Full Text of SB1846 100th General Assembly
SB1846 100TH GENERAL ASSEMBLY |
| | 100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018 SB1846 Introduced 2/9/2017, by Sen. Mattie Hunter SYNOPSIS AS INTRODUCED: |
| 105 ILCS 5/27-8.1 | from Ch. 122, par. 27-8.1 | 410 ILCS 520/4 | from Ch. 111 1/2, par. 5604 |
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Amends the School Code. Requires the Department of Public Health to promulgate rules and regulations to include asthma in the standard school health examination. Makes conforming changes. Amends the Illinois Health Statistics Act. Requires the Department of Public Health to collect and maintain data on the extent, nature, and impact of asthma, and the determinants of asthma. Makes conforming changes.
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| | | FISCAL NOTE ACT MAY APPLY | |
| | A BILL FOR |
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| 1 | | AN ACT concerning asthma.
| 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 | | (Text of Section before amendment by P.A. 99-927 ) | 8 | | Sec. 27-8.1. Health examinations and immunizations. | 9 | | (1) In compliance with rules and regulations which the | 10 | | Department of Public
Health shall promulgate, and except as | 11 | | hereinafter provided, all children in
Illinois shall have a | 12 | | health examination as follows: within one year prior to
| 13 | | entering kindergarten or the first grade of any public, | 14 | | private, or parochial
elementary school; upon entering the | 15 | | sixth and ninth grades of any public,
private, or parochial | 16 | | school; prior to entrance into any public, private, or
| 17 | | parochial nursery school; and, irrespective of grade, | 18 | | immediately prior to or
upon entrance into any public, private, | 19 | | or parochial school or nursery school,
each child shall present | 20 | | proof of having been examined in accordance with this
Section | 21 | | and the rules and regulations promulgated hereunder. Any child | 22 | | who received a health examination within one year prior to | 23 | | entering the fifth grade for the 2007-2008 school year is not |
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| 1 | | required to receive an additional health examination in order | 2 | | to comply with the provisions of Public Act 95-422 when he or | 3 | | she attends school for the 2008-2009 school year, unless the | 4 | | child is attending school for the first time as provided in | 5 | | this paragraph. | 6 | | A tuberculosis skin test screening shall be included as a | 7 | | required part of
each health examination included under this | 8 | | Section if the child resides in an
area designated by the | 9 | | Department of Public Health as having a high incidence
of | 10 | | tuberculosis. Additional health examinations of pupils, | 11 | | including eye examinations, may be required when deemed | 12 | | necessary by school
authorities. Parents are encouraged to have | 13 | | their children undergo eye examinations at the same points in | 14 | | time required for health
examinations. | 15 | | (1.5) In compliance with rules adopted by the Department of | 16 | | Public Health and except as otherwise provided in this Section, | 17 | | all children in kindergarten and the second and sixth grades of | 18 | | any public, private, or parochial school shall have a dental | 19 | | examination. Each of these children shall present proof of | 20 | | having been examined by a dentist in accordance with this | 21 | | Section and rules adopted under this Section before May 15th of | 22 | | the school year. If a child in the second or sixth grade fails | 23 | | to present proof by May 15th, the school may hold the child's | 24 | | report card until one of the following occurs: (i) the child | 25 | | presents proof of a completed dental examination or (ii) the | 26 | | child presents proof that a dental examination will take place |
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| 1 | | within 60 days after May 15th. The Department of Public Health | 2 | | shall establish, by rule, a waiver for children who show an | 3 | | undue burden or a lack of access to a dentist. Each public, | 4 | | private, and parochial school must give notice of this dental | 5 | | examination requirement to the parents and guardians of | 6 | | students at least 60 days before May 15th of each school year.
| 7 | | (1.10) Except as otherwise provided in this Section, all | 8 | | children enrolling in kindergarten in a public, private, or | 9 | | parochial school on or after the effective date of this | 10 | | amendatory Act of the 95th General Assembly and any student | 11 | | enrolling for the first time in a public, private, or parochial | 12 | | school on or after the effective date of this amendatory Act of | 13 | | the 95th General Assembly shall have an eye examination. Each | 14 | | of these children shall present proof of having been examined | 15 | | by a physician licensed to practice medicine in all of its | 16 | | branches or a licensed optometrist within the previous year, in | 17 | | accordance with this Section and rules adopted under this | 18 | | Section, before October 15th of the school year. If the child | 19 | | fails to present proof by October 15th, the school may hold the | 20 | | child's report card until one of the following occurs: (i) the | 21 | | child presents proof of a completed eye examination or (ii) the | 22 | | child presents proof that an eye examination will take place | 23 | | within 60 days after October 15th. The Department of Public | 24 | | Health shall establish, by rule, a waiver for children who show | 25 | | an undue burden or a lack of access to a physician licensed to | 26 | | practice medicine in all of its branches who provides eye |
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| 1 | | examinations or to a licensed optometrist. Each public, | 2 | | private, and parochial school must give notice of this eye | 3 | | examination requirement to the parents and guardians of | 4 | | students in compliance with rules of the Department of Public | 5 | | Health. Nothing in this Section shall be construed to allow a | 6 | | school to exclude a child from attending because of a parent's | 7 | | or guardian's failure to obtain an eye examination for the | 8 | | child.
| 9 | | (2) The Department of Public Health shall promulgate rules | 10 | | and regulations
specifying the examinations and procedures | 11 | | that constitute a health examination, which shall include the | 12 | | collection of data relating to asthma and obesity
(including at | 13 | | a minimum, date of birth, gender, height, weight, blood | 14 | | pressure, and date of exam),
and a dental examination and may | 15 | | recommend by rule that certain additional examinations be | 16 | | performed.
