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Read. Follow. Verify.North Dakota Appropriates $397.8 Million for Rural Health and Authorizes Bank Loan Programs under HB 1623
Last action · January 28, 2026: Filed with Secretary Of State 01/23
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What This Bill Does
North Dakota appropriates $397.8 million in federal rural health transformation program grant funds to the Department of Health and Human Services and authorizes $600,000 for the Bank of North Dakota to administer a new short-term gap loan program through June 30, 2027.
Rural health care providers gain access to nearly $400 million in federal grants and specialized low-interest infrastructure and , backed by a $40 million profit transfer from the Bank of North Dakota.
Who It Affects
Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.
Department of Health and Human Services
Receives a federal grant appropriation of $397,873,940 and must oversee grant agreements, fund distribution, and periodic reporting to legislative management.
Bank of North Dakota
Receives an appropriation of $600,000, must transfer up to $40 million to the medical facility infrastructure loan fund, and is tasked with administering the rural health loan program.
Rural health care facilities
Become eligible to apply for low-interest short-term gap loans and federal grant funding to support health care infrastructure and services.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
How much money is being appropriated for the federal rural health transformation program?
What is the interest rate for loans under the rural health loan program?
Who is responsible for administering the rural health loan program?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Current status: Signed into law.
Procedural history
15 actions- Jan 28, 2026Filed with Secretary Of State 01/23
- Jan 23, 2026HouseEnrolledSigned by Governor 01/23
- Jan 23, 2026HouseEnrolledSent to Governor
- Jan 23, 2026HouseSigned by Speaker
- Jan 23, 2026SenateSigned by President
- Jan 23, 2026HouseReturned to House
Show 9 earlier actions
- Jan 23, 2026SenateFloorSecond reading, passed, yeas 46 nays 0
- Jan 22, 2026SenateCommitteeEngrossment placed on calendar 14 0 2
- Jan 22, 2026SenateIntroducedIntroduced, first reading, referred Joint Appropriations Committee
- Jan 22, 2026SenateReceived from House
- Jan 22, 2026HouseFloorSecond reading, passed, yeas 90 nays 2
- Jan 22, 2026HouseCommitteeAmendment adopted, placed on calendar
- Jan 21, 2026HouseCommitteeReported back amended, do pass, amendment placed on calendar 22 0 1
- Jan 21, 2026HouseCommitteeCommittee Hearing 10:30
- Jan 21, 2026HouseIntroducedIntroduced, first reading, referred Joint Appropriations Committee
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Bank of North Dakota Profit Transfer
The legislation mandates a $40,000,000 transfer from the Bank of North Dakota's current earnings and undivided profits directly into the medical facility infrastructure loan fund.
Connected Entities
Sources
ndlegis.gov
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy10Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz40Current news / social attention level
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