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
Native Culture, Arts Highlight North Dakota Native Heritage Showcase
(Photo by Michael Achterling/North Dakota Monitor)
(North Dakota Monitor) – Through the arts, stories, music and dance, North Dakota’s Indigenous community shared its culture at the Capitol in Bismarck on Friday during Native American Heritage Month.
The North Dakota Native Heritage Showcase, sponsored by the state’s Indian Affairs Commission, featured about a dozen vendor tables at the Capitol with handmade jewelry, paintings, books and other items.
Brad Hawk, executive director of the North Dakota Indian Affairs Commission, said the event is a way to showcase different Native cultures and give exposure to local nonprofit groups.
“It’s more than music. It’s more than regalia. We have different aspects of the culture in arts,” Hawk said. “It’s a communitywide event, a little bit for everybody, and that’s the way we set it up to be.”
North Dakota
Abortion is illegal again in North Dakota after court reverses a judge’s earlier decision
BISMARCK, N.D. — Abortion is again illegal in North Dakota after the state’s Supreme Court on Friday couldn’t muster the required majority to uphold a judge’s ruling that struck down the state’s ban last year.
The law makes it a felony crime for anyone to perform an abortion, though it specifically protects patients from prosecution. Doctors could be prosecuted and penalized by as much as five years in prison and a $10,000 fine.
Three justices agreed that the ban is unconstitutionally vague. The other two justices said the law is not unconstitutional.
The North Dakota Constitution requires at least four of the five justices to agree for a law to be found unconstitutional, a high bar. Not enough members of the court joined together to affirm the lower court ruling.
In his opinion, Justice Jerod Tufte said the natural rights guaranteed by the state constitution in 1889 do not extend to abortion rights. He also said the law “provides adequate and fair warning to those attempting to comply.”
North Dakota Republican Atty. Gen. Drew Wrigley welcomed the ruling, saying, “The Supreme Court has upheld this important pro-life legislation, enacted by the people’s Legislature. The attorney general’s office has the solemn responsibility of defending the laws of North Dakota, and today those laws have been upheld.”
Republican state Sen. Janne Myrdal, who introduced the 2023 legislation that became the law banning abortion, said she was “thrilled and grateful that two justices that are highly respected saw the truth of the matter, that this is fully constitutional for the mother and for the unborn child and thereafter for that sake.”
The challengers called the decision “a devastating loss for pregnant North Dakotans.”
“As a majority of the Court found, this cruel and confusing ban is incomprehensible to physicians. The ban forces doctors to choose between providing care and going to prison,” Center for Reproductive Rights senior staff attorney Meetra Mehdizadeh said. “Abortion is healthcare, and North Dakotans deserve to be able to access this care without delay caused by confusion about what the law allows.”
The ruling means access to abortion in North Dakota will be outlawed. Even after a judge had struck down the ban last year, the only scenarios for a patient to obtain an abortion in North Dakota had been for life- or health-preserving reasons in a hospital.
The state’s only abortion provider relocated in 2022 from Fargo to nearby Moorhead, Minn.
Justice Daniel Crothers, one of the three judges to vote against the ban, wrote that the district court decision wasn’t wrong.
“The vagueness in the law relates to when an abortion can be performed to preserve the life and health of the mother,” Crothers wrote. “After striking this invalid provision, the remaining portions of the law would be inoperable.”
North Dakota’s newly confirmed ban prohibits the performance of an abortion and declares it a felony. The only exceptions are for rape or incest for an abortion in the first six weeks of pregnancy — before many women know they are pregnant — and to prevent the woman’s death or a “serious health risk” to her.
North Dakota joins 12 other states enforcing bans on abortion at all stages of pregnancy. Four others bar it at or around six weeks of gestational age.
Judge Bruce Romanick had struck down the ban the GOP-led Legislature passed in 2023, less than a year after the U.S. Supreme Court overturned Roe vs. Wade and opened the door to the state-level bans, largely turning the abortion battle to state courts and legislatures.
The Red River Women’s Clinic — the formerly sole abortion clinic in North Dakota — and several physicians challenged the law. The state appealed the 2024 ruling that overturned the ban.
The judge and the Supreme Court each denied requests by the state to keep the abortion ban in effect during the appeal. Those decisions allowed patients with pregnancy complications to seek care without fear of delay because of the law, Mehdizadeh previously said.
Dura writes for the Associated Press.
North Dakota
North Dakota man indicted for traveling to Thailand for sex with minors
BISMARCK, N.D. (KMOT) – A grand jury indicted a North Dakota man on charges he traveled to Thailand for sex with minors.
The grand jury indicted Sean D. Snyder on seven counts pertaining to the investigation.
According to the indictment, Snyder traveled to Phuket, Thailand, to engage in illicit sexual conduct with two separate victims.
Four of the charges pertain to the first victim, between around 2018 to late November 2024. Two of the other charges involve a second victim, between around 2023 to mid-August 2025.
Court records also show the grand jury indicted Snyder for possessing a smartphone that contained an image and video of child pornography.
Snyder is being held without bond at the Burleigh-Morton Detention Center. He has an initial court appearance and arraignment set for Monday in the U.S. District Court.
Your News Leader reached out to the office of the U.S. Attorney for North Dakota for more details on the investigation and will update as we learn more.
Here are the charges Snyder is facing:
- Travel with Intent to Engage in Illicit Sexual Conduct (3 counts)
- Engaging in Illicit Sexual Conduct in Foreign Places (3 counts)
- Possession of Materials Containing Child Pornography (1 count)
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