The bill amends subsection 3 of section 50-24.1-40 of the North Dakota Century Code to establish a tribal health care coordination fund within the state treasury. The fund's moneys are continuously appropriated to the department for distribution to tribal governments based on agreements that require the tribes to utilize the funds for public health services and community health representative programs. Notably, the previous restrictions on the percentage of funds that could be used for capital construction have been removed, allowing for greater flexibility in fund allocation.

Additionally, the bill mandates that tribal governments submit annual reports detailing the use of the funds and conduct audits every two years by an independent certified public accountant, with the option for more frequent audits. The distribution of funds is tied to the federal funding received by the tribal nations, and the department is empowered to withhold funds if reports are not submitted on time or if funds are misused. This legislative change aims to enhance accountability and ensure that the funds are used effectively to support public health initiatives within tribal communities.

Statutes affected:
INTRODUCED: 50-24.1-40