This bill appropriates a total of $5,786,308,832 for the Department of Health and Human Services (DHHS) for the biennium from July 1, 2025, to June 30, 2027, with $2,216,363,718 sourced from the general fund. It includes specific funding allocations for various divisions within DHHS, focusing on areas such as behavioral health and human services, and establishes a new extraordinary medical needs housing loan fund. The bill also provides one-time funding for projects like child care support and behavioral health facilities, and introduces a behavioral health facility grant program, direct payments to licensed child care providers, and a permanent supportive housing grant.

Additionally, the bill amends sections of the North Dakota Century Code to allow DHHS to create a voucher system for substance use disorder treatment and mandates a study on truancy, maternal health services, and developmental disability services. It establishes a task force to review juvenile justice diversion services and allows DHHS to exceed appropriations for the medical assistance expansion program under certain conditions. The extraordinary medical needs housing loan fund will provide loans for housing facilities for individuals with disabilities, with specific terms for loan amounts and repayment schedules. Overall, the bill aims to enhance health services, support vulnerable populations, and improve service delivery infrastructure in North Dakota.

Statutes affected:
Prepared by the Legislative Council staff for House Appropriations Committee: 50-06-06.6, 50-06-42, 50-24.5-02.3, 50-33-05
FIRST ENGROSSMENT: 50-06-06.6, 50-06-42, 50-24.5-02.3, 50-33-05
Prepared by the Legislative Council staff for Senate Appropriations - Human Resources Division Committee: 50-06-06.6, 50-06-42, 50-24.5-02.3, 50-33-05, 50-36-03
Prepared by the Legislative Council staff for Senator Mathern: 50-06-06.6, 50-06-42, 50-24.5-02.3, 50-33-05, 50-36-03
Prepared by the Legislative Council staff for Conference Committee: 50-06-06.6, 50-06-42, 50-24.5-02.3, 50-33-05, 50-36-03
Enrollment: 50-06-06.6, 50-06-42, 50-24.5-02.3, 50-33-05, 50-36-03