North Dakota Senate Bill SB2318

North Dakota 2025-2026 Regular Session

• Introduced: 1/20/25
• Refer: 1/20/25

Caption

Paid family caregiver services.

Impact

If enacted, SB2318 would directly influence state laws regarding Medicaid services. Specifically, it would extend payment options to legally responsible individuals acting as caregivers under specific conditions outlined in the bill. The assessment for determining care needs would be comprehensive, encompassing various personal factors, which could lead to a more personalized care approach for Medicaid recipients. The adjustment would not only support families but could also mitigate the financial burden often placed on them when providing care.

Summary

Senate Bill 2318 establishes a new framework for paid family caregiver services under North Dakota's Medicaid program. It mandates the department to submit amendments to current Medicaid 1915(c) waivers to allow payment for family caregivers who provide care to eligible individuals, with a few exclusions. This significant initiative aims to recognize and compensate family members who take on caregiving roles, which is increasingly pertinent given the growing number of aging individuals and those with disabilities requiring support.

Contention

One notable point of contention surrounding SB2318 is related to the limitations placed on caregiver payments. The bill restricts payments to a maximum of 40 hours per week, which some advocates argue may not adequately address the needs of those requiring full-time care—as caregivers often exceed this threshold. Additionally, conversations may arise regarding the adequacy of the assessment methods and the role of the cross-disability advisory council in developing these protocols. Critics could emphasize potential gaps in service coverage and the variability in care needs across different populations.