N.D. Cent. Code § 6-09.16-04

All applications for loans under this chapter must be made to the department. The department may approve the applications of qualified applicants that propose projects that conform to requirements established under chapter 50-30. The Bank of North Dakota shall review and approve or reject all loan applications forwarded to the Bank by the department. For applications approved by the Bank and upon final approval of the application by the department, loans may be made from the long-term care facility loan fund in accordance with this chapter.