Environment
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
StateNorth DakotaIntroduced
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.
Legislative Management
HB 1623 status: Introduced — Filed with Secretary Of State 01/23 (updated Jan 28, 2026).
Source
OpenStates
Confidence
Low
Analysis basis
OpenStates summary
01
What this bill does
Official summary alongside an AI-generated read on where it stands and why.
Overall Score
78OUT OF 100
Score:78/100 civic fit
Risk:Low Risk
Impact:Moderate Impact 60/100
Constitutionality90%
Bipartisan70%
Public opinion80%
Bill summary
What changes
The bill appropriates funds for rural health transformation and establishes a loan program managed by the Bank of North Dakota for medical facility infrastructure.
Who is affected
Rural medical facilities in North Dakota, the Bank of North Dakota, and the Department of Health and Human Services.
Requirements and enforcement
The bill mandates legislative management reports, periodic reporting on program outcomes, and compliance with loan application procedures.
Costs and funding
Requires state appropriations to fund the programs, though specific dollar amounts were not included in the source metadata.
When it takes effect
The bill includes an effective date clause.
Potential benefits
Supports rural health infrastructure, provides financial tools for medical facilities, and ensures legislative oversight of state funds.
Risks and tradeoffs
Fiscal exposure to the state for loans, potential for administrative burdens, and the challenge of sustaining rural health networks.
What is still unknown
The specific dollar amounts, interest rates, and exact criteria for loan eligibility are not specified in the available summary.
02
Impact analysis
✦ AI analysisModeled effects across six domains, estimated from bill text and comparable legislation.
Economy
Positive outlook
75%
Benefits
- Provides low-interest financing for rural medical infrastructure
- Directly stimulates investment in regional medical facilities
- Supports employment through facility upgrades and staffing
Risks
- Increases fiscal exposure for the Bank of North Dakota
- Creates potential long-term debt burdens for rural facilities
- Adds administrative costs to manage complex loan portfolios
Society
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
Technology Industry
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
Civic Accountability
Positive outlook
80%
Benefits
- Mandates a legislative management report for oversight
- Requires standardized reporting on program implementation
- Ensures transparency in the distribution of state grants
Risks
- Effectiveness depends entirely on the quality of reporting
- Risk of administrative delay in report submission
- Legislative management capacity may be stretched by oversight
Public Health & Safety
Positive outlook
80%
Benefits
- Increases financial capacity for rural healthcare facilities
- Supports the rural health transformation program agenda
- Facilitates essential medical infrastructure improvements
Risks
- Funding may not reach the most vulnerable facilities
- Structural investment does not guarantee better care quality
- Dependency on federal grant cycles introduces instability
03
How trustworthy & consequential it is
Sourcing already shown above, this is what the analysis found worth flagging.
Source
OpenStates
Official bill text or data from OpenStates.
Confidence
Low
Information is limited or incomplete.
Analysis basis
OpenStates summary
Source used for this bill's analysis.
Source note
Long-term fiscal viability of the loan program depends on facility repayment rates
Analysis scope
Source provided is a summary and does not contain full bill text
04
Where it stands
Official record- IntroducedCurrent
- CommitteeUpcoming
- Chamber votesUpcoming
- Final agreementUpcoming
- GovernorUpcoming
- EnactedUpcoming
05
How it affects your district
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06
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