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Bill

HB 1012

AN ACT to provide an appropriation for defraying the expenses of various divisions of the department of health and human services; to create and enact a new section to chapter 6-09 of the North Dakota Century Code, 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.

69th Legislative Assembly (2025-26)

North Dakota allocates HHS funds, creates a medical needs housing loan fund, and modifies child care, addiction treatment, and payment policies for health services.

Filed with Secretary Of State 05/19
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Bill Summary · HB 1012

Legislative bill overview

HB 1012 is a comprehensive appropriations and policy bill for North Dakota's Department of Health and Human Services that allocates funds across multiple divisions and creates new programs. It establishes an extraordinary medical needs housing loan fund, modifies substance use disorder treatment programs, adjusts child care assistance eligibility requirements, and updates various payment rates and operational policies for state health and human services agencies.

Why is this important

This bill directly affects vulnerable populations including individuals with medical housing needs, people seeking addiction treatment, families requiring child care assistance, and children in state care systems. The appropriations and policy changes determine the scope and accessibility of critical health and social services available to North Dakotans, while the loan fund creates a new mechanism for addressing housing barriers for individuals with extraordinary medical needs.

Potential points of contention

  • Housing loan fund parameters: The details of eligibility criteria, loan terms, and funding mechanisms for the extraordinary medical needs housing loan fund are not specified in the bill summary, raising questions about actual accessibility and reach of this new program
  • Child care assistance eligibility changes: Modifications to "state of residence" requirements could either expand or restrict access to child care assistance depending on implementation, affecting working families' ability to afford childcare
  • Substance use disorder treatment modifications: Changes to treatment program structure and basic care payment rates may impact program quality, provider participation, and treatment availability, with unclear trade-offs between cost control and service quality

Compiled from official sources — confirm details with the bill’s official record.

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