republic-os/legislation/us/states/nd/68/hb-1165.md

---
type: "Bill"
title: "AN ACT to create and enact three new sections to chapter 23-01 of the North Dakota Century Code, relating to powers and duties of the department of health and human services public health division, central public health laboratory, and surge staffing; to amend and reenact subdivision p of subsection 1 of section 11-16-01, section 14-13-03, subsection 2 of section 15-52-03, section 16.1-02-06, subsection 2 of section 19-24.1-38, sections 23-01-03.1, 23-01-03.3, 23-01-04.3, 23-01-05, and 23-01-05.1, subsection 3 of section 23-01-05.3, sections 23-01-05.4, 23-01-08, 23-01-08.1, and 23-01-12, subsection 3 of section 23-01-44, sections 23-01.2-01, 23-01.2-03, and 23-01.2-04, subsection 8 of section 23-01.3-01, subsection 1 of section 23-01.3-06, section 23-01.3-08, subsections 8, 17, and 21 of section 23-02.1-01, sections 23-02.1-02 and 23-02.1-03, subsection 4 of section 23-07-02.3, sections 23-07-15, 23-07.2-01, and 23-09.4-08, subsection 4 of section 23-10-03, section 23-10-06, subsection 2 of section 23-10-06.1, sections 23-10-12, 23-16-05, 23-16-06, 23-16-10, 23-16-11, 23-17-08, 23-17.6-01, 23-17.6-02, 23-17.6-04, 23-17.6-06, 23-17.7-03, 23-23-03, 23-24-01, 23-24-02, 23-24-02.1, 23-24-06, 23-27-03, and 23-27-04.7, subsection 3 of section 23-27-04.9, sections 23-35.1-02, 23-35.1-03, and 23-36-08, subsection 1 of section 23-38.1-02, section 23-43-01, subsection 3 of section 23-43-05, section 23-46-02, subsection 1 of section 23-47-03, subsection 7 of section 25-01-01, subsection 1 of section 25-01-01.1, subsection 3 of section 25-02-01.1, sections 25-03.1-34.1, 25-03.3-01, 25-03.3-12, 25-03.3-13, 25-03.3-14, 25-03.3-17, 25-03.3-18, 25-03.3-18.1, 25-03.3-24, 25-04-08.1, and 25-11-02, subsection 2 of section 37-17.4-01, sections 43-10-02, 43-12.3-01, 43-12.3-02, 43-12.3-03, 43-12.3-04, 43-12.3-05, 43-12.3-06, and 43-12.3-07, subsection 14 of section 43-15-10, sections 43-28.1-01, 43-28.1-03, 43-28.1-05, 43-28.1-07, 43-28.1-08, 43-28.1-09, 43-29.1-01, and 43-29.1-02, subsection 1 of section 43-29.1-03, sections 43-29.1-04, 43-29.1-05, and 43-29.1-06, subsection 5 of section 43-29.1-07, section 43-29.1-08, 43-34-02, 43-38-01, 43-38-02, and 43-38-03, subsection 1 of section 43-43-01, sections 43-43-03 and 43-43-05, subsection 10 of section 50-01.1-06, sections 50-06-01.1, 50-06-01.3, and 50-06-01.4, subsection 3 of section 50-06-05.3, sections 50-06-05.5, 50-06-05.8, 50-06-06.6, 50-06-30, 50-06-31, and 50-06-32, subsection 1 of section 50-06-43.2, subsection 4 of section 50-06.1-01, subsection 7 of section 50-10.1-03, subsection 1 of section 50-11.1-25, sections 50-21-02, 50-21-04, and 50-24.6-02, subsection 3 of section 50-25.1-04.1, subsection 1 of section 50-28-04, subsection 1 of section 50-28-05, subsection 2 of section 50-35-01, section 54-44.3-31, subsection 1 of section 54-07-01.2, section 54-46-13, subsection 1 of section 54-59-25, and sections 54-59-33 and 57-60-03 of the North Dakota Century Code, relating to the powers and duties of the department of health and human services, state health officer, state health council and the executive director of the department of health and human services; and to repeal sections 23-01-01, 23-01-06, and 23-07-07 of the North Dakota Century Code, relating to the health division, a biennial report, and reporting sexually transmitted diseases."
