---
type: "Bill"
title: "AN ACT to create and enact section 50‑24.1‑40 of the North Dakota Century Code, relating to medical assistance tribal health care coordination agreements; to provide for a report to the legislative management; to provide a continuing appropriation; and to declare an emergency."
description: "AN ACT to create and enact section 50‑24.1‑40 of the North Dakota Century Code, relating to medical assistance tribal health care coordination agreements; to provide for a report to the legislative management; to provide a continuing appropriation; and to declare an emergency."
jurisdiction: "us/states/nd"
legislature: "North Dakota Legislative Assembly"
session: "66"
identifier: "HB 1194"
citation: "North Dakota HB 1194 (66)"
classification: ["bill"]
subjects: ["CONTINUING APPROPRIATIONS - SEE ALSO APPROPRIATIONS", "DEPARTMENT OF HUMAN SERVICES", "EMERGENCY CLAUSE", "LEGISLATIVE MANAGEMENT", "MEDICAID OR MEDICARE - SEE ALSO DEPARTMENT OF HUMAN SERVICES; MEDICAL SERV", "TRIBAL-STATE RELATIONS"]
status: "enacted"
primary_sponsors: ["Heckaman", "Keiser"]
version_count: 14
action_count: 37
vote_count: 0
first_action: "2019-01-03"
last_action: "2019-05-07"
source: "openstates"
source_identifier: "ocd-bill/88ee37ea-8e18-4070-9d3e-ab62c2e1cbb0"
source_url: "http://www.legis.nd.gov/assembly/66-2019/bill-actions/ba1194.html"
source_hash: "a0e059f8102757181951becf0aae643462773bbb23edeffe26ca15c7de049286"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nd"]
---

# North Dakota HB 1194 (66) — AN ACT to create and enact section 50‑24.1‑40 of the North Dakota Century Code, relating to medical assistance tribal health care coordination agreements; to provide for a report to the legislative management; to provide a continuing appropriation; and to declare an emergency.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **INTRODUCED** (filed) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-04000.pdf)
2. **Adopted by the Conference Committee** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-06002a.pdf)
3. **Adopted by the Conference Committee (Marked Up)** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-06002m.pdf)
4. **Adopted by the House Human Services Committee** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-04001a.pdf)
5. **Adopted by the House Human Services Committee (Marked Up)** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-04001m.pdf)
6. **Adopted by the Senate Human Services Committee** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-06001a.pdf)
7. **Adopted by the Senate Human Services Committee (Marked Up)** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-06001m.pdf)
8. **Enrollment** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-09000.pdf)
9. **FIRST ENGROSSMENT** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-05000.pdf)
10. **Prepared by the Legislative Council staff for House Appropriations Committee** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-05001a.pdf)
11. **Prepared by the Legislative Council staff for House Appropriations Committee (Marked Up)** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-05001m.pdf)
12. **SECOND ENGROSSMENT** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-06000.pdf)
13. **SECOND ENGROSSMENT with Conference Committee Amendments** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-08000.pdf)
14. **SECOND ENGROSSMENT with Senate Amendments** (committee substitute) — [source](http://www.legis.nd.gov/assembly/66-2019/documents/19-0401-07000.pdf)

## Sponsors

- Heckaman — primary (person)
- Keiser — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-01-03** Introduced, first reading, (emergency), referred Human Services Committee `introduction`
- **2019-01-15** Committee Hearing 09:30
- **2019-02-08** Reported back amended, do pass, amendment placed on calendar 10 3 1 `committee-passage, committee-passage-favorable`
- **2019-02-11** Amendment adopted
- **2019-02-11** Rereferred to Appropriations
- **2019-02-19** Reported back amended, do pass, amendment placed on calendar 18 1 2 `committee-passage, committee-passage-favorable`
- **2019-02-20** Amendment adopted, placed on calendar
- **2019-02-20** Second reading, passed, yeas 79 nays 11, Emergency clause carried `reading-2, passage`
- **2019-02-20** Motion to reconsider laid on table
- **2019-02-27** Received from House
- **2019-02-27** Introduced, first reading, (emergency), referred Human Services Committee `introduction`
- **2019-03-06** Committee Hearing 09:30
- **2019-03-07** Reported back amended, do pass, amendment placed on calendar 5 1 0 `committee-passage, committee-passage-favorable`
- **2019-03-08** Amendment adopted
- **2019-03-08** Rereferred to Appropriations
- **2019-03-21** Committee Hearing 02:30
- **2019-03-22** Reported back, do pass, place on calendar 14 0 0 `committee-passage, committee-passage-favorable`
- **2019-03-25** Second reading, passed as amended, yeas 44 nays 1 `reading-2, passage`
- **2019-03-25** Emergency clause carried
- **2019-03-26** Returned to House (12)
- **2019-04-01** Refused to concur
- **2019-04-01** Conference committee appointed Rohr D. Anderson Dobervich
- **2019-04-04** Conference committee appointed Anderson K. Roers O. Larsen
- **2019-04-09** Appoint Sen. Hogan to replace Sen. O. Larsen on conference committee
- **2019-04-23** Reported back from conference committee, amend, placed on calendar `committee-passage`
- **2019-04-23** Laid over one legislative day
- **2019-04-24** Conference committee report adopted
- **2019-04-24** Second reading, passed, yeas 65 nays 26, Emergency clause carried `reading-2, passage`
- **2019-04-24** Reported back from conference committee, amend, placed on calendar `committee-passage`
- **2019-04-24** Conference committee report adopted
- **2019-04-24** Second reading, passed as amended, yeas 43 nays 4 `reading-2, passage`
- **2019-04-24** Emergency clause carried
- **2019-04-25** Signed by President
- **2019-04-25** Signed by Speaker
- **2019-04-25** Sent to Governor `executive-receipt`
- **2019-05-02** Signed by Governor 05/01 `executive-signature`
- **2019-05-07** Filed with Secretary Of State 05/02 `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/88ee37ea-8e18-4070-9d3e-ab62c2e1cbb0`. Confidence: reported (aggregated from official North Dakota legislature records).