North Dakota Code § 14-19-06

Hospital -based program for acknowledgment of paternity - Effect of
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noncompliance.
1. During the period immediately preceding or following the birth of a child to an 
unmarried woman in a birthing hospital, the hospital, at a minimum, shall:
a. Provide to the mother and the alleged father, if the alleged father is present in the 
hospital:
(1) Written materials about paternity establishment;
(2) The forms necessary to voluntarily acknowledge paternity;

(3) A written and oral description of the rights, responsibilities, and legal 
consequences of acknowledging paternity; and
(4) The opportunity to speak, either by telephone or in person, with staff who 
are trained to clarify information and answer questions about paternity 
establishment;
b. Provide the mother and the alleged father, if the alleged father is present, the 
opportunity to voluntarily acknowledge paternity in the hospital;
c. Afford due process safeguards by informing, in writing, the mother and the 
alleged father, if the alleged father is present, of the manner in which a 
relationship of father and child established under this chapter may be vacated or 
rescinded; and
d. Forward completed acknowledgments to the department.
2. The department may withhold medical assistance payments from any hospital that 
fails to comply with this section. At least thirty days in advance of any withholding, the 
department shall notify the hospital of the department's intention to withhold medical 
assistance payments from the hospital. The hospital may appeal the decision to 
withhold medical assistance benefits to the department.

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