The rules and regulations of the Department of | 17 | | Public Health shall specify that
a tuberculosis skin test | 18 | | screening shall be included as a required part of each
health | 19 | | examination included under this Section if the child resides in | 20 | | an area
designated by the Department of Public Health as having | 21 | | a high incidence of
tuberculosis.
The Department of Public | 22 | | Health shall specify that a diabetes
screening as defined by | 23 | | rule shall be included as a required part of each
health | 24 | | examination.
Diabetes testing is not required. | 25 | | Physicians licensed to practice medicine in all of its | 26 | | branches, licensed advanced
practice nurses, or licensed |
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| 1 | | physician assistants shall be
responsible for the performance | 2 | | of the health examinations, other than dental
examinations, eye | 3 | | examinations, and vision and hearing screening, and shall sign | 4 | | all report forms
required by subsection (4) of this Section | 5 | | that pertain to those portions of
the health examination for | 6 | | which the physician, advanced practice nurse, or
physician | 7 | | assistant is responsible.
If a registered
nurse performs any | 8 | | part of a health examination, then a physician licensed to
| 9 | | practice medicine in all of its branches must review and sign | 10 | | all required
report forms. Licensed dentists shall perform all | 11 | | dental examinations and
shall sign all report forms required by | 12 | | subsection (4) of this Section that
pertain to the dental | 13 | | examinations. Physicians licensed to practice medicine
in all | 14 | | its branches or licensed optometrists shall perform all eye | 15 | | examinations
required by this Section and shall sign all report | 16 | | forms required by
subsection (4) of this Section that pertain | 17 | | to the eye examination. For purposes of this Section, an eye | 18 | | examination shall at a minimum include history, visual acuity, | 19 | | subjective refraction to best visual acuity near and far, | 20 | | internal and external examination, and a glaucoma evaluation, | 21 | | as well as any other tests or observations that in the | 22 | | professional judgment of the doctor are necessary. Vision and
| 23 | | hearing screening tests, which shall not be considered | 24 | | examinations as that
term is used in this Section, shall be | 25 | | conducted in accordance with rules and
regulations of the | 26 | | Department of Public Health, and by individuals whom the
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| 1 | | Department of Public Health has certified.
In these rules and | 2 | | regulations, the Department of Public Health shall
require that | 3 | | individuals conducting vision screening tests give a child's
| 4 | | parent or guardian written notification, before the vision | 5 | | screening is
conducted, that states, "Vision screening is not a | 6 | | substitute for a
complete eye and vision evaluation by an eye | 7 | | doctor. Your child is not
required to undergo this vision | 8 | | screening if an optometrist or
ophthalmologist has completed | 9 | | and signed a report form indicating that
an examination has | 10 | | been administered within the previous 12 months." | 11 | | (3) Every child shall, at or about the same time as he or | 12 | | she receives
a health examination required by subsection (1) of | 13 | | this Section, present
to the local school proof of having | 14 | | received such immunizations against
preventable communicable | 15 | | diseases as the Department of Public Health shall
require by | 16 | | rules and regulations promulgated pursuant to this Section and | 17 | | the
Communicable Disease Prevention Act. | 18 | | (4) The individuals conducting the health examination,
| 19 | | dental examination, or eye examination shall record the
fact of | 20 | | having conducted the examination, and such additional | 21 | | information as
required, including for a health examination
| 22 | | data relating to asthma and obesity
(including at a minimum, | 23 | | date of birth, gender, height, weight, blood pressure, and date | 24 | | of exam), on uniform forms which the Department of Public | 25 | | Health and the State
Board of Education shall prescribe for | 26 | | statewide use. The examiner shall
summarize on the report form |
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| 1 | | any condition that he or she suspects indicates a
need for | 2 | | special services, including for a health examination factors | 3 | | relating to asthma or obesity. The individuals confirming the | 4 | | administration of
required immunizations shall record as | 5 | | indicated on the form that the
immunizations were administered. | 6 | | (5) If a child does not submit proof of having had either | 7 | | the health
examination or the immunization as required, then | 8 | | the child shall be examined
or receive the immunization, as the | 9 | | case may be, and present proof by October
15 of the current | 10 | | school year, or by an earlier date of the current school year
| 11 | | established by a school district. To establish a date before | 12 | | October 15 of the
current school year for the health | 13 | | examination or immunization as required, a
school district must | 14 | | give notice of the requirements of this Section 60 days
prior | 15 | | to the earlier established date. If for medical reasons one or | 16 | | more of
the required immunizations must be given after October | 17 | | 15 of the current school
year, or after an earlier established | 18 | | date of the current school year, then
the child shall present, | 19 | | by October 15, or by the earlier established date, a
schedule | 20 | | for the administration of the immunizations and a statement of | 21 | | the
medical reasons causing the delay, both the schedule and | 22 | | the statement being
issued by the physician, advanced practice | 23 | | nurse, physician assistant,
registered nurse, or local health | 24 | | department that will
be responsible for administration of the | 25 | | remaining required immunizations. If
a child does not comply by | 26 | | October 15, or by the earlier established date of
the current |
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| 1 | | school year, with the requirements of this subsection, then the
| 2 | | local school authority shall exclude that child from school | 3 | | until such time as
the child presents proof of having had the | 4 | | health examination as required and
presents proof of having | 5 | | received those required immunizations which are
medically | 6 | | possible to receive immediately. During a child's exclusion | 7 | | from
school for noncompliance with this subsection, the child's | 8 | | parents or legal
guardian shall be considered in violation of | 9 | | Section 26-1 and subject to any
penalty imposed by Section | 10 | | 26-10. This subsection (5) does not apply to dental | 11 | | examinations and eye examinations. If the student is an | 12 | | out-of-state transfer student and does not have the proof | 13 | | required under this subsection (5) before October 15 of the | 14 | | current year or whatever date is set by the school district, | 15 | | then he or she may only attend classes (i) if he or she has | 16 | | proof that an appointment for the required vaccinations has | 17 | | been scheduled with a party authorized to submit proof of the | 18 | | required vaccinations. If the proof of vaccination required | 19 | | under this subsection (5) is not submitted within 30 days after | 20 | | the student is permitted to attend classes, then the student is | 21 | | not to be permitted to attend classes until proof of the | 22 | | vaccinations has been properly submitted. No school district or | 23 | | employee of a school district shall be held liable for any | 24 | | injury or illness to another person that results from admitting | 25 | | an out-of-state transfer student to class that has an | 26 | | appointment scheduled pursuant to this subsection (5). |
