North Dakota
Guest Column: Celebrating innovation and opportunity in North Dakota on National Rural Health Day
It is no secret that there are many challenges confronting rural health care right now, from workforce shortages and declining reimbursement rates to threats to programs like 340B that support safety-net hospitals. But this week, as we celebrate National Rural Health Day on Nov. 20, I am reminded of the many reasons to be hopeful about the future of rural health care.
Earlier this month, the state of North Dakota applied for a share of the $50 billion that will be distributed nationwide beginning next year as part of the newly established Rural Health Transformation Program. With $1 billion on the line for North Dakota, the program could be one of the single greatest investments in rural health that our state has ever seen.
The Rural Health Transformation Program was designed to spur innovative and sustainable approaches to better serve the farmers, ranchers and small business owners who call rural communities home. And in order to qualify for funding, North Dakota crafted an application that demonstrates a strong vision for improving the health of our neighbors and stabilizing rural health care delivery.
As a health system that’s proud to serve mostly rural areas, Essentia Health was grateful to share our ideas for how hospitals can stabilize essential services, such as behavioral health and emergency care, while advancing workforce development and value-based care for the rural and Tribal communities we are privileged to serve. As we wait for the funding to be awarded, I am confident that North Dakota’s application is strong because it reflects the real experience and perspectives of compassionate caregivers on the front lines of rural care.
Here’s why I’m excited by this opportunity:
Attracting and retaining a strong health care workforce remains one of the most significant challenges confronting rural care. North Dakota’s application dedicates over $162 million to train and retain a high-skilled workforce through new residencies, workforce pipelines and recruitment and retention grants.
At Essentia, we’ve had success with first-of-its-kind training programs that address critical gaps in our health care workforce. We just celebrated the first graduate of our surgical technologist apprenticeship program in Fargo. These are the kinds of innovations we must continue pursuing to help care teams like ours advance our mission to make a healthy difference in people’s lives.
If awarded this funding, North Dakota plans to deepen its work to bring high-quality health care closer to home – a mission that Essentia Health whole-heartedly stands behind. With fewer clinicians to staff brick-and-mortar facilities, we need to get creative to meet people where they are – through new methods and in new spaces. A person’s access to expert care shouldn’t be determined by their zip code.
Essentia’s mobile mammography program is one example of how we can enhance access to preventive care without relying on traditional settings. The program brings essential mammography services directly to our neighbors in rural areas and could be expanded across other specialties. Since we rolled out this service, we hear repeatedly from patients who acknowledge they likely wouldn’t have done a screening if it hadn’t been available locally. Rural Health Transformation funds could be used to deploy mobile medical units to rural, underserved communities, with specific services tailored to the greatest needs of the community.
Finally, this funding would allow us to expand scalable programs, like our community health workers and community paramedics. These programs provide tailored support to patients with the goal of diminishing the rate of chronic disease, improving the health of our rural neighbors and reducing emergency room visits and hospital admissions.
The work to transform the future of rural health care has already begun at Essentia Health. The Rural Health Transformation Program represents an opportunity to expand our efforts to bolster our health care workforce, strengthen a care model that prioritizes prevention and patient outcomes and make it easier for North Dakotans to access comprehensive health care close to home.
As we celebrate National Rural Health Day, I am hopeful for the future of rural health care and especially grateful for my talented colleagues, whose dedication to advancing rural health care strengthens the communities where they live and work.
Dr. Stefanie Gefroh is the Essentia Health West Market president.
North Dakota
Grand Forks Man Running For State Attorney General
(Photo by Kyle Martin/For the North Dakota Monitor)
(North Dakota Monitor) – North Dakota Democrats rallied for a turnaround endorsing several candidates for statewide office to take on Republicans in November.
The Democratic-NPL Party endorsed state Sen. Ryan Braunberger of Fargo for secretary of state, Scot Kelsh of Fargo and John Pederson of Mayville for Public Service Commission and Tim Lamb of Grand Forks for attorney general. The party also issued a letter of support for Tracy Foss of Hatton for superintendent of public instruction.
Democrats have 429 delegates participating, which Party Chair Adam Goldwyn said is the most since 2018. The party has 49 legislative candidates so far, but Goldwyn challenged attendees to field candidates in districts that don’t yet have anyone running.
