North Dakota 2025-2026 Regular Session

North Dakota House Bill HCR3014 Compare Versions

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Version 2 (New)

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1		-	Sixty-ninth Legislative Assembly of North Dakota
2		-	In Regular Session Commencing Tuesday, January 7, 2025
	1	+	25.3030.01000
	2	+	Sixty-ninth
	3	+	Legislative Assembly
	4	+	of North Dakota
	5	+	Introduced by
	6	+	Representatives Rohr, K. Anderson, Dobervich, Frelich, McLeod, Meier, M. Ruby
	7	+	Senators Dwyer, Hogue, Myrdal
	8	+	A concurrent resolution urging public health, health care systems, and health care providers to
	9	+	prioritize primary prevention in addressing vitamin D deficiency through multifaceted precision
	10	+	public health and medicine approaches.
	11	+	WHEREAS, vitamin D is generated primarily from the sun and research demonstrates the
	12	+	need for regional sun exposure and vitamin D recommendations to offset individual and
	13	+	population health risk factors for disease; and
	14	+	WHEREAS, North Dakota is located at a latitude of 48 degrees and has an ultraviolet index
	15	+	of less than three for up to 6 months of the year due to the solar zenith, from October to April,
	16	+	which limits the vitamin D generating potential from sun exposure; and
	17	+	WHEREAS, this environmental determinant of health puts all residents of the state at risk
	18	+	for vitamin D deficiency and insufficiency compared to citizens of the United States in southern
	19	+	latitudes, potentially leading to suboptimal health outcomes and increased health care costs for
	20	+	residents; and
	21	+	WHEREAS, research indicates it is difficult to achieve the daily recommended intake of
	22	+	vitamin D from foods alone and there is a causal relationship between vitamin D deficiency and
	23	+	all cause mortality, cardiovascular disease, dementia, multiple sclerosis, diabetes, and many
	24	+	types of cancer, including breast, pancreatic, and colorectal cancers; and
	25	+	WHEREAS, research indicates an association between vitamin D deficiency and emotional
	26	+	regulation, mental health conditions including Alzheimer's disease and other types of dementia,
	27	+	suicide and suicidal ideation, depression, and opioid addiction; and
	28	+	WHEREAS, research indicates an association between vitamin D deficiency and
	29	+	autoimmune disease, myocardial infarction, and stroke;
	30	+	WHEREAS, research indicates adequate vitamin D intake results in improved prenatal and
	31	+	neonatal outcomes, including reducing the risk for pre-eclampsia, gestational diabetes, and
	32	+	preterm birth; and
	33	+	Page No. 1 25.3030.01000
3	34		HOUSE CONCURRENT RESOLUTION NO. 3014
4		-	(Representatives Rohr, K. Anderson, Dobervich, Frelich, McLeod, Meier, M. Ruby)
5		-	(Senators Dwyer, Hogue, Myrdal)
6		-	A concurrent resolution urging public health, health care systems, and health care providers to prioritize
7		-	primary prevention in addressing vitamin D deficiency through multifaceted precision public
8		-	health and medicine approaches.
9		-	WHEREAS, vitamin D is generated primarily from the sun and research demonstrates the need for
10		-	regional sun exposure and vitamin D recommendations to offset individual and population health risk
11		-	factors for disease; and
12		-	WHEREAS, North Dakota is located at a latitude of 48 degrees and has an ultraviolet index of less
13		-	than three for up to 6 months of the year due to the solar zenith, from October to April, which limits the
14		-	vitamin D generating potential from sun exposure; and
15		-	WHEREAS, this environmental determinant of health puts all residents of the state at risk for
16		-	vitamin D deficiency and insufficiency compared to citizens of the United States in southern latitudes,
17		-	potentially leading to suboptimal health outcomes and increased health care costs for residents; and
18		-	WHEREAS, research indicates it is difficult to achieve the daily recommended intake of vitamin D
19		-	from foods alone and there is a causal relationship between vitamin D deficiency and all cause
20		-	mortality, cardiovascular disease, dementia, multiple sclerosis, diabetes, and many types of cancer,
21		-	including breast, pancreatic, and colorectal cancers; and
22		-	WHEREAS, research indicates an association between vitamin D deficiency and emotional
23		-	regulation, mental health conditions including Alzheimer's disease and other types of dementia, suicide
24		-	and suicidal ideation, depression, and opioid addiction; and
25		-	WHEREAS, research indicates an association between vitamin D deficiency and autoimmune
26		-	disease, myocardial infarction, and stroke;
27		-	WHEREAS, research indicates adequate vitamin D intake results in improved prenatal and
28		-	neonatal outcomes, including reducing the risk for pre-eclampsia, gestational diabetes, and preterm
29		-	birth; and
