Bill
HB 1433
Creates a statewide dementia response program with a State Dementia Coordinator to improve planning, data, awareness, and coordination of Alzheimer’s/dementia services.
Status and timeline
- Introduced: November 21, 2024.
- Enactment: Legislative actions indicate the bill progressed through both chambers and was approved; notification lists HB 1433 as Act 828 (notification dated April 17, 2025).
- Effective/appropriation period: Appropriation covers the 2025–2027 biennium (July 1, 2025 – June 30, 2027).
Purpose
- Establish a statewide dementia response program administered by a State Dementia Coordinator to improve planning, data collection, public awareness, and coordination of Alzheimer’s and dementia-related services and policy in North Dakota.
Key provisions
- Creation of a dementia response program (new section in NDCC chapter 50‑06) to be administered by a State Dementia Coordinator (new full‑time position).
- Implement an Alzheimer’s and dementia state plan and require the plan to be updated every three years.
- Plan updates to be guided by a convened work group that must include:
- People living with dementia,
- Care partners and family members,
- Representatives of home- and facility-based care professionals,
- Medical professionals experienced in diagnosing/treating Alzheimer’s and dementia,
- A representative of a national dementia advocacy organization,
- A representative of an organization that advocates for older adults.
- Data collection and dissemination:
- Use state-collected data and the Behavioral Risk Factor Surveillance System (BRFSS) caregiver and cognitive-decline models on a rotating basis to collect and share Alzheimer’s and dementia data.
- Public awareness:
- Implement a statewide public awareness campaign addressing stigma reduction, risk‑reduction activities, and the importance of early detection and diagnosis.
Appropriation and fiscal detail
- One-time/biannual appropriation: $250,000 from the state general fund to the Department of Health and Human Services for:
- Administering the dementia response program,
- Supporting the BRFSS-based models and data activities,
- Funding one full‑time equivalent position to serve as the State Dementia Coordinator for the 2025–2027 biennium.
- The bill does not specify ongoing funding beyond the stated biennium appropriation.
Who is affected
- Directly: Department of Health and Human Services (program administration and the coordinator position); entities participating in the work group.
- Indirectly: North Dakotans living with Alzheimer’s/dementia, their care partners and families, long‑term care and home‑care providers, clinicians, advocacy organizations, and the general public (via awareness efforts and improved data).
Potential impact
- Expected benefits: better statewide coordination of dementia services, improved data to inform planning and policy, increased public awareness and earlier detection, and formal channels for stakeholder input (including people living with dementia).
- Fiscal effect: initial appropriation of $250,000 funds establishment and one coordinator FTE for the 2025–27 biennium; future operating costs or additional staffing needs are not specified and may require subsequent appropriations.
Compiled from official sources — confirm details with the bill’s official record.
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