ND HB1407

Department of Human Services shall facilitate care coordination agreements between health care providers and tribal health care organizations to achieve 100 percent federal funding for eligible medical assistance to American Indians.

Federal funding received in excess of the state's regular share from care coordination agreements is split 60 percent to the tribal health care coordination fund and 40 percent to the general fund.

Tribal governments must use distributed funds for health-related purposes related to the ten essential public health services, with capital construction limited to 50 percent through June 30, 2025, then 35 percent thereafter.

Tribal governments must submit annual reports and biennial independent audits detailing fund use, with the Department of Human Services providing biennial reports to the legislative management before August of each even-numbered year.

The repeal of the original statute becomes effective January 3, 2023, only if no care coordination agreements have been facilitated by December 31, 2022.