North Dakota Code § 25-16-18

Federal requirements - Supremacy
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If any provision of this chapter is determined by the United States government to be in 
conflict with existing or future requirements of the United States government so as to limit or 
preclude federal financial participation in medical assistance, the department shall comply with 
the federal requirements to the extent necessary to obtain federal financial participation and 
shall not comply with the provisions of this chapter if necessary to avoid a loss of federal 
financial participation.

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