This bill proposes the creation of Chapter 23-17.8 of the North Dakota Century Code, which establishes regulations for nursing services agencies. It defines key terms such as "nursing services agency," "health care facility," and outlines the requirements for obtaining a license to operate as a nursing services agency. The bill mandates that agencies must develop policies and procedures to comply with state and federal laws, maintain proper documentation for employees, and undergo annual evaluations. Additionally, it requires agencies to submit a nonrefundable application fee of $2,000 and an annual licensure fee of the same amount.

The legislation also includes provisions for enforcement, allowing the Department of Health and Human Services to refuse, revoke, or suspend licenses based on specific violations, such as failure to comply with operational standards or submission of false information. A complaint system will be established for public reporting and investigation of grievances against nursing services agencies. Furthermore, the bill prohibits agencies from restricting employment opportunities for their employees or charging fees to health care facilities that hire their staff permanently. The effective date for this Act is set for January 1, 2026.