N.D. Cent. Code § 23-12-23 (2025)
1. Notwithstanding any other provision of 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. For a school, day care center, child care facility, head start program, or nursery school, section 23-07-17.1 must be followed for vaccines and vaccine opt-out procedures.