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| 1 | | (6) Every school shall report to the State Board of | 2 | | Education by November
15, in the manner which that agency shall | 3 | | require, the number of children who
have received the necessary | 4 | | immunizations and the health examination (other than a dental | 5 | | examination or eye examination) as
required, indicating, of | 6 | | those who have not received the immunizations and
examination | 7 | | as required, the number of children who are exempt from health
| 8 | | examination and immunization requirements on religious or | 9 | | medical grounds as
provided in subsection (8). On or before | 10 | | December 1 of each year, every public school district and | 11 | | registered nonpublic school shall make publicly available the | 12 | | immunization data they are required to submit to the State | 13 | | Board of Education by November 15. The immunization data made | 14 | | publicly available must be identical to the data the school | 15 | | district or school has reported to the State Board of | 16 | | Education. | 17 | | Every school shall report to the State Board of Education | 18 | | by June 30, in the manner that the State Board requires, the | 19 | | number of children who have received the required dental | 20 | | examination, indicating, of those who have not received the | 21 | | required dental examination, the number of children who are | 22 | | exempt from the dental examination on religious grounds as | 23 | | provided in subsection (8) of this Section and the number of | 24 | | children who have received a waiver under subsection (1.5) of | 25 | | this Section. | 26 | | Every school shall report to the State Board of Education |
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| 1 | | by June 30, in the manner that the State Board requires, the | 2 | | number of children who have received the required eye | 3 | | examination, indicating, of those who have not received the | 4 | | required eye examination, the number of children who are exempt | 5 | | from the eye examination as provided in subsection (8) of this | 6 | | Section, the number of children who have received a waiver | 7 | | under subsection (1.10) of this Section, and the total number | 8 | | of children in noncompliance with the eye examination | 9 | | requirement. | 10 | | The reported information under this subsection (6) shall be | 11 | | provided to the
Department of Public Health by the State Board | 12 | | of Education. | 13 | | (7) Upon determining that the number of pupils who are | 14 | | required to be in
compliance with subsection (5) of this | 15 | | Section is below 90% of the number of
pupils enrolled in the | 16 | | school district, 10% of each State aid payment made
pursuant to | 17 | | Section 18-8.05 to the school district for such year may be | 18 | | withheld
by the State Board of Education until the number of | 19 | | students in compliance with
subsection (5) is the applicable | 20 | | specified percentage or higher. | 21 | | (8) Children of parents or legal guardians who object to | 22 | | health, dental, or eye examinations or any part thereof, to | 23 | | immunizations, or to vision and hearing screening tests on | 24 | | religious grounds shall not be required to undergo the | 25 | | examinations, tests, or immunizations to which they so object | 26 | | if such parents or legal guardians present to the appropriate |
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| 1 | | local school authority a signed Certificate of Religious | 2 | | Exemption detailing the grounds for objection and the specific | 3 | | immunizations, tests, or examinations to which they object. The | 4 | | grounds for objection must set forth the specific religious | 5 | | belief that conflicts with the examination, test, | 6 | | immunization, or other medical intervention. The signed | 7 | | certificate shall also reflect the parent's or legal guardian's | 8 | | understanding of the school's exclusion policies in the case of | 9 | | a vaccine-preventable disease outbreak or exposure. The | 10 | | certificate must also be signed by the authorized examining | 11 | | health care provider responsible for the performance of the | 12 | | child's health examination confirming that the provider | 13 | | provided education to the parent or legal guardian on the | 14 | | benefits of immunization and the health risks to the student | 15 | | and to the community of the communicable diseases for which | 16 | | immunization is required in this State. However, the health | 17 | | care provider's signature on the certificate reflects only that | 18 | | education was provided and does not allow a health care | 19 | | provider grounds to determine a religious exemption. Those | 20 | | receiving immunizations required under this Code shall be | 21 | | provided with the relevant vaccine information statements that | 22 | | are required to be disseminated by the federal National | 23 | | Childhood Vaccine Injury Act of 1986, which may contain | 24 | | information on circumstances when a vaccine should not be | 25 | | administered, prior to administering a vaccine. A healthcare | 26 | | provider may consider including without limitation the |
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| 1 | | nationally accepted recommendations from federal agencies such | 2 | | as the Advisory Committee on Immunization Practices, the | 3 | | information outlined in the relevant vaccine information | 4 | | statement, and vaccine package inserts, along with the | 5 | | healthcare provider's clinical judgment, to determine whether | 6 | | any child may be more susceptible to experiencing an adverse | 7 | | vaccine reaction than the general population, and, if so, the | 8 | | healthcare provider may exempt the child from an immunization | 9 | | or adopt an individualized immunization schedule. The | 10 | | Certificate of Religious Exemption shall be created by the | 11 | | Department of Public Health and shall be made available and | 12 | | used by parents and legal guardians by the beginning of the | 13 | | 2015-2016 school year. Parents or legal guardians must submit | 14 | | the Certificate of Religious Exemption to their local school | 15 | | authority prior to entering kindergarten, sixth grade, and | 16 | | ninth grade for each child for which they are requesting an | 17 | | exemption. The religious objection stated need not be directed | 18 | | by the tenets of an established religious organization. | 19 | | However, general philosophical or moral reluctance to allow | 20 | | physical examinations, eye examinations, immunizations, vision | 21 | | and hearing screenings, or dental examinations does not provide | 22 | | a sufficient basis for an exception to statutory requirements. | 23 | | The local school authority is responsible for determining if
| 24 | | the content of the Certificate of Religious Exemption
| 25 | | constitutes a valid religious objection.
