95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
HB0193

 

Introduced 1/19/2007, by Rep. Mary E. Flowers

 

SYNOPSIS AS INTRODUCED:
 
105 ILCS 5/27-8.1   from Ch. 122, par. 27-8.1
410 ILCS 315/1   from Ch. 111 1/2, par. 22.11
30 ILCS 805/8.31 new

    Amends the School Code and the Communicable Disease Prevention Act. In a Section of the School Code involving health examinations for children, provides that the Department of Public Health shall adopt rules specifying that testing for the human immunodeficiency virus (HIV) be included in health examinations. Requires that the parent or guardian of the child be informed that such testing will be undertaken during the health examination unless the parent or guardian declines for his or her child to be tested for HIV. Also requires that the parent or guardian of the child be provided with clear and concise information about HIV testing, including an explanation about HIV infection and the meanings of positive and negative test results. Provides that HIV testing must be incorporated into the child's general health examination procedures and forms, the record of the health examination submitted to the school must indicate only that the child was tested for HIV or not, and that no HIV test result may be indicated in the record of the health examination submitted to the school. Sets forth the revised recommendations of the U.S. Centers for Disease Control and Prevention (CDC) for HIV testing. Declares to be the public policy of the State that HIV screening be conducted in accordance with the CDC recommendations and that the Department of Public Health develop and administer compliant policies and procedures as soon as possible. Makes other changes. Amends the State Mandates Act to require implementation without reimbursement.


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FISCAL NOTE ACT MAY APPLY
STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT

 

 

A BILL FOR

 

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1     AN ACT concerning public health.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The School Code is amended by changing Section
5 27-8.1 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
9 Department of Public Health shall promulgate, and except as
10 hereinafter provided, all children in Illinois shall have a
11 health examination as follows: within one year prior to
12 entering kindergarten or the first grade of any public,
13 private, or parochial elementary school; upon entering the
14 fifth and ninth grades of any public, private, or parochial
15 school; prior to entrance into any public, private, or
16 parochial nursery school; and, irrespective of grade,
17 immediately prior to or upon entrance into any public, private,
18 or parochial school or nursery school, each child shall present
19 proof of having been examined in accordance with this Section
20 and the rules and regulations promulgated hereunder.
21     A tuberculosis skin test screening shall be included as a
22 required part of each health examination included under this
23 Section if the child resides in an area designated by the

 

 

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1 Department of Public Health as having a high incidence of
2 tuberculosis. Additional health examinations of pupils,
3 including vision examinations, may be required when deemed
4 necessary by school authorities. Parents are encouraged to have
5 their children undergo vision examinations at the same points
6 in time required for health examinations.
7     (1.5) In compliance with rules adopted by the Department of
8 Public Health and except as otherwise provided in this Section,
9 all children in kindergarten and the second and sixth grades of
10 any public, private, or parochial school shall have a dental
11 examination. Each of these children shall present proof of
12 having been examined by a dentist in accordance with this
13 Section and rules adopted under this Section before May 15th of
14 the school year. If a child in the second or sixth grade fails
15 to present proof by May 15th, the school may hold the child's
16 report card until one of the following occurs: (i) the child
17 presents proof of a completed dental examination or (ii) the
18 child presents proof that a dental examination will take place
19 within 60 days after May 15th. The Department of Public Health
20 shall establish, by rule, a waiver for children who show an
21 undue burden or a lack of access to a dentist. Each public,
22 private, and parochial school must give notice of this dental
23 examination requirement to the parents and guardians of
24 students at least 60 days before May 15th of each school year.
25     (2) The Department of Public Health shall promulgate rules
26 and regulations specifying the examinations and procedures

 

 

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1 that constitute a health examination, which shall include the
2 collection of data relating to obesity, (including at a
3 minimum, date of birth, gender, height, weight, blood pressure,
4 and date of exam), and a dental examination and may recommend
5 by rule that certain additional examinations be performed. The
6 rules and regulations of the Department of Public Health shall
7 specify that a tuberculosis skin test screening shall be
8 included as a required part of each health examination included
9 under this Section if the child resides in an area designated
10 by the Department of Public Health as having a high incidence
11 of tuberculosis. The Department of Public Health shall specify
12 that a diabetes screening as defined by rule shall be included
13 as a required part of each health examination. Diabetes testing
14 is not required.
15     The Department of Public Health shall adopt rules
16 specifying that testing for the human immunodeficiency virus
17 (HIV) be included as a required part of each health examination
18 included under this Section, unless the parent or guardian of
19 the child declines for his or her child to be tested for HIV.
20 The parent or guardian of the child must be informed by the
21 school that such testing must be undertaken during the health
22 examination unless the parent or guardian declines for his or
23 her child to be tested for HIV. The parent or guardian of the
24 child must also be provided with clear and concise information
25 about HIV testing, including an explanation about HIV infection
26 and the meanings of positive and negative test results. This

