ND HB1469

Requires children entering public, private, or parochial schools and day care facilities to receive age-appropriate immunizations against 12 specified diseases including diphtheria, pertussis, tetanus, measles, mumps, and varicella, with certification from a licensed physician, advanced practice registered nurse, or physician assistant.

Establishes two exemption pathways: medical exemption requiring a provider's certificate that immunization would endanger the child's health, and a new exemption for religious, philosophical, or moral beliefs requiring parents to complete an online vaccination education module and submit verification.

Requires the state department of health to develop an online vaccination education module providing scientific, evidence-based information about childhood vaccinations, potential benefits, and potential harms, including collaboration with medical professionals and epidemiologists.

Suspends exemptions during epidemics as determined by the state health officer, allowing exclusion of unimmunized children from schools until the epidemic danger passes.

Appropriates $50,000 to the state department of health for the biennium beginning July 1, 2021, and ending June 30, 2023, to create the online vaccination education module.