State Immunization Laws for Healthcare
Workers and Patients

Immunization Administration Requirements
For State: ND

** Click on each result to read the abridged text of the state immunization law.

Patient Type Vaccine Requirement
Hospital Employees  Hepatitis B[1] No 
  Influenza[2] No 
  MMR[3] No 
  Varicella[4] No 
  Pneumococcal[5] No 
  Medical(M),Religious(R), or Philosophical(P) Exemptions[6] No 
Hospital Inpatients  Influenza[7] No 
  Pneumococcal[8] No 
  Medical(M),Religious(R), or Philosophical(P) Exemptions[9] No 
Individual Providers' Patients  Any Immunization[10] No 
  Medical(M),Religious(R), or Philosophical(P) Exemptions[11] No 
Ambulatory Care Facilities Employees  Any Immunization[12] No 
  Medical(M),Religious(R), or Philosophical(P) Exemptions[13] No 
Ambulatory Care Facilities Patients  Any Immunization[14] No 
  Medical(M),Religious(R), or Philosophical(P) Exemptions[15] No 
Correctional Inmates and Residents  Any Immunization[16] No 
  Medical(M),Religious(R), or Philosophical(P) Exemptions[17] No 
Developmentally Disabled Facility Residents  Any Immunization[18] Ensure[209]
  Medical(M),Religious(R), or Philosophical(P) Exemptions[19] Yes – (M)[210], (R)[211], & (P)[212]
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[1] Does the jurisdiction require that any hospitals offer hepatitis B vaccine to any employees of the hospital, or ensure that any such employees are vaccinated with hepatitis B vaccine?

[2] Does the jurisdiction require that any hospitals offer influenza vaccine to any employees of the hospital, or ensure that any such employees are vaccinated with influenza vaccine?

[3] Does the jurisdiction require that any hospitals offer measles/mumps/rubella (MMR) vaccine (or any component thereof) to any employees of the hospital, or ensure that any such employees are vaccinated with MMR vaccine?

[4] Does the jurisdiction require that any hospitals offer varicella vaccine to any employees of the hospital, or ensure that any such employees are vaccinated with varicella vaccine?

[5] Does the jurisdiction require that any hospitals offer pneumococcal polysaccharide vaccine to any employees of the hospital, or ensure that any such employees are vaccinated with pneumococcal polysaccharide vaccine?  Top of Page

[6] If any hospitals are required to ensure that any hospital employees are vaccinated with hepatitis B, influenza, MMR, varicella or pneumococcal vaccine, does the jurisdiction provide any medical, religious or philosophical exemptions to such administration requirements?

[7] Does the jurisdiction require that any hospitals offer any inpatients of the hospital influenza vaccine, or ensure that any inpatients are vaccinated with influenza vaccine?

[8] Does the jurisdiction require that any hospitals offer any inpatients of the hospital pneumococcal polysaccharide vaccine, or ensure that any inpatients are vaccinated with pneumococcal polysaccharide vaccine?

[9] If any hospitals are required to ensure that any hospital inpatients are vaccinated with influenza or pneumococcal vaccines, does the jurisdiction provide any medical, religious or philosophical exemptions to such administration requirements?  Top of Page

[10] Does the jurisdiction require that any individual healthcare providers offer any vaccinations to any patients, or ensure that any patients are vaccinated with any vaccines?

[11] If any individual providers are required to ensure that any of their patients are vaccinated with any vaccines, does the jurisdiction provide any medical, religious or philosophical exemptions to such administration requirements?

[12] Does the jurisdiction require that any ambulatory care facilities offer any vaccinations to any employees, or ensure that any employees are vaccinated with any vaccines?

[13] If any ambulatory care facilities are required to ensure that any employees are vaccinated with any vaccines, does the jurisdiction provide any medical, religious or philosophical exemptions to such administration requirements?  Top of Page

[14] Does the jurisdiction require that any ambulatory care facilities offer any vaccinations to any patients, or ensure that any patients are vaccinated with any vaccines?

[15] If any ambulatory care facilities are required to ensure that any patients are vaccinated with any vaccines, does the jurisdiction provide for any medical, religious or philosophical exemptions to such administration requirements?

[16] Does the jurisdiction require that any correctional facilities or juvenile detention centers offer any vaccinations to any inmates or juveniles, or ensure that any inmates or juveniles are vaccinated with any vaccines?

[17] If any correctional centers or juvenile detention centers are required to ensure that any inmates or juveniles are vaccinated with any vaccines, does the jurisdiction provide for any medical, religious or philosophical exemptions to such administration requirements?  Top of Page

[18] Does the jurisdiction require that any residential facilities for the developmentally disabled or mentally retarded offer any residents any vaccinations, or ensure that any residents are vaccinated with any vaccines?

[19] If any residential facilities for the developmentally disabled or mentally retarded are required to ensure that any residents are vaccinated with any vaccines, does the jurisdiction provide for any medical, religious or philosophical exemptions to such administration requirements?

[209] For North Dakota requirements, see N.D. Cent. Code § 23-07-17.1, relating to “child care facilities.” N.D. Cent. Code § 23-07-17.1. provides that a child may not be admitted into any child care facility operating in this state unless the child’s parent or guardian presents to the institution’s authorities a certification from a licensed physician or authorized representative of the state department of health that the child has received immunizations against diphtheria, pertussis, tetanus, measles, rubella, mumps, hepatitis B, Haemophilus influenzae type b, varicella, and poliomyelitis. A child may enter an institution under one of three circumstances: (1) upon submitting written proof from a licensed physician or authorized representative of the state department of health stating that the child has started receiving the required immunization; or (2) has written consent from the child’s parent/legal guardian for a local health service or department to administer the needed immunizations; or (3) has complied with the requirements for a certificate of exemption. This chart assumes that “child care facilities” include “residential child care facilities.” “Residential child care facilities” are defined in N.D. Cent. Code § 50-11-00.1 as a facility other than an occupied private residence providing foster care to more than 8 unrelated children, except as may be otherwise provided by rule or regulation. Based on a plain reading of the definitional language, this chart assumes that the definition of “residential child care facilities” covers residential facilities for the developmentally disabled or mentally retarded.

[210] For North Dakota, for medical exemptions to the immunization administration requirements of N.D. Cent. Code § 23-07-17.1, see N.D. Cent. Code § 23-07-17.1, providing that any minor child, through the child’s parent or guardian, may submit to the institution a certificate from a licensed physician stating that the physical condition of the child is such that immunization would endanger the life or health of the child. The minor child is then exempt from immunization.  Top of Page

[211] For North Dakota, for religious exemptions to the immunization administration requirements of N.D. Cent. Code § 23-07-17.1, see N.D. Cent. Code § 23-07-17.1, providing that any minor child, through the child’s parent or guardian, may submit to the institution a certificate signed by the child’s parent/guardian whose religious, philosophical or moral beliefs are opposed to such immunization. The minor child is then exempt from immunization.

[212] For North Dakota, for philosophical exemptions to the immunization administration requirements of N.D. Cent. Code § 23-07-17.1, see N.D. Cent. Code § 23-07-17.1, providing that any minor child, through the child’s parent or guardian, may submit to the institution a certificate signed by the child’s parent/guardian whose religious, philosophical or moral beliefs are opposed to such immunization. The minor child is then exempt from immunization.

Disclaimer: The purpose of this database is to provide researchers, policymakers, and state and local public health practitioners with descriptive information concerning state immunization-related law. No part of this legal analysis involves providing legal advice or answering specific questions of law on behalf of any person or organization.

 

Page last reviewed: November 19, 2014