North Dakota Assembly amends Medicaid eligibility and benefits for families and children

On February 11, 2025, the North Dakota State Legislature introduced House Bill 1067, a significant piece of legislation aimed at amending the state's medical assistance benefits and Medicaid waivers. Proposed by the Human Services Committee at the request of the Department of Health and Human Services, the bill seeks to enhance eligibility criteria for medical assistance, particularly for vulnerable populations such as children, families, and pregnant women.

The primary purpose of House Bill 1067 is to ensure that medically needy individuals can access necessary medical assistance without facing stringent asset tests. Key provisions include establishing an income level for medically needy persons that meets or exceeds federal requirements, and providing medical assistance benefits to children and families, as well as pregnant women, without considering their assets. Notably, the bill also mandates that pregnant women who are lawfully present in the U.S. are eligible for benefits, reflecting a commitment to inclusivity in healthcare access.

One of the more contentious aspects of the bill is its provision allowing the Department to require individuals eligible for Medicare to apply for that coverage as a condition of receiving state medical assistance. This requirement has sparked debate among lawmakers and advocacy groups, with some arguing it could create barriers for those who may struggle with the application process.

The implications of House Bill 1067 are substantial. By broadening access to medical assistance, the bill aims to alleviate healthcare disparities among low-income families and individuals, potentially reducing the financial burden on the state's healthcare system. Experts suggest that improving access to medical care can lead to better health outcomes, which may ultimately result in lower long-term healthcare costs for the state.

As the bill progresses through the legislative process, it will likely face scrutiny and potential amendments. Stakeholders, including healthcare providers and advocacy organizations, are closely monitoring developments, as the final version of the bill could significantly impact the state's approach to healthcare for its most vulnerable residents.

In conclusion, House Bill 1067 represents a pivotal step towards enhancing medical assistance in North Dakota. Its passage could reshape the landscape of healthcare access in the state, addressing critical needs among medically needy populations while also raising important discussions about eligibility requirements and the role of state assistance programs. As the legislative session unfolds, the outcomes of these discussions will be crucial for the future of healthcare in North Dakota.