# North Dakota HB 1623: 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.

North Dakota HB 1623, 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., is a 2026 January Special Session House bill sponsored by Legislative Management; status signed, last action 2026-01-28 (Filed with Secretary Of State 01/23) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/ND-HB1623-202502
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: North Dakota HB 1623
- State: North Dakota
- Session: 2026 January Special Session
- Title: 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.
- Status: signed
- Chamber: House
- Introduced: 2026-01-21
- Last action: 2026-01-28, Filed with Secretary Of State 01/23
- Sponsor: Legislative Management
- Cosponsors: 0
- Touches household money: no
- Roll calls: 2 (136 yes, 2 no in all)
- Economic provisions PRIA read: 3

## Summary

No summary available.

## Bill overview: provisions PRIA read

- More federal funding for rural health: benefit, medium. 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…
- Low-interest loans for rural health providers: benefit, low. 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 federa…
- More purchasing options for rural health: benefit, low. 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 cooperat…

## Sponsors and cosponsors

- Sponsor: Legislative Management

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-01-23 | Senate | Second reading, passed, yeas 46 nays 0 | pass | 46 | 0 |   |
| 2026-01-22 | House | Second reading, passed, yeas 90 nays 2 | pass | 90 | 2 |   |

## Actions (15)

- 2026-01-28: Filed with Secretary Of State 01/23 (House)
- 2026-01-23: Signed by Governor 01/23 (House)
- 2026-01-23: Sent to Governor (House)
- 2026-01-23: Signed by Speaker (House)
- 2026-01-23: Signed by President (Senate)
- 2026-01-23: Returned to House (House)
- 2026-01-23: Second reading, passed, yeas 46 nays 0 (Senate)
- 2026-01-22: Engrossment placed on calendar 14 0 2 (Senate)
- 2026-01-22: Introduced, first reading, referred Joint Appropriations Committee (Senate)
- 2026-01-22: Received from House (Senate)
- 2026-01-22: Second reading, passed, yeas 90 nays 2 (House)
- 2026-01-22: Amendment adopted, placed on calendar (House)
- 2026-01-21: Reported back amended, do pass, amendment placed on calendar 22 0 1 (House)
- 2026-01-21: Committee Hearing 10:30 (House)
- 2026-01-21: Introduced, first reading, referred Joint Appropriations Committee (House)

## Bill text

- Adopted by the House Joint Appropriations Committee: [PDF](https://ndlegis.gov/assembly/69-2025/special/documents/25-1392-01005m.pdf)
- Enrollment: [PDF](https://ndlegis.gov/assembly/69-2025/special/documents/25-1392-03000.pdf)
- FIRST ENGROSSMENT: [PDF](https://ndlegis.gov/assembly/69-2025/special/documents/25-1392-02000.pdf)
- INTRODUCED: [PDF](https://ndlegis.gov/assembly/69-2025/special/documents/25-1392-01000.pdf)

## Related bills

- HB 1622: AN ACT to create and enact chapter 43-17.5 of the North Dakota Century Code, relating to the physician assistant licensure compact; to amend and reenact sectio… (signed)
- HB 1626: AN ACT to amend and reenact subdivision d of subsection 1 of section 57-02-08.9, section 57-20-09, and subsection 1 of section 57-55-03 of the North Dakota Cen… (signed)
- HB 1624: A BILL for an Act to create and enact two new sections to chapter 15.1-07 of the North Dakota Century Code, relating to offering school breakfast and lunch at… (failed)
- SB 2403: AN ACT to amend and reenact section 6-09-47 of the North Dakota Century Code, relating to a medical facility emergency operating loan program under the medical… (signed)
- HB 1625: AN ACT to amend and reenact section 15-10-64 of the North Dakota Century Code, relating to the sale of the Ray Richards golf course; to provide an appropriatio… (signed)
- HB 1621: AN ACT to amend and reenact subsection 1 of section 15.1-21-01 and section 15.1-21-02 of the North Dakota Century Code, relating to requiring the presidential… (signed)

## Sources
- [Adopted by the House Joint Appropriations Committee (PDF)](https://ndlegis.gov/assembly/69-2025/special/documents/25-1392-01005m.pdf)
- [Enrollment (PDF)](https://ndlegis.gov/assembly/69-2025/special/documents/25-1392-03000.pdf)
- [FIRST ENGROSSMENT (PDF)](https://ndlegis.gov/assembly/69-2025/special/documents/25-1392-02000.pdf)
- [INTRODUCED (PDF)](https://ndlegis.gov/assembly/69-2025/special/documents/25-1392-01000.pdf)

## Related
- [HB 1622: AN ACT to create and enact chapter 43-17.5 of the North Dakota Century Code, re…](https://policyrisk.com/state-bill/ND-HB1622-202502)
- [HB 1626: AN ACT to amend and reenact subdivision d of subsection 1 of section 57-02-08.9…](https://policyrisk.com/state-bill/ND-HB1626-202502)
- [HB 1624: A BILL for an Act to create and enact two new sections to chapter 15.1-07 of th…](https://policyrisk.com/state-bill/ND-HB1624-202502)
- [SB 2403: AN ACT to amend and reenact section 6-09-47 of the North Dakota Century Code, r…](https://policyrisk.com/state-bill/ND-SB2403-202502)
- [HB 1625: AN ACT to amend and reenact section 15-10-64 of the North Dakota Century Code,…](https://policyrisk.com/state-bill/ND-HB1625-202502)
- [HB 1621: AN ACT to amend and reenact subsection 1 of section 15.1-21-01 and section 15.1…](https://policyrisk.com/state-bill/ND-HB1621-202502)
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Source: PRIA, https://policyrisk.com/state-bill/ND-HB1623-202502 (as of 2026-10-19).