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. Key changes include the insertion of the term "paid" to clarify the nature of the caregiver service, and the department is tasked with managing and operating the project while adhering to legislative appropriations. The bill also outlines the criteria for extraordinary care and establishes that payments must not duplicate services already compensated through other Medicaid programs.

Additionally, the bill includes a provision for a one-time appropriation of $7,300,000 from the general fund to support the family paid caregiver service pilot project for the biennium from July 1, 2025, to June 30, 2027. The cross-disability advisory council is also mandated to participate in the planning and implementation of the project, providing feedback and input on the assessment methods used to determine the need for extraordinary care. This collaborative approach aims to ensure that the project effectively meets the needs of individuals requiring care while maintaining fiscal responsibility.

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