description: "Relating to powers and duties of the department of health and human services public health division, central public health laboratory, and surge staffing; to amend and reenact subdivision p of subsection 1 of section 11‑16‑01, section 14‑13‑03, subsection 2 of section 15‑52‑03, section 16.1‑02‑06, subsection 2 of section 19‑24.1‑38, sections 23‑01‑03.1, 23‑01‑03.3, 23‑01‑04.3, 23‑01‑05, and 23‑01‑05.1, subsection 3 of section 23‑01‑05.3, sections 23‑01‑05.4, 23‑01‑08, 23‑01‑08.1, and 23‑01‑12, subsection 3 of section 23‑01‑44, sections 23‑01.2‑01, 23‑01.2‑03, and 23‑01.2‑04, subsection 8 of section 23‑01.3‑01, subsection 1 of section 23‑01.3‑06, section 23‑01.3‑08, subsections 8, 17, and 21 of section 23‑02.1‑01, sections 23‑02.1‑02 and 23‑02.1‑03, subsection 4 of section 23‑07‑02.3, sections 23‑07‑15, 23‑07.2‑01, and 23‑09.4‑08, subsection 4 of section 23‑10‑03, section 23‑10‑06, subsection 2 of section 23‑10‑06.1, sections 23‑10‑12, 23‑16‑05, 23‑16‑06, 23‑16‑10, 23‑16‑11, 23‑17‑08, 23‑17.6‑01, 23‑17.6‑02, 23‑17.6‑04, 23‑17.6‑06, 23‑17.7‑03, 23‑23‑03, 23‑24‑01, 23‑24‑02, 23‑24‑02.1, 23‑24‑06, 23‑27‑03, and 23‑27‑04.7, subsection 3 of section 23‑27‑04.9, sections 23‑35.1‑02, 23‑35.1‑03, and 23‑36‑08, subsection 1 of section 23‑38.1‑02, section 23‑43‑01, subsection 3 of section 23‑43‑05, section 23‑46‑02, subsection 1 of section 23‑47‑03, subsection 7 of section 25‑01‑01, subsection 1 of section 25‑01‑01.1, subsection 3 of section 25‑02‑01.1, sections 25‑03.1‑34.1, 25‑03.3‑01, 25‑03.3‑12, 25‑03.3‑13, 25‑03.3‑14, 25‑03.3‑17, 25‑03.3‑18, 25‑03.3‑18.1, 25‑03.3‑24, 25‑04‑08.1, and 25‑11‑02, subsection 2 of section 37‑17.4‑01, sections 43‑10‑02, 43‑12.3‑01, 43‑12.3‑02, 43‑12.3‑03, 43‑12.3‑04, 43‑12.3‑05, 43‑12.3‑06, and 43‑12.3‑07, subsection 14 of section 43‑15‑10, sections 43‑28.1‑01, 43‑28.1‑03, 43‑28.1‑05, 43‑28.1‑07, 43‑28.1‑08, 43‑28.1‑09, 43‑29.1‑01, and 43‑29.1‑02, subsection 1 of section 43‑29.1‑03, sections 43‑29.1‑04, 43‑29.1‑05, and 43‑29.1‑06, subsection 5 of section 43‑29.1‑07, section 43‑29.1‑08, 43‑34‑02, 43‑38‑01, 43‑38‑02, and 43‑38‑03, subsection 1 of section 43‑43‑01, sections 43‑43‑03 and 43‑43‑05, subsection 10 of section 50‑01.1‑06, sections 50‑06‑01.1, 50‑06‑01.3, and 50‑06‑01.4, subsection 3 of section 50‑06‑05.3, sections 50‑06‑05.5, 50‑06‑05.8, 50‑06‑06.6, 50‑06‑30, 50‑06‑31, and 50‑06‑32, subsection 1 of section 50‑06‑43.2, subsection 4 of section 50‑06.1‑01, subsection 7 of section 50‑10.1‑03, subsection 1 of section 50‑11.1‑25, sections 50‑21‑02, 50‑21‑04, and 50‑24.6‑02, subsection 3 of section 50‑25.1‑04.1, subsection 1 of section 50‑28‑04, subsection 1 of section 50‑28‑05, subsection 2 of section 50‑35‑01, section 54‑44.3‑31, subsection 1 of section 54‑07‑01.2, section 54‑46‑13, subsection 1 of section 54‑59‑25, and sections 54‑59‑33 and 57‑60‑03 of the North Dakota Century Code, relating to the powers and duties of the department of health and human services, state health officer, state health council and the executive director of the department of health and human services; and to repeal sections 23‑01‑01, 23‑01‑06, and 23‑07‑07 of the North Dakota Century Code, relating to the health division, a biennial report, and reporting sexually transmitted diseases."
