Sen. Brad Bekkedahl, R-Williston, and Legislative Council budget analyst Allen Knudson listen to a presentation on the Rural Health Transformation Program on Oct. 14, 2025. (Photo by Mary Steurer/North Dakota Monitor)

BISMARCK, N.D. ( North Dakota Monitor ) — A committee of North Dakota lawmakers this week began sifting through an ocean of recommendations for how to spend a $500 million federal rural health care grant as the state races to meet a Nov. 5 application deadline.

The state will have a number of complex decisions to make — including how to weigh the public’s priorities against the kinds of initiatives encouraged by the federal government, a top human services official told legislators Tuesday.

Congress created the $50 billion Rural Health Transformation Program this summer

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