ND HB1359

Creates new section 50-24.5-02.3 establishing procedures for determining payment rates for basic care facilities, with direct care limited to 95% and indirect care limited to 90% of the average of highest and lowest 2014 rates, effective July 1, 2016.

Beginning July 1, 2017, adjusts basic care payment rate limits annually based on cost percentage change from prior two rate years, within legislative appropriation limits.

Establishes maximum 30-day payment for leave days when residents are in licensed health care facilities expected to return, and sets uncompensated care expense limit at 180 days.

Increases annual assisted living facility license fee from existing amount to $75 per facility, with fines up to $50 per day for unlicensed operation or use of "assisted living" in marketing.

Allows provisional licenses for facilities with deficiencies, valid for maximum 90 days with one renewal for additional 90 days, and limits occupancy to maximum two people per bedroom in assisted living facilities.