Mealey's (February 6, 2018, 3:10 PM EST) -- BISMARCK, N.D. — The 75-day window imposed on the North Dakota Department of Health and Human Services in a Patient Protection and Affordable Care Act (ACA) audit case is directory, not mandatory, the North Dakota Supreme Court held Feb. 1 (Sanford HealthCare Accessories v. North Dakota Department of Human Services, et al., No. 2018 ND 35, N.D. Sup., 2018 N.D. LEXIS 36)....