HB3190 EngrossedLRB098 10379 RPM 41465 b

1    AN ACT concerning education.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The School Code is amended by changing Section
527-8.1 as follows:
 
6    (105 ILCS 5/27-8.1)  (from Ch. 122, par. 27-8.1)
7    Sec. 27-8.1. Health examinations and immunizations.
8    (1) In compliance with rules and regulations which the
9Department of Public Health shall promulgate, and except as
10hereinafter provided, all children in Illinois shall have a
11health examination as follows: within one year prior to
12entering kindergarten or the first grade of any public,
13private, or parochial elementary school; upon entering the
14sixth and ninth grades of any public, private, or parochial
15school; prior to entrance into any public, private, or
16parochial nursery school; and, irrespective of grade,
17immediately prior to or upon entrance into any public, private,
18or parochial school or nursery school, each child shall present
19proof of having been examined in accordance with this Section
20and the rules and regulations promulgated hereunder. Any child
21who received a health examination within one year prior to
22entering the fifth grade for the 2007-2008 school year is not
23required to receive an additional health examination in order

 

 

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1to comply with the provisions of Public Act 95-422 when he or
2she attends school for the 2008-2009 school year, unless the
3child is attending school for the first time as provided in
4this paragraph.
5    A tuberculosis skin test screening shall be included as a
6required part of each health examination included under this
7Section if the child resides in an area designated by the
8Department of Public Health as having a high incidence of
9tuberculosis. Additional health examinations of pupils,
10including eye examinations, may be required when deemed
11necessary by school authorities. Parents are encouraged to have
12their children undergo eye examinations at the same points in
13time required for health examinations.
14    (1.5) In compliance with rules adopted by the Department of
15Public Health and except as otherwise provided in this Section,
16all children in kindergarten and the second and sixth grades of
17any public, private, or parochial school shall have a dental
18examination. Each of these children shall present proof of
19having been examined by a dentist in accordance with this
20Section and rules adopted under this Section before May 15th of
21the school year. If a child in the second or sixth grade fails
22to present proof by May 15th, the school may hold the child's
23report card until one of the following occurs: (i) the child
24presents proof of a completed dental examination or (ii) the
25child presents proof that a dental examination will take place
26within 60 days after May 15th. The Department of Public Health

 

 

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1shall establish, by rule, a waiver for children who show an
2undue burden or a lack of access to a dentist. Each public,
3private, and parochial school must give notice of this dental
4examination requirement to the parents and guardians of
5students at least 60 days before May 15th of each school year.
6    (1.10) Except as otherwise provided in this Section, all
7children enrolling in kindergarten in a public, private, or
8parochial school on or after the effective date of this
9amendatory Act of the 95th General Assembly and any student
10enrolling for the first time in a public, private, or parochial
11school on or after the effective date of this amendatory Act of
12the 95th General Assembly shall have an eye examination. Each
13of these children shall present proof of having been examined
14by a physician licensed to practice medicine in all of its
15branches or a licensed optometrist within the previous year, in
16accordance with this Section and rules adopted under this
17Section, before October 15th of the school year. If the child
18fails to present proof by October 15th, the school may hold the
19child's report card until one of the following occurs: (i) the
20child presents proof of a completed eye examination or (ii) the
21child presents proof that an eye examination will take place
22within 60 days after October 15th. The Department of Public
23Health shall establish, by rule, a waiver for children who show
24an undue burden or a lack of access to a physician licensed to
25practice medicine in all of its branches who provides eye
26examinations or to a licensed optometrist. Each public,

 

 

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1private, and parochial school must give notice of this eye
2examination requirement to the parents and guardians of
3students in compliance with rules of the Department of Public
4Health. Nothing in this Section shall be construed to allow a
5school to exclude a child from attending because of a parent's
6or guardian's failure to obtain an eye examination for the
7child.
8    (2) The Department of Public Health shall promulgate rules
9and regulations specifying the examinations and procedures
10that constitute a health examination, which shall include the
11collection of data relating to obesity (including at a minimum,
12date of birth, gender, height, weight, blood pressure, and date
13of exam), and a dental examination and may recommend by rule
14that certain additional examinations be performed. The rules
15and regulations of the Department of Public Health shall
16specify that a tuberculosis skin test screening shall be
17included as a required part of each health examination included
18under this Section if the child resides in an area designated
19by the Department of Public Health as having a high incidence
20of tuberculosis. The Department of Public Health shall specify
21that a diabetes screening as defined by rule shall be included
22as a required part of each health examination. Diabetes testing
23is not required.
24    Physicians licensed to practice medicine in all of its
25branches, advanced practice nurses who have a written
26collaborative agreement with a collaborating physician which

 

 