 

 

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1 informational material must be provided in the languages of the
2 population served by the school. At the health examination, the
3 parent or guardian and child must have the opportunity to ask
4 questions about and decline the HIV testing.
5     Physicians licensed to practice medicine in all of its
6 branches, advanced practice nurses who have a written
7 collaborative agreement with a collaborating physician which
8 authorizes them to perform health examinations, or physician
9 assistants who have been delegated the performance of health
10 examinations by their supervising physician shall be
11 responsible for the performance of the health examinations,
12 other than dental examinations and vision and hearing
13 screening, and shall sign all report forms required by
14 subsection (4) of this Section that pertain to those portions
15 of the health examination for which the physician, advanced
16 practice nurse, or physician assistant is responsible. If a
17 registered nurse performs any part of a health examination,
18 then a physician licensed to practice medicine in all of its
19 branches must review and sign all required report forms.
20 Licensed dentists shall perform all dental examinations and
21 shall sign all report forms required by subsection (4) of this
22 Section that pertain to the dental examinations. Physicians
23 licensed to practice medicine in all its branches, or licensed
24 optometrists, shall perform all vision exams required by school
25 authorities and shall sign all report forms required by
26 subsection (4) of this Section that pertain to the vision exam.

 

 

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1 Vision and hearing screening tests, which shall not be
2 considered examinations as that term is used in this Section,
3 shall be conducted in accordance with rules and regulations of
4 the Department of Public Health, and by individuals whom the
5 Department of Public Health has certified. In these rules and
6 regulations, the Department of Public Health shall require that
7 individuals conducting vision screening tests give a child's
8 parent or guardian written notification, before the vision
9 screening is conducted, that states, "Vision screening is not a
10 substitute for a complete eye and vision evaluation by an eye
11 doctor. Your child is not required to undergo this vision
12 screening if an optometrist or ophthalmologist has completed
13 and signed a report form indicating that an examination has
14 been administered within the previous 12 months."
15     (3) Every child shall, at or about the same time as he or
16 she receives a health examination required by subsection (1) of
17 this Section, present to the local school proof of having
18 received such immunizations against preventable communicable
19 diseases as the Department of Public Health shall require by
20 rules and regulations promulgated pursuant to this Section and
21 the Communicable Disease Prevention Act.
22     (4) The individuals conducting the health examination or
23 dental examination shall record the fact of having conducted
24 the examination, and such additional information as required,
25 including for a health examination data relating to obesity,
26 (including at a minimum, date of birth, gender, height, weight,

 

 

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1 blood pressure, and date of exam), on uniform forms which the
2 Department of Public Health and the State Board of Education
3 shall prescribe for statewide use. The examiner shall summarize
4 on the report form any condition that he or she suspects
5 indicates a need for special services, including for a health
6 examination factors relating to obesity. The individuals
7 confirming the administration of required immunizations shall
8 record as indicated on the form that the immunizations were
9 administered.
10     HIV testing must be incorporated into the child's general
11 health examination procedures and forms. The record of the
12 health examination submitted to the school must indicate only
13 that the child was tested for HIV or not. In the event that the
14 parent or guardian declines the HIV testing for the child, that
15 decision must be indicated in the record. No HIV test result
16 may be indicated in the record of the health examination
17 submitted to the school. The Department of Public Health shall
18 adopt rules specifying the manner and form for recording and
19 reporting test results, which shall protect the privacy and
20 confidentiality of the child and the child's parents or
21 guardian, the need to provide access to care and follow-up
22 services for the child, and the destruction of records in the
23 event of an HIV-negative test result. The confidentiality
24 provisions of the AIDS Confidentiality Act shall apply to any
25 report of HIV infection under this paragraph.
26     (5) If a child does not submit proof of having had either

 

 

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

 

 

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1 from school for noncompliance with this subsection, the child's
2 parents or legal guardian shall be considered in violation of
3 Section 26-1 and subject to any penalty imposed by Section
4 26-10. This subsection (5) does not apply to dental
5 examinations.
6     (6) Every school shall report to the State Board of
7 Education by November 15, in the manner which that agency shall
8 require, the number of children who have received the necessary
9 immunizations and the health examination (other than a dental
10 examination) as required, indicating, of those who have not
11 received the immunizations and examination as required, the
12 number of children who are exempt from health examination and
13 immunization requirements on religious or medical grounds as
14 provided in subsection (8). Every school shall report to the
15 State Board of Education by June 30, in the manner that the
16 State Board requires, the number of children who have received
17 the required dental examination, indicating, of those who have
18 not received the required dental examination, the number of
19 children who are exempt from the dental examination on
20 religious grounds as provided in subsection (8) of this Section
21 and the number of children who have received a waiver under
22 subsection (1.5) of this Section. This reported information
23 shall be provided to the Department of Public Health by the
24 State Board of Education.
25     (7) Upon determining that the number of pupils who are
26 required to be in compliance with subsection (5) of this

