North Dakota 2025-2026 Regular Session

North Dakota House Bill HB1461

Introduced
1/16/25  

Caption

The tribal health care coordination fund.

Impact

The proposed changes underline a commitment to improving health care access within tribal communities while enforcing accountability measures. Tribal governments receiving these funds must submit annual reports detailing their expenditures, as well as biennial audit reports performed by independent certified public accountants. This requirement aims to ensure transparency in the use of funds, with the stipulation that failure to comply with reporting requirements could lead to the withholding of future distributions from the fund.

Summary

House Bill 1461 introduces the Tribal Health Care Coordination Fund, designed to support tribal governments in enhancing their public health services. This bill seeks to allocate funds to tribal nations for the development and enhancement of essential public health services, as identified by the federal Centers for Disease Control and Prevention. The funds will be distributed based on the federal funding received by each tribal government for care coordination services, ensuring that moneys are used effectively according to the needs of individual tribes.

Contention

Although the bill appears to strengthen healthcare coordination for tribal communities, there may be concerns about the regulatory obligations that accompany the funding. Some stakeholders might argue that the auditing requirements could impose an additional burden on already stretched tribal resources. Ensuring compliance may divert necessary attention and funds away from frontline health services to meet reporting demands, leading to a potential contention point among tribal leaders and health care advocates.

Companion Bills

No companion bills found.

Previously Filed As

ND HB1018

The legacy investment for technology program, the North Dakota development fund, the workforce enhancement council, the administration of uncrewed aircraft system programs, workforce development grants to tribally controlled community colleges, and a North Dakota development fund grant program; to provide a transfer; to provide an exemption; to provide for a report; and to declare an emergency.

ND SB2012

The autism voucher; to provide a statement of legislative intent; to provide for a legislative management study; to provide for a report; to provide an effective date; and to declare an emergency.

ND SB2013

The salary of the superintendent of public instruction, baseline funding, high-cost students, and regional library cooperative definitions; to provide for a transfer; to provide for reports; to provide an exemption; to provide an effective date; and to declare an emergency.

ND HB1123

The membership, spending authority, and funding for the kindergarten through grade twelve education coordination council.

ND SB2015

A transfer of Bank of North Dakota profits to a water infrastructure revolving loan fund; to provide for a transfer; to provide an exemption; to provide for a legislative management study; to provide a report; to provide a penalty; to provide for application; to provide a retroactive effective date; to provide a contingent effective date; to provide an effective date; and to declare an emergency.

ND HB1385

Tribal contracts with the state water commission.

ND HB1165

The health division, a biennial report, and reporting sexually transmitted diseases.

ND HB1447

Funds under management of the state investment board, opioid antagonist prescription, distribution, possession, or use, and the funding of the opioid treatment and prevention program; to provide an appropriation; to provide for a transfer; to provide for application; and to declare an emergency.

ND HB1003

Matching grants for legal education and the workforce education advisory council; to provide for a transfer; to provide for a legislative management study; to provide loan authorization for the Mayville state university old main project; to provide for a report; to provide an exemption; to provide legislative intent; and to declare an emergency.

ND HB1014

Fuel production facility loan guarantee reserve funding, the housing incentive fund, the powers of the North Dakota pipeline authority, definitions for the clean sustainable energy authority, a clean sustainable energy authority line of credit, and an appropriation from the state fiscal recovery fund; to provide a contingent appropriation; to provide for a transfer; to provide an exemption; to provide for a study; to provide for a report; to provide a statement of legislative intent; to provide an effective date; and to declare an emergency.

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