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Legislative committee backs drafting bill to seek IMD waiver for tribal treatment centers

6548286 · October 24, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

After hearing testimony from MHA Nation leaders and recovery providers, the Legislative Tribal‑State Relations Committee voted to draft legislation asking the state to pursue a federal IMD waiver so tribal and regional drug‑treatment centers can expand beyond the current 16‑bed Medicaid reimbursement limit.

The Legislative Tribal‑State Relations Committee voted Thursday to direct staff to draft legislation asking the state of North Dakota to pursue an IMD (institution for mental disease) waiver that would let tribal treatment facilities receive Medicaid reimbursement for residential programs larger than 16 beds.

The committee’s action followed testimony from MHA Nation officials and recovery providers about limits on treatment capacity and the costs of sending people to out‑of‑state programs. Committee members recorded unanimous support on a roll call after a motion to draft legislation and to have a senator work with Legislative Council on language.

The measure the committee asked staff to draft is designed to address the federal IMD exclusion, a Medicaid policy that currently…

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