Environment
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
StateNorth DakotaIntroduced
SB 2403: AN ACT to amend and reenact section 6-09-47 of the North Dakota Century Code, relating to a medical facility emergency operating loan program under the medical facility infrastructure loan fund; to provide an appropriation; to provide a transfer; to provide an effective date; and to provide an expiration date.
Don Schaible
SB 2403 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
Not enough information
Score:Not enough information
Risk:Low Risk
Impact:Moderate Impact 60/100
Constitutionality95%
Bipartisan50%
Public opinion80%
Bill summary
What changes
The bill amends section 6-09-47 of the North Dakota Century Code to establish or refine a medical facility emergency operating loan program within the existing infrastructure loan fund.
Who is affected
Medical facilities in North Dakota, particularly those facing emergency operating financial distress, and the state agencies managing the infrastructure fund.
Requirements and enforcement
Facilities must likely meet specific criteria to qualify for these operating loans, though exact requirements are not specified in the current abstract.
Costs and funding
The bill provides an appropriation and a transfer, the specific amounts of which are not stated in the abstract.
When it takes effect
The bill includes an effective date and an expiration date, but specific calendar dates are not listed in the available summary.
Potential benefits
Provides a financial safety net for healthcare facilities to ensure they can maintain essential operations and services during periods of fiscal emergency.
Risks and tradeoffs
Concerns include the fiscal sustainability of the loan fund, the potential for long-term dependence on state assistance, and whether these loans effectively address root causes of facility instability.
What is still unknown
The specific dollar amounts for the appropriation, the duration of the program before expiration, and the exact eligibility standards remain unknown without the full text.
02
Impact analysis
✦ AI analysisModeled effects across six domains, estimated from bill text and comparable legislation.
Economy
Positive outlook
65%
Benefits
- Provides liquidity for facilities in financial distress
- Stabilizes essential healthcare infrastructure
- Supports regional job retention in healthcare
Risks
- Potential fiscal exposure if loans are not repaid
- Opportunity cost for the state infrastructure fund
- Complexity involved in determining facility eligibility
Society
Positive outlook
70%
Benefits
- Prevents potential closure of community medical facilities
- Supports continuity of essential local services
- Promotes regional stability and public well-being
Risks
- Loans may not address underlying operational deficiencies
- Potential for inequitable access across different regions
- Relief may only be temporary for struggling facilities
Technology Industry
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
Civic Accountability
Not enough information
Not enough information to score this sector.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
Public Health & Safety
Positive outlook
75%
Benefits
- Protects the continuity of emergency medical care
- Prevents service gaps caused by facility insolvency
- Bolsters infrastructure for critical health services
Risks
- Loans do not resolve critical medical staffing shortages
- Potential for delayed or insufficient emergency responses
- Does not influence the quality of clinical care outcomes
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
The bill's reliance on a loan-based model may be insufficient to address deeper, structural financial issues facing rural or small-scale medical facilities.
Analysis scope
Source information is limited to an abstract, omitting specific eligibility criteria or loan terms.
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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