State officials debate extending mental health hold to 72 hours amid insurance concerns

This article was created by AI using a video recording of the meeting. It summarizes the key points discussed, but for full details and context, please refer to the video of the full meeting. Link to Full Meeting

The Senate Human Services Committee convened on January 20, 2025, to discuss proposed changes to mental health hold regulations in North Dakota. A significant focus of the meeting was the potential extension of the current 24-hour hold period to 72 hours for emergency medical health petitions. This change aims to provide adequate time for testing and evaluation of individuals in crisis, addressing concerns that the existing timeframe is insufficient for thorough assessments.

Committee members expressed a consensus that the proposed 72-hour hold could streamline the process, particularly in light of transportation delays and the time required for necessary examinations. However, there were apprehensions regarding the potential for abuse of the extended hold period and the implications for hospital capacity. One member noted that no hospital in the state has the luxury of holding patients longer than necessary due to capacity constraints.

The discussion also highlighted financial considerations, particularly regarding insurance coverage for extended holds. Concerns were raised about who would bear the costs associated with longer holds, as some insurers do not cover these expenses. The executive director for the division of medical services acknowledged the complexities involved, indicating that Medicaid might cover some costs, but this often depends on whether the hold transitions into a medically necessary stay.

The committee agreed to seek further input from the Department of Health and Human Services and relevant stakeholders to explore potential amendments to the proposal. They emphasized the importance of ensuring that any changes do not lead to reimbursement issues or hinder the evaluation process for individuals in crisis.

As the committee moves forward, the discussions underscore the delicate balance between providing adequate care for individuals experiencing mental health crises and managing the logistical and financial challenges that come with extended hold periods. Further deliberations and proposed amendments are expected in upcoming meetings.

Converted from Senate Human Services Jan 20, 2025 meeting on January 20, 2025
Link to Full Meeting