All Roll Calls
Yes: 136 • No: 2
North DakotaHB 16232026 January Special SessionHouse
AN ACT to provide an appropriation to the department of health and human services for federal rural health transformation program grant funds; to provide an appropriation to the Bank of North Dakota to administer a loan program; to provide for a transfer; to amend and reenact section 6-09-47 of the North Dakota Century Code, relating to a rural health loan program under the medical facility infrastructure loan fund; to provide an exemption; to provide for a legislative management report; to provide for application; to provide a report; and to provide an effective date.
Sponsored By: Legislative Management
Signed by Governor
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
More federal funding for rural health
North Dakota’s health department receives about $397.9 million in federal Rural Health Transformation Program funds through June 30, 2027. At its request, the budget office must move money between this appropriation and specified health department appropriations; salary transfers bypass House Bill 1012’s transfer limits. Through that date, the budget office may also increase another state agency’s spending authority by its award amount, notifying Legislative Council. Grant recipients must acknowledge that funding ends with the federal program, and the department may require reports measuring results. The department must also report funding, programs, and outcomes to Legislative Management.
Low-interest loans for rural health providers
The Bank of North Dakota must transfer up to $40 million for rural health loans through June 30, 2027. Approved federal program grant recipients with demonstrated financial need can apply for short-term loans. Applicants must provide requested evidence of need and project approval, including federal approval when applicable. Annual interest cannot exceed 2%, and repayment cannot exceed three years or conflict with health department criteria. The bank also receives $600,000 and authority for four full-time equivalent positions to run the program through June 30, 2027.
More purchasing options for rural health
Program-funded public building work and real estate purchases are exempt from specified state requirements. Agencies may use an alternative consultant-selection process for qualifying architecture, engineering, construction management, surveying, and related work. Eligible entities may use cooperative purchasing, and the state may transfer program-funded equipment or supplies to groups or individuals. Both purchasing and transfers must follow federal program rules. Certain standard contract terms are exempt from state requirements for publicly available training, testing, reference materials, online information and services, memberships, licensure, conferences, and travel. That contract exception applies only when private information is not required and data or system security is unaffected.
Sponsors & Cosponsors
Sponsor
Legislative Management
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 1/23/2026
Second reading, passed, yeas 46 nays 0
Yes: 46 • No: 0
House vote • 1/22/2026
Second reading, passed, yeas 90 nays 2
Yes: 90 • No: 2
Actions Timeline
Filed with Secretary Of State 01/23
1/28/2026HouseSigned by Governor 01/23
1/23/2026HouseSent to Governor
1/23/2026HouseSigned by Speaker
1/23/2026HouseSigned by President
1/23/2026SenateReturned to House
1/23/2026HouseSecond reading, passed, yeas 46 nays 0
1/23/2026SenateEngrossment placed on calendar 14 0 2
1/22/2026SenateIntroduced, first reading, referred Joint Appropriations Committee
1/22/2026SenateReceived from House
1/22/2026SenateSecond reading, passed, yeas 90 nays 2
1/22/2026HouseAmendment adopted, placed on calendar
1/22/2026HouseReported back amended, do pass, amendment placed on calendar 22 0 1
1/21/2026HouseCommittee Hearing 10:30
1/21/2026HouseIntroduced, first reading, referred Joint Appropriations Committee
1/21/2026House
Bill Text
Adopted by the House Joint Appropriations Committee
Enrollment
FIRST ENGROSSMENT
INTRODUCED
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