Full Text of HB0193 95th General Assembly
HB0193 95TH GENERAL ASSEMBLY
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95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008 HB0193
Introduced 1/19/2007, by Rep. Mary E. Flowers SYNOPSIS AS INTRODUCED: |
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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 |
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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 |
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A BILL FOR
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HB0193 |
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| AN ACT concerning public health.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The School Code is amended by changing Section | 5 |
| 27-8.1 as follows:
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| (105 ILCS 5/27-8.1) (from Ch. 122, par. 27-8.1)
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| Sec. 27-8.1. Health examinations and immunizations.
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| (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
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| 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
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| 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.
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| 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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| 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.
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| (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.
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| (2) The Department of Public Health shall promulgate rules | 26 |
| and regulations
specifying the examinations and procedures |
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| 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.
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| 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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| 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.
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| 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
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| 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
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| 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
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| subsection (4) of this Section that pertain to the vision exam. |
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| 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
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| 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
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| 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."
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| (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.
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| (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 ,
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| ( including at a minimum, date of birth, gender, height, weight, |
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| 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.
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| 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.
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| (5) If a child does not submit proof of having had either |
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| 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
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| 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
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| 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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| 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.
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| (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
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| 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.
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| (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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| 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.
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| (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
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| 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
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| participation in the program of physical education training | 23 |
| provided in
Sections 27-5 through 27-7 of this Code.
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| (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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| higher learning.
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| (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.)
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| Section 10. The Communicable Disease Prevention Act is | 6 |
| amended by changing Section 1 as follows:
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| (410 ILCS 315/1) (from Ch. 111 1/2, par. 22.11)
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| 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.
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| 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
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| 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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| serving as a
focus for the spread of these communicable | 2 |
| diseases.
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| 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
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| immunization.
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| (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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| administer compliant policies and procedures as soon as | 2 |
| possible.
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| (Source: P.A. 78-255; 78-303; 78-1297.)
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| 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.
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