25.0975.02003 Title.04000 Adopted by the Human Services Committee Sixty-ninth March 26, 2025 Legislative Assembly of North Dakota Introduced by Representatives Henderson, K. Anderson, Frelich, Hauck, Kasper Senators Paulson, Clemens In place of the amendments (25.0975.02001) proposed in the journal by the Senate, Engrossed House Bill No. 1454 is amended by amendment (25.0975.02003) as follows: A BILL for an Act to create and enact a new section to chapter 32-12.123-12 of the North Dakota Century Code, relating to an opt-out procedure for required vaccines. BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA: SECTION 1. A new section to chapter 32-12.1 of the North Dakota Century Code is created and enacted as follows: SECTION 1. A new section to chapter 23-12 of the North Dakota Century Code is created and enacted as follows: Required vaccine - Opt - out procedure - Exemptions . 1.Notwithstanding any other provision of law, except as provided in subsections 2 and 3 Unless otherwise provided by law , a state agency, political subdivision, or any other government entity, may not require an individual to take or receive a vaccine or similar product used to prevent a disease, unless there is a procedure made available for an opt - out for health, religious, or philosophical reasons. 2.This section is not applicable to the department of corrections and rehabilitation The following entities are exempt from subsection 1: a. The department of corrections and rehabilitation; b. A correctional facility as defined under section 12 - 44.1 - 01; c. A law enforcement agency; d. A local public health unit; e. d. A human service zone; Page No. 1 25.0975.02003 ENGROSSED HOUSE BILL NO. 1454 FIRST ENGROSSMENT PROPOSED AMENDMENTS TO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Sixty-ninth Legislative Assembly f. e. The state hospital; g. f. A developmental disability residential facility or other health care provider, including a long-term care provider, basic care provider, and assisted living provider; and h. g. A school, day care center, child care facility, head start program, or nursery school in compliance with section 23 - 07 - 17.1 . 3.For a school, day care center, child care facility, head start program, or nursery school, the provisions of section 23 - 07 - 17.1 must be followed for vaccines and vaccine opt - out provisions This section does not apply during a public health disaster or emergency declared under chapter 37 - 17.1 . Page No. 2 25.0975.02003 1 2 3 4 5 6 7 8 9 10