The local school | 26 | | authority shall inform the parent or legal guardian of |
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| 1 | | exclusion procedures, in accordance with the Department's | 2 | | rules under Part 690 of Title 77 of the Illinois Administrative | 3 | | Code, at the time the objection is presented. | 4 | | If the physical condition
of the child is such that any one | 5 | | or more of the immunizing agents should not
be administered, | 6 | | the examining physician, advanced practice nurse, or
physician | 7 | | assistant responsible for the performance of the
health | 8 | | examination shall endorse that fact upon the health examination | 9 | | form. | 10 | | Exempting a child from the health,
dental, or eye | 11 | | examination does not exempt the child from
participation in the | 12 | | program of physical education training provided in
Sections | 13 | | 27-5 through 27-7 of this Code. | 14 | | (9) For the purposes of this Section, "nursery schools" | 15 | | means those nursery
schools operated by elementary school | 16 | | systems or secondary level school units
or institutions of | 17 | | higher learning. | 18 | | (Source: P.A. 98-673, eff. 6-30-14; 99-173, eff. 7-29-15; | 19 | | 99-249, eff. 8-3-15; 99-642, eff. 7-28-16.) | 20 | | (Text of Section after amendment by P.A. 99-927 ) | 21 | | Sec. 27-8.1. Health examinations and immunizations. | 22 | | (1) In compliance with rules and regulations which the | 23 | | Department of Public
Health shall promulgate, and except as | 24 | | hereinafter provided, all children in
Illinois shall have a | 25 | | health examination as follows: within one year prior to
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| 1 | | entering kindergarten or the first grade of any public, | 2 | | private, or parochial
elementary school; upon entering the | 3 | | sixth and ninth grades of any public,
private, or parochial | 4 | | school; prior to entrance into any public, private, or
| 5 | | parochial nursery school; and, irrespective of grade, | 6 | | immediately prior to or
upon entrance into any public, private, | 7 | | or parochial school or nursery school,
each child shall present | 8 | | proof of having been examined in accordance with this
Section | 9 | | and the rules and regulations promulgated hereunder. Any child | 10 | | who received a health examination within one year prior to | 11 | | entering the fifth grade for the 2007-2008 school year is not | 12 | | required to receive an additional health examination in order | 13 | | to comply with the provisions of Public Act 95-422 when he or | 14 | | she attends school for the 2008-2009 school year, unless the | 15 | | child is attending school for the first time as provided in | 16 | | this paragraph. | 17 | | A tuberculosis skin test screening shall be included as a | 18 | | required part of
each health examination included under this | 19 | | Section if the child resides in an
area designated by the | 20 | | Department of Public Health as having a high incidence
of | 21 | | tuberculosis. Additional health examinations of pupils, | 22 | | including eye examinations, may be required when deemed | 23 | | necessary by school
authorities. Parents are encouraged to have | 24 | | their children undergo eye examinations at the same points in | 25 | | time required for health
examinations. | 26 | | (1.5) In compliance with rules adopted by the Department of |
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| 1 | | Public Health and except as otherwise provided in this Section, | 2 | | all children in kindergarten and the second and sixth grades of | 3 | | any public, private, or parochial school shall have a dental | 4 | | examination. Each of these children shall present proof of | 5 | | having been examined by a dentist in accordance with this | 6 | | Section and rules adopted under this Section before May 15th of | 7 | | the school year. If a child in the second or sixth grade fails | 8 | | to present proof by May 15th, the school may hold the child's | 9 | | report card until one of the following occurs: (i) the child | 10 | | presents proof of a completed dental examination or (ii) the | 11 | | child presents proof that a dental examination will take place | 12 | | within 60 days after May 15th. The Department of Public Health | 13 | | shall establish, by rule, a waiver for children who show an | 14 | | undue burden or a lack of access to a dentist. Each public, | 15 | | private, and parochial school must give notice of this dental | 16 | | examination requirement to the parents and guardians of | 17 | | students at least 60 days before May 15th of each school year.
