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 comprehensive personnel records, and ensure that all employees meet necessary qualifications. Additionally, it requires agencies to submit an annual nonrefundable licensure fee of $2,000 and provides the Department of Health and Human Services with the authority to enforce compliance through inspections and investigations.

The legislation also includes provisions for a complaint system, allowing the public to report grievances against nursing services agencies. It prohibits agencies from restricting employment opportunities for their employees or charging fees to health care facilities that hire their staff permanently. Violations of the chapter can result in civil penalties of up to $1,000 per violation per day. The bill is set to take effect on January 1, 2026.