North Dakota Code § 54-03-31

Federal health care reform law
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1. The legislative assembly declares that the federal laws known as the Patient 
Protection and Affordable Care Act [Pub. L. 111-148] and the Health Care and 
Education Reconciliation Act of 2010 [Pub. L. 111-152] likely are not authorized by the 
United States Constitution and may violate its true meaning and intent as given by the 
founders and ratifiers. 
2. The legislative assembly shall consider enacting any measure necessary to prevent 
the enforcement of the Patient Protection and Affordable Care Act and the Health Care 
and Education Reconciliation Act of 2010 within this state.
3. No provision of the Patient Protection and Affordable Care Act or the Health Care and 
Education Reconciliation Act of 2010 may interfere with an individual's choice of a 
medical or insurance provider except as otherwise provided by the laws of this state.

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