| 18 | | (1.10) Except as otherwise provided in this Section, all | 19 | | children enrolling in kindergarten in a public, private, or | 20 | | parochial school on or after the effective date of this | 21 | | amendatory Act of the 95th General Assembly and any student | 22 | | enrolling for the first time in a public, private, or parochial | 23 | | school on or after the effective date of this amendatory Act of | 24 | | the 95th General Assembly shall have an eye examination. Each | 25 | | of these children shall present proof of having been examined | 26 | | by a physician licensed to practice medicine in all of its |
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| 1 | | branches or a licensed optometrist within the previous year, in | 2 | | accordance with this Section and rules adopted under this | 3 | | Section, before October 15th of the school year. If the child | 4 | | fails to present proof by October 15th, the school may hold the | 5 | | child's report card until one of the following occurs: (i) the | 6 | | child presents proof of a completed eye examination or (ii) the | 7 | | child presents proof that an eye examination will take place | 8 | | within 60 days after October 15th. The Department of Public | 9 | | Health shall establish, by rule, a waiver for children who show | 10 | | an undue burden or a lack of access to a physician licensed to | 11 | | practice medicine in all of its branches who provides eye | 12 | | examinations or to a licensed optometrist. Each public, | 13 | | private, and parochial school must give notice of this eye | 14 | | examination requirement to the parents and guardians of | 15 | | students in compliance with rules of the Department of Public | 16 | | Health. Nothing in this Section shall be construed to allow a | 17 | | school to exclude a child from attending because of a parent's | 18 | | or guardian's failure to obtain an eye examination for the | 19 | | child.
| 20 | | (2) The Department of Public Health shall promulgate rules | 21 | | and regulations
specifying the examinations and procedures | 22 | | that constitute a health examination, which shall include an | 23 | | age-appropriate developmental screening, an age-appropriate | 24 | | social and emotional screening, and the collection of data | 25 | | relating to asthma and obesity
(including at a minimum, date of | 26 | | birth, gender, height, weight, blood pressure, and date of |
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| 1 | | exam),
and a dental examination and may recommend by rule that | 2 | | certain additional examinations be performed.
The rules and | 3 | | regulations of the Department of Public Health shall specify | 4 | | that
a tuberculosis skin test screening shall be included as a | 5 | | required part of each
health examination included under this | 6 | | Section if the child resides in an area
designated by the | 7 | | Department of Public Health as having a high incidence of
| 8 | | tuberculosis.
With respect to the developmental screening and | 9 | | the social and emotional screening, the Department of Public | 10 | | Health must develop rules and appropriate revisions to the | 11 | | Child Health Examination form in conjunction with a statewide | 12 | | organization representing school boards; a statewide | 13 | | organization representing pediatricians; statewide | 14 | | organizations representing individuals holding Illinois | 15 | | educator licenses with school support personnel endorsements, | 16 | | including school social workers, school psychologists, and | 17 | | school nurses; a statewide organization representing | 18 | | children's mental health experts; a statewide organization | 19 | | representing school principals; the Director of Healthcare and | 20 | | Family Services or his or her designee, the State | 21 | | Superintendent of Education or his or her designee; and | 22 | | representatives of other appropriate State agencies and, at a | 23 | | minimum, must recommend the use of validated screening tools | 24 | | appropriate to the child's age or grade, and, with regard to | 25 | | the social and emotional screening, require recording only | 26 | | whether or not the screening was completed. The rules shall |
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| 1 | | take into consideration the screening recommendations of the | 2 | | American Academy of Pediatrics and must be consistent with the | 3 | | State Board of Education's social and emotional learning | 4 | | standards. The Department of Public Health shall specify that a | 5 | | diabetes
screening as defined by rule shall be included as a | 6 | | required part of each
health examination.
Diabetes testing is | 7 | | not required. | 8 | | Physicians licensed to practice medicine in all of its | 9 | | branches, licensed advanced
practice nurses, or licensed | 10 | | physician assistants shall be
responsible for the performance | 11 | | of the health examinations, other than dental
examinations, eye | 12 | | examinations, and vision and hearing screening, and shall sign | 13 | | all report forms
required by subsection (4) of this Section | 14 | | that pertain to those portions of
the health examination for | 15 | | which the physician, advanced practice nurse, or
physician | 16 | | assistant is responsible.
If a registered
nurse performs any | 17 | | part of a health examination, then a physician licensed to
| 18 | | practice medicine in all of its branches must review and sign | 19 | | all required
report forms. Licensed dentists shall perform all | 20 | | dental examinations and
shall sign all report forms required by | 21 | | subsection (4) of this Section that
pertain to the dental | 22 | | examinations. Physicians licensed to practice medicine
in all | 23 | | its branches or licensed optometrists shall perform all eye | 24 | | examinations
required by this Section and shall sign all report | 25 | | forms required by
subsection (4) of this Section that pertain | 26 | | to the eye examination. For purposes of this Section, an eye |
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| 1 | | examination shall at a minimum include history, visual acuity, | 2 | | subjective refraction to best visual acuity near and far, | 3 | | internal and external examination, and a glaucoma evaluation, | 4 | | as well as any other tests or observations that in the | 5 | | professional judgment of the doctor are necessary. Vision and
| 6 | | hearing screening tests, which shall not be considered | 7 | | examinations as that
term is used in this Section, shall be | 8 | | conducted in accordance with rules and
regulations of the | 9 | | Department of Public Health, and by individuals whom the
| 10 | | Department of Public Health has certified.