“The North Dakota Democratic-NPL party has one goal: contest every single election up and down the ballot all across the state,” Goldwyn said.
North Dakota
NDHP, multiple police sighted downtown
BISMARCK, N.D. (KFYR) – North Dakota Highway Patrol, Mandan police and Bismarck police were all assisting on an incident Bismarck police say started in Mandan Saturday evening.
Multiple law enforcement vehicles were seen in downtown Bismarck and eventually ended up near Sanford Hospital.
Sanford officials say the hospital was placed under a modified lockdown for a short period of time. The lockdown has lifted.
At this time, no patients or employees were injured.
We will have more on this story as information becomes available.
Copyright 2026 KFYR. All rights reserved.
North Dakota
Laurel Hanson of Grand Forks remembered for her ‘patient, brilliant’ legal work
GRAND FORKS — Though at the time of her death it had been more than 15 years since Laurel Rae Hanson’s legal career ended, a longtime North Dakota Supreme Court chief justice and a federal magistrate judge still fondly remember her skill, passion and dedication.
“Laurel was patient, brilliant and a really good writer,” said Karen Klein, former longtime U.S. magistrate judge, now recognized as a settlement expert and mediation skills trainer. “I find it such a tragedy that her life was cut so short, and that she couldn’t carry through with the career that she so obviously loved.”
Hanson died on Feb. 21, at age 49.
She would have turned 50 on March 10. Her death came after nearly two decades spent combating various health issues, including osteoporosis and an injury that led to early retirement in 2009, when she was in her early 30s.
Former longtime North Dakota Supreme Court Chief Justice Gerald W. VandeWalle said he was sorry to hear about Hanson’s death, though he knew she was in poor health. He was her first mentor out of UND School of Law, and found her the perfect fit for the role of his clerk.
“She was an outstanding law clerk, as far as I was concerned,” VandeWalle said. “She certainly deserves all the respect I have for law clerks.”
Contributed
Hanson’s mother, Barbara Hanson, said she wasn’t sure where her daughter’s career would have ended up if it hadn’t been cut short due to her health issues. Her career had just begun, but she did enjoy clerkship. After working for VandeWalle, Laurel Hanson moved on to a two-year position as Klein’s law clerk. She later took a permanent position when it opened.
The work of law clerks takes place primarily behind the scenes. They help judges review case files, researching and writing first drafts of decisions — a particularly important job, because decisions are expected to include detailed reasoning so everyone involved in a case understands what factored into a judge’s ruling, Klein said.
“If judges were to do it all from scratch, all by themselves, the backlog would just become unmanageable, and parties would wait many months — if not years — for decisions,” she said. “So it’s really important to have that legal expertise in someone other than the judge.”
Judges don’t control the cases assigned to them. While some are simple, others are highly complex — especially in the federal court system, where civil rights issues are handled, she said. Though Hanson’s career was brief, it had impact. Klein still recalls the work Hanson did researching and writing legal documents.
At a young age, she balanced what could at times be heavy work. Hanson was there when Alfonso Rodriguez Jr. was turned over to the federal court system and arraigned for the 2003 kidnapping and murder of 22-year-old Dru Sjodin, a case that made national headlines and created a tense atmosphere in North Dakota, particularly for women, Barbara Hanson said.
Laurel Hanson suffered a fall in 2008 that didn’t seem overly significant at the time, but led to an infection that caused further damage to already weakened bones, her mother said. She retired in 2009.
“I think she loved the law; she just loved delving into issues,” Klein said. “It was just a tragedy that she couldn’t continue.”
Whether dealing with highly controversial or straightforward cases, Laurel Hanson remained level-headed and fair, which are valuable skills for the job, Klein said. She valued Hanson beyond her professional abilities; they also discussed books and Hanson’s travels. She made an effort to embark on new experiences, such as skydiving and scuba diving.
“Things that some of us wouldn’t even dream of — she was willing to take them on,” Klein said.
Barbara Hanson agreed that travel and adventure were among her daughter’s passions, which also included animals, friends and family. During the summer of last year, she was ecstatic to become a great aunt.
“Laurel did so many things, and probably could’ve done more if she hadn’t run up against all her health problems,” Barbara Hanson said. “Laurel really loved life.”
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