Hoeven, Armstrong, Traynor speak on OBBB Rural Health Transformation Fund updates in ND

BISMARCK, N.D. (KFYR) – On Friday, North Dakota U.S. Senator John Hoeven, Governor Kelly Armstrong and Health and Human Services Commissioner Pat Traynor explained how the state plans to use millions of dollars from the Big Beautiful Bill’s Rural Health Transformation Fund to transform healthcare across the state.

They spoke extensively about the special session to allocate the funds, and confirmed that it is still tentatively set for Jan. 21.

The Big Beautiful Bill allocated $25 billion for rural healthcare nationwide. North Dakota received $500 million for five years and $200 million for the first year. There is still another $25 billion left to be spent, and North Dakota is hoping to receive an extra $500 million.

“I truly believe that with the plan we’re putting in place and the things we built that line up with that, we’ll get a billion dollars over five years,” said Hoeven.

Federal rules require the state to lock in contracts for the money by October first— a deadline officials say is driving the need for a special session.

In the first year, North Dakota will focus on retention grants to keep existing staff, technical assistance and consultants for rural hospitals, as well as telehealth equipment and home patient monitoring.

Governor Armstrong says the special session will include policy bills tied to how much federal rural health funding the state can earn.

“We’re going to have a physical fitness test for physical education courses, nutrition education, continuing education requirement for physicians, physician assistant licensure compact—which North Dakota has been doing, dealing with that since the heart of the oil boom and moving forward—and then an expanded scope of practice for pharmacists,” said Armstrong.

Hundreds of millions of dollars could reshape healthcare in rural North Dakota, and state leaders say the next few weeks are key to receiving and spending that money wisely.

The governor says he only wants to focus on bills related to the Rural Health Transformation Program during the special session and doesn’t intend to deal with other state issues during that time.

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