In these rules and | 11 | | regulations, the Department of Public Health shall
require that | 12 | | individuals conducting vision screening tests give a child's
| 13 | | parent or guardian written notification, before the vision | 14 | | screening is
conducted, that states, "Vision screening is not a | 15 | | substitute for a
complete eye and vision evaluation by an eye | 16 | | doctor. Your child is not
required to undergo this vision | 17 | | screening if an optometrist or
ophthalmologist has completed | 18 | | and signed a report form indicating that
an examination has | 19 | | been administered within the previous 12 months." | 20 | | (2.5) With respect to the developmental screening and the | 21 | | social and emotional screening portion of the health | 22 | | examination, each child may present proof of having been | 23 | | screened in accordance with this Section and the rules adopted | 24 | | under this Section before October 15th of the school year. With | 25 | | regard to the social and emotional screening only, the | 26 | | examining health care provider shall only record whether or not |
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| 1 | | the screening was completed. If the child fails to present | 2 | | proof of the developmental screening or the social and | 3 | | emotional screening portions of the health examination by | 4 | | October 15th of the school year, qualified school support | 5 | | personnel may, with a parent's or guardian's consent, offer the | 6 | | developmental screening or the social and emotional screening | 7 | | to the child. Each public, private, and parochial school must | 8 | | give notice of the developmental screening and social and | 9 | | emotional screening requirements to the parents and guardians | 10 | | of students in compliance with the rules of the Department of | 11 | | Public Health. Nothing in this Section shall be construed to | 12 | | allow a school to exclude a child from attending because of a | 13 | | parent's or guardian's failure to obtain a developmental | 14 | | screening or a social and emotional screening for the child. | 15 | | Once a developmental screening or a social and emotional | 16 | | screening is completed and proof has been presented to the | 17 | | school, the school may, with a parent's or guardian's consent, | 18 | | make available appropriate school personnel to work with the | 19 | | parent or guardian, the child, and the provider who signed the | 20 | | screening form to obtain any appropriate evaluations and | 21 | | services as indicated on the form and in other information and | 22 | | documentation provided by the parents, guardians, or provider. | 23 | | (3) Every child shall, at or about the same time as he or | 24 | | she receives
a health examination required by subsection (1) of | 25 | | this Section, present
to the local school proof of having | 26 | | received such immunizations against
preventable communicable |
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| 1 | | diseases as the Department of Public Health shall
require by | 2 | | rules and regulations promulgated pursuant to this Section and | 3 | | the
Communicable Disease Prevention Act. | 4 | | (4) The individuals conducting the health examination,
| 5 | | dental examination, or eye examination shall record the
fact of | 6 | | having conducted the examination, and such additional | 7 | | information as
required, including for a health examination
| 8 | | data relating to asthma and obesity
(including at a minimum, | 9 | | date of birth, gender, height, weight, blood pressure, and date | 10 | | of exam), on uniform forms which the Department of Public | 11 | | Health and the State
Board of Education shall prescribe for | 12 | | statewide use. The examiner shall
summarize on the report form | 13 | | any condition that he or she suspects indicates a
need for | 14 | | special services, including for a health examination factors | 15 | | relating to asthma or obesity. The duty to summarize on the | 16 | | report form does not apply to social and emotional screenings. | 17 | | The confidentiality of the information and records relating to | 18 | | the developmental screening and the social and emotional | 19 | | screening shall be determined by the statutes, rules, and | 20 | | professional ethics governing the type of provider conducting | 21 | | the screening. The individuals confirming the administration | 22 | | of
required immunizations shall record as indicated on the form | 23 | | that the
immunizations were administered. | 24 | | (5) If a child does not submit proof of having had either | 25 | | the health
examination or the immunization as required, then | 26 | | the child shall be examined
or receive the immunization, as the |
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| 1 | | case may be, and present proof by October
15 of the current | 2 | | school year, or by an earlier date of the current school year
| 3 | | established by a school district. To establish a date before | 4 | | October 15 of the
current school year for the health | 5 | | examination or immunization as required, a
school district must | 6 | | give notice of the requirements of this Section 60 days
prior | 7 | | to the earlier established date. If for medical reasons one or | 8 | | more of
the required immunizations must be given after October | 9 | | 15 of the current school
year, or after an earlier established | 10 | | date of the current school year, then
the child shall present, | 11 | | by October 15, or by the earlier established date, a
schedule | 12 | | for the administration of the immunizations and a statement of | 13 | | the
medical reasons causing the delay, both the schedule and | 14 | | the statement being
issued by the physician, advanced practice | 15 | | nurse, physician assistant,
registered nurse, or local health | 16 | | department that will
be responsible for administration of the | 17 | | remaining required immunizations. If
a child does not comply by | 18 | | October 15, or by the earlier established date of
the current | 19 | | school year, with the requirements of this subsection, then the
| 20 | | local school authority shall exclude that child from school | 21 | | until such time as
the child presents proof of having had the | 22 | | health examination as required and
presents proof of having | 23 | | received those required immunizations which are
medically | 24 | | possible to receive immediately. During a child's exclusion | 25 | | from
school for noncompliance with this subsection, the child's | 26 | | parents or legal
guardian shall be considered in violation of |
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| 1 | | Section 26-1 and subject to any
penalty imposed by Section | 2 | | 26-10. This subsection (5) does not apply to dental | 3 | | examinations, eye examinations, and the developmental | 4 | | screening and the social and emotional screening portions of | 5 | | the health examination. If the student is an out-of-state | 6 | | transfer student and does not have the proof required under | 7 | | this subsection (5) before October 15 of the current year or | 8 | | whatever date is set by the school district, then he or she may | 9 | | only attend classes (i) if he or she has proof that an | 10 | | appointment for the required vaccinations has been scheduled | 11 | | with a party authorized to submit proof of the required | 12 | | vaccinations. If the proof of vaccination required under this | 13 | | subsection (5) is not submitted within 30 days after the | 14 | | student is permitted to attend classes, then the student is not | 15 | | to be permitted to attend classes until proof of the | 16 | | vaccinations has been properly submitted. No school district or | 17 | | employee of a school district shall be held liable for any | 18 | | injury or illness to another person that results from admitting | 19 | | an out-of-state transfer student to class that has an | 20 | | appointment scheduled pursuant to this subsection (5). | 21 | | (6) Every school shall report to the State Board of | 22 | | Education by November