jurisdiction: "us/states/nd"
legislature: "North Dakota Legislative Assembly"
session: "68"
identifier: "HB 1165"
citation: "North Dakota HB 1165 (68)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Matthew Ruby"]
version_count: 2
action_count: 22
vote_count: 3
first_action: "2023-01-03"
last_action: "2023-04-13"
source: "openstates"
source_identifier: "ocd-bill/2b4b5b19-7be4-4919-8d63-416a3c5ef031"
source_url: "https://ndlegis.gov/api/assembly/68-2023/data/bills.json"
source_hash: "fcb28cce1d640f8987fb2d9cded8b982a2c209c8821228f50c16c7de3deabd0f"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nd"]
---

# North Dakota HB 1165 (68) — AN ACT to create and enact three new sections to chapter 23-01 of the North Dakota Century Code, relating to powers and duties of the department of health and human services public health division, central public health laboratory, and surge staffing; to amend and reenact subdivision p of subsection 1 of section 11-16-01, section 14-13-03, subsection 2 of section 15-52-03, section 16.1-02-06, subsection 2 of section 19-24.1-38, sections 23-01-03.1, 23-01-03.3, 23-01-04.3, 23-01-05, and 23-01-05.1, subsection 3 of section 23-01-05.3, sections 23-01-05.4, 23-01-08, 23-01-08.1, and 23-01-12, subsection 3 of section 23-01-44, sections 23-01.2-01, 23-01.2-03, and 23-01.2-04, subsection 8 of section 23-01.3-01, subsection 1 of section 23-01.3-06, section 23-01.3-08, subsections 8, 17, and 21 of section 23-02.1-01, sections 23-02.1-02 and 23-02.1-03, subsection 4 of section 23-07-02.3, sections 23-07-15, 23-07.2-01, and 23-09.4-08, subsection 4 of section 23-10-03, section 23-10-06, subsection 2 of section 23-10-06.1, sections 23-10-12, 23-16-05, 23-16-06, 23-16-10, 23-16-11, 23-17-08, 23-17.6-01, 23-17.6-02, 23-17.6-04, 23-17.6-06, 23-17.7-03, 23-23-03, 23-24-01, 23-24-02, 23-24-02.1, 23-24-06, 23-27-03, and 23-27-04.7, subsection 3 of section 23-27-04.9, sections 23-35.1-02, 23-35.1-03, and 23-36-08, subsection 1 of section 23-38.1-02, section 23-43-01, subsection 3 of section 23-43-05, section 23-46-02, subsection 1 of section 23-47-03, subsection 7 of section 25-01-01, subsection 1 of section 25-01-01.1, subsection 3 of section 25-02-01.1, sections 25-03.1-34.1, 25-03.3-01, 25-03.3-12, 25-03.3-13, 25-03.3-14, 25-03.3-17, 25-03.3-18, 25-03.3-18.1, 25-03.3-24, 25-04-08.1, and 25-11-02, subsection 2 of section 37-17.4-01, sections 43-10-02, 43-12.3-01, 43-12.3-02, 43-12.3-03, 43-12.3-04, 43-12.3-05, 43-12.3-06, and 43-12.3-07, subsection 14 of section 43-15-10, sections 43-28.1-01, 43-28.1-03, 43-28.1-05, 43-28.1-07, 43-28.1-08, 43-28.1-09, 43-29.1-01, and 43-29.1-02, subsection 1 of section 43-29.1-03, sections 43-29.1-04, 43-29.1-05, and 43-29.1-06, subsection 5 of section 43-29.1-07, section 43-29.1-08, 43-34-02, 43-38-01, 43-38-02, and 43-38-03, subsection 1 of section 43-43-01, sections 43-43-03 and 43-43-05, subsection 10 of section 50-01.1-06, sections 50-06-01.1, 50-06-01.3, and 50-06-01.4, subsection 3 of section 50-06-05.3, sections 50-06-05.5, 50-06-05.8, 50-06-06.6, 50-06-30, 50-06-31, and 50-06-32, subsection 