A pivotal discussion on behavioral health funding took place during the North Dakota Legislature's HB 1012 Conference Committee meeting on April 25, 2025. The committee debated a significant grant for a new 24-bed facility in Grand Forks, initially proposed at $12.9 million but recently reduced to $5 million. This reduction sparked concerns among committee members about the feasibility of the project at the lower funding level.

One member expressed skepticism about the viability of the project without the full funding, citing potential federal budget cuts as a complicating factor. "I think we should hold our position at the $12.9 million," they stated, emphasizing the need for a robust financial commitment to ensure the project could move forward effectively.

The discussion highlighted the importance of local partnerships, particularly with Altru Health System, which has committed to contributing 20% of the project costs. This local investment was seen as crucial for the project's success, with one member noting, "Altru has skin in the game in this project," and expressing a preference for working with local entities over larger systems.

The committee also acknowledged the urgent need for additional behavioral health beds in the region, particularly for adolescents, which has been identified as a critical area of concern. "We need additional beds, and these can be realized sooner rather than later," one member remarked, underscoring the pressing demand for mental health services.

As the meeting concluded, it was clear that further information would be needed before a decision could be made. The committee plans to reconvene to discuss the implications of the funding cuts and explore potential compromises to ensure that the behavioral health needs of North Dakota residents are met.