15, in the manner which that agency shall | 23 | | require, the number of children who
have received the necessary | 24 | | immunizations and the health examination (other than a dental | 25 | | examination or eye examination) as
required, indicating, of | 26 | | those who have not received the immunizations and
examination |
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| 1 | | as required, the number of children who are exempt from health
| 2 | | examination and immunization requirements on religious or | 3 | | medical grounds as
provided in subsection (8). On or before | 4 | | December 1 of each year, every public school district and | 5 | | registered nonpublic school shall make publicly available the | 6 | | immunization data they are required to submit to the State | 7 | | Board of Education by November 15. The immunization data made | 8 | | publicly available must be identical to the data the school | 9 | | district or school has reported to the State Board of | 10 | | Education. | 11 | | Every school shall report to the State Board of Education | 12 | | by June 30, in the manner that the State Board requires, the | 13 | | number of children who have received the required dental | 14 | | examination, indicating, of those who have not received the | 15 | | required dental examination, the number of children who are | 16 | | exempt from the dental examination on religious grounds as | 17 | | provided in subsection (8) of this Section and the number of | 18 | | children who have received a waiver under subsection (1.5) of | 19 | | this Section. | 20 | | Every school shall report to the State Board of Education | 21 | | by June 30, in the manner that the State Board requires, the | 22 | | number of children who have received the required eye | 23 | | examination, indicating, of those who have not received the | 24 | | required eye examination, the number of children who are exempt | 25 | | from the eye examination as provided in subsection (8) of this | 26 | | Section, the number of children who have received a waiver |
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| 1 | | under subsection (1.10) of this Section, and the total number | 2 | | of children in noncompliance with the eye examination | 3 | | requirement. | 4 | | The reported information under this subsection (6) shall be | 5 | | provided to the
Department of Public Health by the State Board | 6 | | of Education. | 7 | | (7) Upon determining that the number of pupils who are | 8 | | required to be in
compliance with subsection (5) of this | 9 | | Section is below 90% of the number of
pupils enrolled in the | 10 | | school district, 10% of each State aid payment made
pursuant to | 11 | | Section 18-8.05 to the school district for such year may be | 12 | | withheld
by the State Board of Education until the number of | 13 | | students in compliance with
subsection (5) is the applicable | 14 | | specified percentage or higher. | 15 | | (8) Children of parents or legal guardians who object to | 16 | | health, dental, or eye examinations or any part thereof, to | 17 | | immunizations, or to vision and hearing screening tests on | 18 | | religious grounds shall not be required to undergo the | 19 | | examinations, tests, or immunizations to which they so object | 20 | | if such parents or legal guardians present to the appropriate | 21 | | local school authority a signed Certificate of Religious | 22 | | Exemption detailing the grounds for objection and the specific | 23 | | immunizations, tests, or examinations to which they object. The | 24 | | grounds for objection must set forth the specific religious | 25 | | belief that conflicts with the examination, test, | 26 | | immunization, or other medical intervention. The signed |
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| 1 | | certificate shall also reflect the parent's or legal guardian's | 2 | | understanding of the school's exclusion policies in the case of | 3 | | a vaccine-preventable disease outbreak or exposure. The | 4 | | certificate must also be signed by the authorized examining | 5 | | health care provider responsible for the performance of the | 6 | | child's health examination confirming that the provider | 7 | | provided education to the parent or legal guardian on the | 8 | | benefits of immunization and the health risks to the student | 9 | | and to the community of the communicable diseases for which | 10 | | immunization is required in this State. However, the health | 11 | | care provider's signature on the certificate reflects only that | 12 | | education was provided and does not allow a health care | 13 | | provider grounds to determine a religious exemption. Those | 14 | | receiving immunizations required under this Code shall be | 15 | | provided with the relevant vaccine information statements that | 16 | | are required to be disseminated by the federal National | 17 | | Childhood Vaccine Injury Act of 1986, which may contain | 18 | | information on circumstances when a vaccine should not be | 19 | | administered, prior to administering a vaccine. A healthcare | 20 | | provider may consider including without limitation the | 21 | | nationally accepted recommendations from federal agencies such | 22 | | as the Advisory Committee on Immunization Practices, the | 23 | | information outlined in the relevant vaccine information | 24 | | statement, and vaccine package inserts, along with the | 25 | | healthcare provider's clinical judgment, to determine whether | 26 | | any child may be more susceptible to experiencing an adverse |
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| 1 | | vaccine reaction than the general population, and, if so, the | 2 | | healthcare provider may exempt the child from an immunization | 3 | | or adopt an individualized immunization schedule. The | 4 | | Certificate of Religious Exemption shall be created by the | 5 | | Department of Public Health and shall be made available and | 6 | | used by parents and legal guardians by the beginning of the | 7 | | 2015-2016 school year. Parents or legal guardians must submit | 8 | | the Certificate of Religious Exemption to their local school | 9 | | authority prior to entering kindergarten, sixth grade, and | 10 | | ninth grade for each child for which they are requesting an | 11 | | exemption. The religious objection stated need not be directed | 12 | | by the tenets of an established religious organization. | 13 | | However, general philosophical or moral reluctance to allow | 14 | | physical examinations, eye examinations, immunizations, vision | 15 | | and hearing screenings, or dental examinations does not provide | 16 | | a sufficient basis for an exception to statutory requirements. | 17 | | The local school authority is responsible for determining if
| 18 | | the content of the Certificate of Religious Exemption
| 19 | | constitutes a valid religious objection.