1 of section 50-06-43.2, subsection 4 of section 50-06.1-01, subsection 7 of section 50-10.1-03, subsection 1 of section 50-11.1-25, sections 50-21-02, 50-21-04, and 50-24.6-02, subsection 3 of section 50-25.1-04.1, subsection 1 of section 50-28-04, subsection 1 of section 50-28-05, subsection 2 of section 50-35-01, section 54-44.3-31, subsection 1 of section 54-07-01.2, section 54-46-13, subsection 1 of section 54-59-25, and sections 54-59-33 and 57-60-03 of the North Dakota Century Code, relating to the powers and duties of the department of health and human services, state health officer, state health council and the executive director of the department of health and human services; and to repeal sections 23-01-01, 23-01-06, and 23-07-07 of the North Dakota Century Code, relating to the health division, a biennial report, and reporting sexually transmitted diseases.

Relating to powers and duties of the department of health and human services public health division, central public health laboratory, and surge staffing; to amend and reenact subdivision p of subsection 1 of section 11‑16‑01, section 14‑13‑03, subsection 2 of section 15‑52‑03, section 16.1‑02‑06, subsection 2 of section 19‑24.1‑38, sections 23‑01‑03.1, 23‑01‑03.3, 23‑01‑04.3, 23‑01‑05, and 23‑01‑05.1, subsection 3 of section 23‑01‑05.3, sections 23‑01‑05.4, 23‑01‑08, 23‑01‑08.1, and 23‑01‑12, subsection 3 of section 23‑01‑44, sections 23‑01.2‑01, 23‑01.2‑03, and 23‑01.2‑04, subsection 8 of section 23‑01.3‑01, subsection 1 of section 23‑01.3‑06, section 23‑01.3‑08, subsections 8, 17, and 21 of section 23‑02.1‑01, sections 23‑02.1‑02 and 23‑02.1‑03, subsection 4 of section 23‑07‑02.3, sections 23‑07‑15, 23‑07.2‑01, and 23‑09.4‑08, subsection 4 of section 23‑10‑03, section 23‑10‑06, subsection 2 of section 23‑10‑06.1, sections 23‑10‑12, 23‑16‑05, 23‑16‑06, 23‑16‑10, 23‑16‑11, 23‑17‑08, 23‑17.6‑01, 23‑17.6‑02, 23‑17.6‑04, 23‑17.6‑06, 23‑17.7‑03, 23‑23‑03, 23‑24‑01, 23‑24‑02, 23‑24‑02.1, 23‑24‑06, 23‑27‑03, and 23‑27‑04.7, subsection 3 of section 23‑27‑04.9, sections 23‑35.1‑02, 23‑35.1‑03, and 23‑36‑08, subsection 1 of section 23‑38.1‑02, section 23‑43‑01, subsection 3 of section 23‑43‑05, section 23‑46‑02, subsection 1 of section 23‑47‑03, subsection 7 of section 25‑01‑01, subsection 1 of section 25‑01‑01.1, subsection 3 of section 25‑02‑01.1, sections 25‑03.1‑34.1, 25‑03.3‑01, 25‑03.3‑12, 25‑03.3‑13, 25‑03.3‑14, 25‑03.3‑17, 25‑03.3‑18, 25‑03.3‑18.1, 25‑03.3‑24, 25‑04‑08.1, and 25‑11‑02, subsection 2 of section 37‑17.4‑01, sections 43‑10‑02, 43‑12.3‑01, 43‑12.3‑02, 43‑12.3‑03, 43‑12.3‑04, 43‑12.3‑05, 43‑12.3‑06, and 43‑12.3‑07, subsection 14 of section 43‑15‑10, sections 43‑28.1‑01, 43‑28.1‑03, 43‑28.1‑05, 43‑28.1‑07, 43‑28.1‑08, 43‑28.1‑09, 43‑29.1‑01, and 43‑29.1‑02, subsection 1 of section 43‑29.1‑03, sections 43‑29.1‑04, 43‑29.1‑05, and 43‑29.1‑06, subsection 5 of section 43‑29.1‑07, section 43‑29.1‑08, 43‑34‑02, 43‑38‑01, 43‑38‑02, and 43‑38‑03, subsection 1 of section 43‑43‑01, sections 43‑43‑03 and 43‑43‑05, subsection 10 of section 50‑01.1‑06, sections 50‑06‑01.1, 