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1authorizes them to perform health examinations, or physician
2assistants who have been delegated the performance of health
3examinations by their supervising physician shall be
4responsible for the performance of the health examinations,
5other than dental examinations, eye examinations, and vision
6and hearing screening, and shall sign all report forms required
7by subsection (4) of this Section that pertain to those
8portions of the health examination for which the physician,
9advanced practice nurse, or physician assistant is
10responsible. If a registered nurse performs any part of a
11health examination, then a physician licensed to practice
12medicine in all of its branches must review and sign all
13required report forms. Licensed dentists shall perform all
14dental examinations and shall sign all report forms required by
15subsection (4) of this Section that pertain to the dental
16examinations. Physicians licensed to practice medicine in all
17its branches or licensed optometrists shall perform all eye
18examinations required by this Section and shall sign all report
19forms required by subsection (4) of this Section that pertain
20to the eye examination. For purposes of this Section, an eye
21examination shall at a minimum include history, visual acuity,
22subjective refraction to best visual acuity near and far,
23internal and external examination, and a glaucoma evaluation,
24as well as any other tests or observations that in the
25professional judgment of the doctor are necessary. Vision and
26hearing screening tests, which shall not be considered

 

 

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1examinations as that term is used in this Section, shall be
2conducted in accordance with rules and regulations of the
3Department of Public Health, and by individuals whom the
4Department of Public Health has certified. In these rules and
5regulations, the Department of Public Health shall require that
6individuals conducting vision screening tests give a child's
7parent or guardian written notification, before the vision
8screening is conducted, that states, "Vision screening is not a
9substitute for a complete eye and vision evaluation by an eye
10doctor. Your child is not required to undergo this vision
11screening if an optometrist or ophthalmologist has completed
12and signed a report form indicating that an examination has
13been administered within the previous 12 months."
14    (3) Every child shall, at or about the same time as he or
15she receives a health examination required by subsection (1) of
16this Section, present to the local school proof of having
17received such immunizations against preventable communicable
18diseases as the Department of Public Health shall require by
19rules and regulations promulgated pursuant to this Section and
20the Communicable Disease Prevention Act. Beginning July 1,
212014, upon entering the 6th and 12th grade of any public,
22private, or parochial school, a student shall present to the
23school proof of having received an immunization containing
24meningococcal conjugate vaccine that meets the standards
25approved by the U.S. Public Health Service for such biological
26products and is in accordance with the recommendations of the

 

 

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1Centers for Disease Control and Prevention's Advisory
2Committee on Immunization Practices. Proof of having received
3an immunization containing meningococcal conjugate vaccine
4shall consist of documentation of one dose of the MCV4 vaccine
5for 6th grade entrance and documentation of 2 doses for 12th
6grade entrance, unless the first dose was administered to a
7child who was 16 years of age or older, in which case
8documentation of only one dose is required at 12th grade
9entrance.
10    (4) The individuals conducting the health examination,
11dental examination, or eye examination shall record the fact of
12having conducted the examination, and such additional
13information as required, including for a health examination
14data relating to obesity (including at a minimum, date of
15birth, gender, height, weight, blood pressure, and date of
16exam), on uniform forms which the Department of Public Health
17and the State Board of Education shall prescribe for statewide
18use. The examiner shall summarize on the report form any
19condition that he or she suspects indicates a need for special
20services, including for a health examination factors relating
21to obesity. The individuals confirming the administration of
22required immunizations shall record as indicated on the form
23that the immunizations were administered.
24    (5) If a child does not submit proof of having had either
25the health examination or the immunization as required, then
26the child shall be examined or receive the immunization, as the

 

 

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1case may be, and present proof by October 15 of the current
2school year, or by an earlier date of the current school year
3established by a school district. To establish a date before
4October 15 of the current school year for the health
5examination or immunization as required, a school district must
6give notice of the requirements of this Section 60 days prior
7to the earlier established date. If for medical reasons one or
8more of the required immunizations must be given after October
915 of the current school year, or after an earlier established
10date of the current school year, then the child shall present,
11by October 15, or by the earlier established date, a schedule
12for the administration of the immunizations and a statement of
13the medical reasons causing the delay, both the schedule and
14the statement being issued by the physician, advanced practice
15nurse, physician assistant, registered nurse, or local health
16department that will be responsible for administration of the
17remaining required immunizations. If a child does not comply by
18October 15, or by the earlier established date of the current
19school year, with the requirements of this subsection, then the
20local school authority shall exclude that child from school
21until such time as the child presents proof of having had the
22health examination as required and presents proof of having
23received those required immunizations which are medically
24possible to receive immediately. During a child's exclusion
25from school for noncompliance with this subsection, the child's
26parents or legal guardian shall be considered in violation of

 

 