The local school | 20 | | authority shall inform the parent or legal guardian of | 21 | | exclusion procedures, in accordance with the Department's | 22 | | rules under Part 690 of Title 77 of the Illinois Administrative | 23 | | Code, at the time the objection is presented. | 24 | | If the physical condition
of the child is such that any one | 25 | | or more of the immunizing agents should not
be administered, | 26 | | the examining physician, advanced practice nurse, or
physician |
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| 1 | | assistant responsible for the performance of the
health | 2 | | examination shall endorse that fact upon the health examination | 3 | | form. | 4 | | Exempting a child from the health,
dental, or eye | 5 | | examination does not exempt the child from
participation in the | 6 | | program of physical education training provided in
Sections | 7 | | 27-5 through 27-7 of this Code. | 8 | | (9) For the purposes of this Section, "nursery schools" | 9 | | means those nursery
schools operated by elementary school | 10 | | systems or secondary level school units
or institutions of | 11 | | higher learning. | 12 | | (Source: P.A. 98-673, eff. 6-30-14; 99-173, eff. 7-29-15; | 13 | | 99-249, eff. 8-3-15; 99-642, eff. 7-28-16; 99-927, eff. | 14 | | 6-1-17.) | 15 | | Section 10. The Illinois Health Statistics Act is amended | 16 | | by changing Section 4 as follows:
| 17 | | (410 ILCS 520/4) (from Ch. 111 1/2, par. 5604)
| 18 | | Sec. 4. (a) In carrying out the purposes of this Act, the | 19 | | Department may:
| 20 | | (1) Collect and maintain health data on:
| 21 | | (i) The extent, nature, and impact of illness, | 22 | | including factors relating to asthma, obesity , and | 23 | | disability on the population
of the State;
| 24 | | (ii) The determinants of health and health hazards |
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| 1 | | including asthma and obesity;
| 2 | | (iii) Health resources, including the extent of | 3 | | available manpower and resources;
| 4 | | (iv) Utilization of health care;
| 5 | | (v) Health care costs and financing;
| 6 | | (vi) Other health or health-related matters; and
| 7 | | (vii) The connection between the long-term effects | 8 | | of childhood cancer and the original cancer diagnosis | 9 | | and treatment. | 10 | | (2) Undertake and support research, demonstrations, | 11 | | and evaluations respecting
new or improved methods for | 12 | | obtaining current data on the matters referred
to in | 13 | | subparagraph (1).
| 14 | | (b) The Department may collect health data under authority | 15 | | granted by
any unit of local government and on behalf of other | 16 | | governmental or not-for-profit
organizations, including data | 17 | | collected by local schools and the State Board of Education | 18 | | relating to asthma and obesity on the health examination form | 19 | | required pursuant to Section 27-8.1 of the School Code. The | 20 | | data shall be de-identified and aggregated pursuant to rules | 21 | | promulgated by the Department to prevent disclosure of personal | 22 | | identifying information.
| 23 | | (c) The Department shall collect data only on a voluntary | 24 | | basis from individuals
and organizations, except when there is | 25 | | specific legal authority to compel
the mandatory reporting of | 26 | | the health data so requested. In making any collection
of |
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| 1 | | health data from an individual or organization the Department | 2 | | must give
to such individual or organization a written | 3 | | statement which states:
| 4 | | (1) Whether the individual or organization is required | 5 | | to respond, and
any sanctions for noncompliance;
| 6 | | (2) The purposes for which the health data are being | 7 | | collected; and
| 8 | | (3) In the case of any disclosure of identifiable | 9 | | health data for other
than research and statistical | 10 | | purposes, the items to be disclosed, to whom
the data are | 11 | | to be disclosed and the purposes for which the data are to | 12 | | be disclosed.
| 13 | | (d) Except as provided in Section 5, no health data | 14 | | obtained in the course
of activities undertaken or supported | 15 | | under this Act may be used for any purpose
other than the | 16 | | purpose for which they were supplied or for which the | 17 | | individual
or organization described in the data has otherwise | 18 | | consented.
| 19 | | (e) The Department shall take such actions as may be | 20 | | necessary to assure
that statistics developed under this Act | 21 | | are of high quality, timely, comprehensive,
as well as | 22 | | specific, standardized and adequately analyzed and indexed.
| 23 | | (f) The Department shall take such action as is appropriate | 24 | | to effect
the coordination of health data activities, including | 25 | | health data specifically relating to obesity collected | 26 | | pursuant to Section 27-8.1 of the School Code, within the State |
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| 1 | | to eliminate
unnecessary duplication of data collection and | 2 | | maximize the usefulness of
data collected.
| 3 | | (g) The Department shall (1) participate with state, local | 4 | | and federal
agencies in the design and implementation of a | 5 | | cooperative system for producing
comparable and uniform health | 6 | | information and statistics at the federal,
state, and local | 7 | | levels; and (2) undertake and support research, development,
| 8 | | demonstrations, and evaluations respecting such cooperative | 9 | | system.
| 10 | | (Source: P.A. 98-891, eff. 1-1-15 .)
| 11 | | Section 95. No acceleration or delay. Where this Act makes | 12 | | changes in a statute that is represented in this Act by text | 13 | | that is not yet or no longer in effect (for example, a Section | 14 | | represented by multiple versions), the use of that text does | 15 | | not accelerate or delay the taking effect of (i) the changes | 16 | | made by this Act or (ii) provisions derived from any other | 17 | | Public Act.
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