A BILL for an Act to amend and reenact subsection 3 of section 50-24.1-40 of the North Dakota Century Code, relating to the tribal health care coordination fund.

HB 1461 would have created a state-funded tribal health care coordination fund to support tribal governments in North Dakota. The bill required the state to distribute funds to tribes based on their federal care coordination funding, with strict rules: funds must cover specific public health services (capping capital construction at 50% until 2025, then 35%), and tribes would need to submit annual reports and biennial audits by independent auditors. The state would withhold funds for late reports or misuse, and could resume payments once compliance was verified. This bill was introduced in January 2025 but withdrawn before further consideration.