The bill amends and reenacts section 50-24.1-47 of the North Dakota Century Code to establish a family paid caregiver service pilot project. This project aims to provide financial assistance to legally responsible individuals who offer extraordinary care to eligible individuals participating in Medicaid 1915(c) waivers, excluding those under the home and community-based services aged and disabled waiver. The bill includes provisions for the management and operation of the project, eligibility requirements, and the necessity for caregivers to attest annually that they will not seek reimbursement for extraordinary care on days when other waiver services are provided.

Additionally, the bill appropriates $7,300,000 from the general fund for the Department of Health and Human Services to implement the pilot project for the biennium from July 1, 2025, to June 30, 2027. It also establishes the involvement of the cross-disability advisory council in the planning and implementation of the project, ensuring that feedback is incorporated into the assessment methods used to determine the need for extraordinary care. The bill emphasizes that payments made under this project must align with the rates for family caregiving in existing Medicaid waivers.

Statutes affected:
INTRODUCED: 50-24.1-47
Adopted by the Senate Human Services Committee: 50-24.1-47
FIRST ENGROSSMENT: 50-24.1-47
Prepared by the Legislative Council staff for Senate Appropriations Committee: 50-24.1-47
SECOND ENGROSSMENT: 50-24.1-47
Enrollment: 50-24.1-47