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.

25.1392.02000 Sixty-ninth Legislative Assembly of North Dakota FIRSTIn ENGROSSMENTSpecial ENGROSSEDSession Commencing Wednesday, January 21, 2026 HOUSE BILL NO.

1623 Introduced(Legislative byManagement) Legislative Management (Joint Appropriations Committee) AAN BILLACT for an Act to provide an appropriation to the department of health and human services for federal rural health transformation program grant funds;

1012, as approved by the sixty-ninth legislative assembly, are not subject to the transfer limitation provisions in section 4 of House Bill Page No.

1 25.1392.02000 Sixty-ninth Legislative Assembly No.

SECTIONH. 6.

B.

NO.

1623 - PAGE 2 SECTION 6.

The Bank of North Dakota shall administer a medical facility infrastructure loan program to provide loans to medical facilities to conduct construction that improves the health care infrastructure in the state or improves access to existing nonprofit health Pagecare No.providers in the state.

2 25.1392.02000 Sixty-ninth Legislative Assembly care providers in the state.

(2) Provide information as requested by the Bank, including information substantiating a demonstrated financial need and evidence of project Pageapproval No.from the department of health and human services under the federal rural health transformation program.

3 25.1392.02000 Sixty-ninth Legislative Assembly approval from the department of health and human services under the federal rural health transformation program.

(2)H. A term that complies with the criteria established by the department of health and human services, in accordance with the federal rural health transformation program, and does not exceed three years.

B.

NO.

1623 - PAGE 3 (2) A term that complies with the criteria established by the department of health and human services, in accordance with the federal rural health transformation program, and does not exceed three years.

Notwithstanding chapter 54-44.7, an agency or governing body may use the process outlined in section 37-10-03.6 for consultants in the areas of architecture, engineering, Pageconstruction No.management, land surveying, and related matters when using the funding appropriated in section 1 of this Act for public improvements to meet the requirements of section 48-01.2-02.

4 25.1392.02000 Sixty-ninth Legislative Assembly construction management, land surveying, and related matters when using the funding appropriated in section 1 of this Act for public improvements to meet the requirements of section 48-01.2-02.

Section 32-12.2-15 does not apply to any routine or standardized products that contain adhesive contract terms in shrink wrap documents, third-party end user licenses, or click-throughclick- through agreements that are not consistent with section 32-12.2-15 for purchases using funding appropriated in section 1 of this Act if the purchase involves training, training and testing materials, reference materials, access to online information, online services, memberships, licensure, conferences, or travel, and the purchase or use does not require the disclosure of confidential information or personally identifiable information as defined in chapter 51-30 and does not impact data or system security.

The funds appropriated in section 1 of this Act are limited duration federal funds allocated to the state through the federalH. rural health transformation program.

B.

NO.

1623 - PAGE 4 federal rural health transformation program.

During the remainder of the 2025-26 interim, the department of health and human services shall provide periodic reports to the legislative management regarding the status of funding allocations, programs, outcomes, Pageand No.other requested information associated with the federal rural health transformation program grant.

5 25.1392.02000 Sixty-ninth Legislative Assembly and other requested information associated with the federal rural health transformation program grant.

PageH. No.

6B. 25.1392.02000

NO.

1623 - PAGE 5 ____________________________ ____________________________ Speaker of the House President of the Senate ____________________________ ____________________________ Chief Clerk of the House Secretary of the Senate This certifies that the within bill originated in the House of Representatives of the Sixty-ninth Legislative Assembly of North Dakota and is known on the records of that body as House Bill No.

1623.

House Vote:

Yeas 90 Nays 2 Absent 2 Senate Vote:

Yeas 46 Nays 0 Absent 1 ____________________________ Chief Clerk of the House Received by the Governor at ________M.

on _____________________________________, 2026.

Approved at ________M.

on __________________________________________________, 2026.

____________________________ Governor Filed in this office this ___________day of _______________________________________, 2026, at ________ o’clock ________M.

____________________________ Secretary of State