 

 

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1 Section is below 90% of the number of pupils enrolled in the
2 school district, 10% of each State aid payment made pursuant to
3 Section 18-8.05 to the school district for such year shall be
4 withheld by the regional superintendent until the number of
5 students in compliance with subsection (5) is the applicable
6 specified percentage or higher.
7     (8) Parents or legal guardians who object to health or
8 dental examinations or any part thereof, or to immunizations,
9 on religious grounds shall not be required to submit their
10 children or wards to the examinations or immunizations to which
11 they so object if such parents or legal guardians present to
12 the appropriate local school authority a signed statement of
13 objection, detailing the grounds for the objection. A parent or
14 guardian does not need to provide this signed statement for
15 objecting to HIV testing. If the physical condition of the
16 child is such that any one or more of the immunizing agents
17 should not be administered, the examining physician, advanced
18 practice nurse, or physician assistant responsible for the
19 performance of the health examination shall endorse that fact
20 upon the health examination form. Exempting a child from the
21 health or dental examination does not exempt the child from
22 participation in the program of physical education training
23 provided in Sections 27-5 through 27-7 of this Code.
24     (9) For the purposes of this Section, "nursery schools"
25 means those nursery schools operated by elementary school
26 systems or secondary level school units or institutions of

 

 

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1 higher learning.
2 (Source: P.A. 92-703, eff. 7-19-02; 93-504, eff. 1-1-04;
3 93-530, eff. 1-1-04; 93-946, eff. 7-1-05; 93-966, eff. 1-1-05;
4 revised 12-1-05.)
 
5     Section 10. The Communicable Disease Prevention Act is
6 amended by changing Section 1 as follows:
 
7     (410 ILCS 315/1)  (from Ch. 111 1/2, par. 22.11)
8     Sec. 1. (a) Certain communicable diseases such as measles,
9 poliomyelitis and tetanus, may and do result in serious
10 physical and mental disability including mental retardation,
11 permanent paralysis, encephalitis, convulsions, pneumonia, and
12 not infrequently, death.
13     Most of these diseases attack young children, and if they
14 have not been immunized, may spread to other susceptible
15 children and possibly, adults, thus, posing serious threats to
16 the health of the community. Effective, safe and widely used
17 vaccines and immunization procedures have been developed and
18 are available to prevent these diseases and to limit their
19 spread. Even though such immunization procedures are
20 available, many children fail to receive this protection either
21 through parental oversight, lack of concern, knowledge or
22 interest, or lack of available facilities or funds. The
23 existence of susceptible children in the community constitutes
24 a health hazard to the individual and to the public at large by

 

 

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1 serving as a focus for the spread of these communicable
2 diseases.
3     It is declared to be the public policy of this State that
4 all children shall be protected, as soon after birth as
5 medically indicated, by the appropriate vaccines and
6 immunizing procedures to prevent communicable diseases which
7 are or which may in the future become preventable by
8 immunization.
9     (b) The human immunodeficiency virus (HIV) and acquired
10 immunodeficiency syndrome (AIDS) are leading causes of illness
11 and death. Effective September 2006, the U.S. Centers for
12 Disease Control and Prevention (CDC) revised its
13 recommendations for HIV testing due to the changing
14 demographics of the persons who have become infected since the
15 1980's, which include increasing proportions of persons less
16 than 20 years of age, women, members of racial and ethnic
17 minority populations, persons who reside outside metropolitan
18 areas, and heterosexual men and women who frequently are
19 unaware that they are at risk for HIV. The CDC reports that
20 prevention strategies that incorporate universal HIV screening
21 have been highly effective and recommends screening for HIV
22 infection for all persons 13 to 64 years of age.
23     It is declared to be the public policy of this State that
24 HIV screening be conducted in accordance with the
25 recommendations of the U.S. Centers for Disease Control and
26 Prevention and that the Department of Public Health develop and

 

 

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1 administer compliant policies and procedures as soon as
2 possible.
3 (Source: P.A. 78-255; 78-303; 78-1297.)
 
4     Section 90. The State Mandates Act is amended by adding
5 Section 8.31 as follows:
 
6     (30 ILCS 805/8.31 new)
7     Sec. 8.31. Exempt mandate. Notwithstanding Sections 6 and 8
8 of this Act, no reimbursement by the State is required for the
9 implementation of any mandate created by this amendatory Act of
10 the 95th General Assembly.