30		-	WHEREAS, research indicates women with 25(OH)D serum concentrations equal to or greater
31		-	than 60 nanograms per milliliter had an 80 percent lower risk of breast cancer than women with
32		-	concentrations of less than 20 nanograms per millileter; and
33		-	WHEREAS, research indicates vitamin D supplementation and sensible sun exposure safely and
34		-	effectively increase vitamin D serum concentrations; and
35		-	WHEREAS, the Legislative Assembly advocates for statewide educational campaigns aimed at
36		-	increasing awareness of vitamin D deficiency; its risks; the importance of adequate vitamin D levels,
37		-	particularly for pregnant individuals, children, and those with mental health concerns; and other
38		-	heightened risk factors for the public and health care professionals;
39		-	NOW, THEREFORE, BE IT RESOLVED BY THE HOUSE OF REPRESENTATIVES OF NORTH
40		-	DAKOTA, THE SENATE CONCURRING THEREIN:
41		-	That the Sixty-ninth Legislative Assembly urges North Dakota public health, health care systems,
42		-	and health care providers to prioritize primary prevention in addressing vitamin D deficiency through
43		-	multifaceted precision public health and medicine approaches that recognize both regional and H.C.R. NO. 3014 - PAGE 2
44		-	individual determinants of health in diverse populations across the lifespan to improve patient
45		-	outcomes, population health, and decrease overall health care costs; and
46		-	BE IT FURTHER RESOLVED , that the Sixty-ninth Legislative Assembly urges the State Health
47		-	Officer to publish this resolution on the official website of the department of health and human services;
48		-	and
49		-	BE IT FURTHER RESOLVED , that the Secretary of State forward copies of this resolution to the
50		-	State Health Officer, North Dakota public health units, American Hospital Association, North Dakota
51		-	Long Term Care Association, North Dakota Medical Association, North Dakota Nurses Association,
52		-	North Dakota Nurse Practitioner Association, North Dakota University System institutions of higher
53		-	education, North Dakota private universities, and the North Dakota Department of Public Instruction. H.C.R. NO. 3014 - PAGE 3
54		-	____________________________ ____________________________
55		-	Speaker of the House President of the Senate
56		-	____________________________ ____________________________
57		-	Chief Clerk of the House Secretary of the Senate
58		-	Filed in this office this ___________day of _______________________________________, 2025,
59		-	at ________ o’clock ________M.
60		-	____________________________
61		-	Secretary of State
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	60	+	25 Sixty-ninth
	61	+	Legislative Assembly
	62	+	WHEREAS, research indicates women with 25(OH)D serum concentrations equal to or
	63	+	greater than 60 nanograms per milliliter had an 80 percent lower risk of breast cancer than
	64	+	women with concentrations of less than 20 nanograms per millileter; and
	65	+	WHEREAS, research indicates vitamin D supplementation and sensible sun exposure
	66	+	safely and effectively increase vitamin D serum concentrations; and
	67	+	WHEREAS, the Legislative Assembly advocates for statewide educational campaigns
	68	+	aimed at increasing awareness of vitamin D deficiency; its risks; the importance of adequate
	69	+	vitamin D levels, particularly for pregnant individuals, children, and those with mental health
	70	+	concerns; and other heightened risk factors for the public and health care professionals;
	71	+	NOW, THEREFORE, BE IT RESOLVED BY THE HOUSE OF REPRESENTATIVES OF
	72	+	NORTH DAKOTA, THE SENATE CONCURRING THEREIN:
	73	+	That the Sixty-ninth Legislative Assembly urges North Dakota public health, health care
	74	+	systems, and health care providers to prioritize primary prevention in addressing vitamin D
	75	+	deficiency through multifaceted precision public health and medicine approaches that recognize
	76	+	both regional and individual determinants of health in diverse populations across the lifespan to
	77	+	improve patient outcomes, population health, and decrease overall health care costs; and
	78	+	BE IT FURTHER RESOLVED , that the Sixty-ninth Legislative Assembly urges the State
	79	+	Health Officer to publish this resolution on the official website of the department of health and
	80	+	human services; and
	81	+	BE IT FURTHER RESOLVED , that the Secretary of State forward copies of this resolution
	82	+	to the State Health Officer, North Dakota public health units, American Hospital Association,
	83	+	North Dakota Long Term Care Association, North Dakota Medical Association, North Dakota
	84	+	Nurses Association, North Dakota Nurse Practitioner Association, North Dakota University
	85	+	System institutions of higher education, North Dakota private universities, and the North Dakota
	86	+	Department of Public Instruction.
	87	+	Page No. 2 25.3030.01000
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