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North Dakota hearing: Adult and Aging Services details expanding Home and Community-Based Services and staffing shifts
Summary
Department of Health and Human Services director Nancy Nicholas Meyer told the House Human Resources Appropriations panel that Home and Community-Based Services enrollment and acuity have risen markedly, driving requests for additional staff, targeted rate increases for in‑home providers and continued funding for senior nutrition programs.
Nancy Nicholas Meyer, director of Adult and Aging Services at the North Dakota Department of Health and Human Services, told the House Appropriations Committee Human Resources Division on the House Bill 1012 budget presentation that her division’s workload and client complexity have grown sharply in recent years.
Meyer said the division administers Older Americans Act programs, the state-funded SPED program and Medicaid‑funded Home and Community‑Based Services (HCBS) and handles vulnerable adult protective services and the long‑term care ombudsman office. "I'm Nancy Nicholas Meyer. I'm the director of adult and aging services with the department of, health and human services," she told the committee.
Meyer said HCBS caseloads and acuity have risen since 2020. "In calendar year 2024, in all of our programs, we serve 3,571 individuals," she said, and later summarized intake volume: "On average, we're getting 150 new referrals every month. And 80 of them are turning into…
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