50‑06‑01.3, and 50‑06‑01.4, subsection 3 of section 50‑06‑05.3, sections 50‑06‑05.5, 50‑06‑05.8, 50‑06‑06.6, 50‑06‑30, 50‑06‑31, and 50‑06‑32, subsection 1 of section 50‑06‑43.2, subsection 4 of section 50‑06.1‑01, subsection 7 of section 50‑10.1‑03, subsection 1 of section 50‑11.1‑25, sections 50‑21‑02, 50‑21‑04, and 50‑24.6‑02, subsection 3 of section 50‑25.1‑04.1, subsection 1 of section 50‑28‑04, subsection 1 of section 50‑28‑05, subsection 2 of section 50‑35‑01, section 54‑44.3‑31, subsection 1 of section 54‑07‑01.2, section 54‑46‑13, subsection 1 of section 54‑59‑25, and sections 54‑59‑33 and 57‑60‑03 of the North Dakota Century Code, relating to the powers and duties of the department of health and human services, state health officer, state health council and the executive director of the department of health and human services; and to repeal sections 23‑01‑01, 23‑01‑06, and 23‑07‑07 of the North Dakota Century Code, relating to the health division, a biennial report, and reporting sexually transmitted diseases.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **INTRODUCED** (filed) — [source](https://ndlegis.gov/assembly/68-2023/regular/documents/23-8144-01000.pdf)
2. **Enrollment** (committee substitute) — [source](https://ndlegis.gov/assembly/68-2023/regular/documents/23-8144-03000.pdf)

## Votes

- Motion for Final Passage on HB 1165 — **91–1** (pass) · lower
- Motion for Final Passage on HB 1165 — **88–3** (pass) · lower
- Motion for Final Passage on HB 1165 — **45–1** (pass) · upper

## Sponsors

- Matthew Ruby — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-01-03** Introduced, first reading, referred Human Services Committee `introduction`
- **2023-01-11** Committee Hearing 02:00
- **2023-01-11** Reported back, do pass, place on calendar 13 0 1 `committee-passage, committee-passage-favorable`
- **2023-01-13** Second reading, passed, yeas 91 nays 1 `passage, reading-2`
- **2023-01-16** Received from House
- **2023-02-13** Introduced, first reading, referred Human Services Committee `introduction`
- **2023-03-07** Committee Hearing 10:30
- **2023-03-07** Committee Hearing 02:49
- **2023-03-08** Committee Hearing 03:29
- **2023-03-27** Committee Hearing 03:59
- **2023-03-27** Committee Hearing 04:08
- **2023-03-28** Reported back amended, do pass, amendment placed on calendar 5 0 1 `committee-passage, committee-passage-favorable`
- **2023-03-29** Amendment adopted, placed on calendar
- **2023-03-29** Second reading, passed as amended, yeas 45 nays 1 `passage, reading-2`
- **2023-03-30** Returned to House (12)
- **2023-04-04** Concurred
- **2023-04-04** Second reading, passed, yeas 88 nays 3 `passage, reading-2`
- **2023-04-05** Signed by President
- **2023-04-06** Signed by Speaker
- **2023-04-06** Sent to Governor `executive-receipt`
- **2023-04-11** Signed by Governor 04/10 `executive-signature`
- **2023-04-13** Filed with Secretary Of State 04/11 `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2b4b5b19-7be4-4919-8d63-416a3c5ef031`. Confidence: reported (aggregated from official North Dakota legislature records).