended, do pass, amendment placed on calendar 15 0 1Minor
- Feb 6Rereferred to Appropriations
- Feb 6Amendment adopted
- Feb 5Reported back amended, do pass, amendment placed on calendar 6 0 0Minor
- Jan 28Committee Hearing 10:30
- Jan 20Introduced, first reading, referred Human Services CommitteeIntroduced
HealthcareTaxes & Budget