In a recent meeting of the Administrative Rules Committee, North Dakota legislators addressed pressing concerns regarding the state's psychiatric residential treatment facilities (PRTFs) and the challenges they face in providing care for vulnerable children. The discussions highlighted the urgent need for a revised payment structure to ensure these facilities can continue to operate effectively and meet the needs of at-risk youth.

One of the key points raised was the significant lag in Medicaid payments, which can take up to 16 months to process. This delay places a financial strain on PRTFs, such as Dakota Boys and Girls Ranch, which reported a staggering $7.5 million loss last year. Tim Ganger, representing the ranch, emphasized that the current payment model, established over 30 years ago, is outdated and unsustainable. He urged legislators to prioritize a study on a new payment structure to address these financial challenges and ensure that children receive timely and adequate care.

Senator Larson echoed these concerns, noting the physical and emotional toll on staff who work with children facing severe behavioral health issues. He pointed out that without proper support and resources, the state risks having to send these children out of state for treatment, which is not only costly but detrimental to their recovery.

The committee also discussed the importance of including provisions for hospital leave days and parent travel costs in the payment structure. These elements are crucial for maintaining family connections and ensuring continuity of care, yet they have not been adequately addressed in the current rules.

As the legislative session approaches, there is a growing sense of urgency among committee members to take action. Several legislators expressed frustration with the slow pace of progress and the need for more concrete commitments to support PRTFs. The consensus is clear: immediate steps must be taken to reform the payment system and enhance the support available for facilities that care for North Dakota's most vulnerable children.

In conclusion, the discussions at the Administrative Rules Committee meeting underscore a critical moment for mental health care in North Dakota. With the legislative session on the horizon, stakeholders are hopeful that the necessary changes will be made to ensure that children in need receive the care and support they deserve, right here in their home state.