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Administrator warns of rising health-care costs; flags House Bill 5317 affecting local boards

Sand Lake County Board of Commissioners · February 3, 2026
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Summary

County Administrator Nathan briefed commissioners on rising health-insurance costs (many local renewals saw 12–16% increases), local cost-containment strategies and a state bill (House Bill 5317) that would let counties under 100,000 reduce parks-and-recreation commission membership from seven to four.

Administrator Nathan told commissioners Feb. 3 that a recent healthcare seminar indicated health-care costs continue to rise sharply and that many local entities have experienced double-digit increases at renewal. He said attendees reported renewals with increases in the 12–16% range and described strategies the county already uses, including a direct-care contract with McKenzie and mail-order prescription arrangements, which helped moderate the county’s recent renewal.

Nathan also reported on a soil erosion enforcement discussion and said the prosecutor indicated he might assist if detailed reports and documentation of prior enforcement attempts are provided.

On a legislative item, Nathan summarized a notice about House Bill 5317 appearing in a recent MAC update: the bill would permit counties with populations under 100,000 to reduce appointed parks-and-recreation commission membership from seven members to four to lower costs if comparable results can be achieved with fewer members. Nathan said the county would monitor the bill’s progress.

No formal action was taken; the report was informational.