ND SB2271

Defines "adult residential facility" as a licensed basic care facility meeting Medicaid 1915(c) waiver requirements, specializing in care for individuals with chronic moderate to severe memory loss or significant emotional, behavioral, or cognitive impairment

Requires adult residential facilities to submit cost reports by October 31, 2025, with payment based on current costs beginning January 1, 2026, and a second cost report by December 31, 2026, for rate recalculation starting July 1, 2027

Directs the Department of Health and Human Services to develop recommendations for a payment model continuum covering basic care, assisted living, and adult residential facilities, including property cost reimbursement methods, operating margins, and inflationary adjustments

Requires legislative management reports by January 31, 2026, and August 31, 2026, on basic care study progress and asset limits for home and community-based services aged and disabled waiver

Appropriates $3,418,604 total ($1,709,302 from general fund and $1,709,302 from federal/special funds) for the 2025-2027 biennium to administer adult residential facility rates