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1Section 26-1 and subject to any penalty imposed by Section
226-10. This subsection (5) does not apply to dental
3examinations and eye examinations. Until June 30, 2015, if the
4student is an out-of-state transfer student and does not have
5the proof required under this subsection (5) before October 15
6of the current year or whatever date is set by the school
7district, then he or she may only attend classes (i) if he or
8she has proof that an appointment for the required vaccinations
9has been scheduled with a party authorized to submit proof of
10the required vaccinations. If the proof of vaccination required
11under this subsection (5) is not submitted within 30 days after
12the student is permitted to attend classes, then the student is
13not to be permitted to attend classes until proof of the
14vaccinations has been properly submitted. No school district or
15employee of a school district shall be held liable for any
16injury or illness to another person that results from admitting
17an out-of-state transfer student to class that has an
18appointment scheduled pursuant to this subsection (5).
19    (6) Every school shall report to the State Board of
20Education by November 15, in the manner which that agency shall
21require, the number of children who have received the necessary
22immunizations and the health examination (other than a dental
23examination or eye examination) as required, indicating, of
24those who have not received the immunizations and examination
25as required, the number of children who are exempt from health
26examination and immunization requirements on religious or

 

 

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1medical grounds as provided in subsection (8). On or before
2December 1 of each year, every public school district and
3registered nonpublic school shall make publicly available the
4immunization data they are required to submit to the State
5Board of Education by November 15. The immunization data made
6publicly available must be identical to the data the school
7district or school has reported to the State Board of
8Education.
9    Every school shall report to the State Board of Education
10by June 30, in the manner that the State Board requires, the
11number of children who have received the required dental
12examination, indicating, of those who have not received the
13required dental examination, the number of children who are
14exempt from the dental examination on religious grounds as
15provided in subsection (8) of this Section and the number of
16children who have received a waiver under subsection (1.5) of
17this Section.
18    Every school shall report to the State Board of Education
19by June 30, in the manner that the State Board requires, the
20number of children who have received the required eye
21examination, indicating, of those who have not received the
22required eye examination, the number of children who are exempt
23from the eye examination as provided in subsection (8) of this
24Section, the number of children who have received a waiver
25under subsection (1.10) of this Section, and the total number
26of children in noncompliance with the eye examination

 

 

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1requirement.
2    The reported information under this subsection (6) shall be
3provided to the Department of Public Health by the State Board
4of Education.
5    (7) Upon determining that the number of pupils who are
6required to be in compliance with subsection (5) of this
7Section is below 90% of the number of pupils enrolled in the
8school district, 10% of each State aid payment made pursuant to
9Section 18-8.05 to the school district for such year may be
10withheld by the State Board of Education until the number of
11students in compliance with subsection (5) is the applicable
12specified percentage or higher.
13    (8) Parents or legal guardians who object to health,
14dental, or eye examinations or any part thereof, or to
15immunizations, on religious grounds shall not be required to
16submit their children or wards to the examinations or
17immunizations to which they so object if such parents or legal
18guardians present to the appropriate local school authority a
19signed statement of objection, detailing the grounds for the
20objection. If the physical condition of the child is such that
21any one or more of the immunizing agents should not be
22administered, the examining physician, advanced practice
23nurse, or physician assistant responsible for the performance
24of the health examination shall endorse that fact upon the
25health examination form. Exempting a child from the health,
26dental, or eye examination does not exempt the child from

 

 

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1participation in the program of physical education training
2provided in Sections 27-5 through 27-7 of this Code.
3    (9) For the purposes of this Section, "nursery schools"
4means those nursery schools operated by elementary school
5systems or secondary level school units or institutions of
6higher learning.
7(Source: P.A. 96-953, eff. 6-28-10; 97-216, eff. 1-1-12;
897-910, eff. 1-1-13.)
 
9    Section 10. The Communicable Disease Prevention Act is
10amended by adding Section 1.10 as follows:
 
11    (410 ILCS 315/1.10 new)
12    Sec. 1.10. Meningococcal conjugate vaccine.
13Notwithstanding Section 2 of this Act, the Department of Public
14Health shall adopt a rule requiring students, upon entering the
156th and 12th grade of any public, private, or parochial school,
16to receive an immunization containing meningococcal conjugate
17vaccine that meets the standards approved by the U.S. Public
18Health Service for such biological products and is in
19accordance with the recommendations of the Centers for Disease
20Control and Prevention's Advisory Committee on Immunization
21Practices. The immunization shall consist of one dose of the
22MCV4 vaccine for 6th grade entrance and 2 doses for 12th grade
23entrance, unless the first dose was administered to a child who
24was 16 years of age or older, in which case only one dose is

 

 

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1required at 12th grade entrance. The immunization requirement
2shall apply beginning July 1, 2014. However, the requirement
3shall not apply if (i) the parent or guardian of the student
4objects thereto on the grounds that the administration of
5immunizing agents conflicts with the parent or guardian's
6religious tenets or practices or (ii) a physician employed by
7the parent or guardian to provide care and treatment to the
8student states that the physical condition of the student is
9such that the administration of the required immunizing agent
10would be detrimental to the health of the student.