State of Illinois
90th General Assembly
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[ Introduced ][ House Amendment 002 ][ House Amendment 003 ]

90_HB3318ham001

                                           LRB9010091DJcdam01
 1                    AMENDMENT TO HOUSE BILL 3318
 2        AMENDMENT NO.     .  Amend House Bill 3318 as follows:
 3    by replacing the title with the following:
 4        "AN ACT to amend the Communicable Disease Prevention  Act
 5    by  changing Sections 1 and 2 and adding Sections 1.5, 4, and
 6    5."; and
 7    by replacing everything after the enacting  clause  with  the
 8    following:
 9        "Section  5.   The Communicable Disease Prevention Act is
10    amended by changing Sections 1 and 2 and adding Sections 1.5,
11    4, and 5 as follows:
12        (410 ILCS 315/1) (from Ch. 111 1/2, par. 22.11)
13        Sec. 1.  Communicable diseases; public policy.
14        Certain   communicable   diseases   such   as    measles,
15    poliomyelitis  and  tetanus,  may  and  do  result in serious
16    physical and mental disability including mental  retardation,
17    permanent  paralysis,  encephalitis,  convulsions, pneumonia,
18    and not infrequently, death.
19        Most of these diseases attack young children, and if they
20    have not been immunized,  may  spread  to  other  susceptible
                            -2-            LRB9010091DJcdam01
 1    children  and  possibly, adults, thus, posing serious threats
 2    to the health of the community. Effective,  safe  and  widely
 3    used vaccines and immunization procedures have been developed
 4    and  are  available  to  prevent  these diseases and to limit
 5    their spread. Even though such  immunization  procedures  are
 6    available,  many  children  fail  to  receive this protection
 7    either through parental oversight, lack of concern, knowledge
 8    or interest, or lack of available facilities  or  funds.  The
 9    existence   of   susceptible   children   in   the  community
10    constitutes a health hazard to  the  individual  and  to  the
11    public at large by serving as a focus for the spread of these
12    communicable diseases.
13        It is declared to be the public policy of this State that
14    all  children  shall  be  protected,  as  soon after birth as
15    medically  indicated,  by  the   appropriate   vaccines   and
16    immunizing  procedures to prevent communicable diseases which
17    are  or  which  may  in  the  future  become  preventable  by
18    immunization.
19        The General Assembly recognizes that the greater the rate
20    of immunization among its citizens, the more  protection  all
21    of the citizens have against vaccine preventable communicable
22    diseases.   Further,  the State of Illinois requires children
23    enrolling in licensed child care facilities  and  schools  to
24    have   periodic   health  examinations  and  fulfill  certain
25    immunization requirements.  To this end, it is  desirable  to
26    ensure    that   appropriate   information   concerning   the
27    immunization  status  of  individual  Illinois  children   is
28    available  to  parents,  health  care  providers,  child care
29    facilities, and schools as quickly and  easily  as  possible,
30    recognizing the confidential nature of health information.
31    (Source: P.A. 78-255; 78-303; 78-1297.)
32        (410 ILCS 315/1.5 new)
33        Sec. 1.5.  Definitions.  In this Act:
                            -3-            LRB9010091DJcdam01
 1        "Department"  means  the  Illinois  Department  of Public
 2    Health.
 3        "Director" means the Director of Public Health.
 4        "Health care provider" means a  physician,  local  health
 5    department,  community  health  center,  or other health care
 6    professional or organization providing immunization  services
 7    to a patient.
 8        "Patient"  means  an  individual  who is receiving or has
 9    received immunization services.
10        (410 ILCS 315/2) (from Ch. 111 1/2, par. 22.12)
11        Sec. 2.  Rules and regulations; application of Act.
12        (a)  The  Department  of  Public   Health   shall   adopt
13    promulgate  rules  and  regulations requiring immunization of
14    children against preventable communicable diseases designated
15    by the Director. Before any regulation or  amendment  thereto
16    is  prescribed, the Department shall conduct a public hearing
17    regarding  such  regulation.  The  Department  may  prescribe
18    additional rules and regulations for  immunization  of  other
19    diseases as vaccines are developed.
20        (b)  The provisions of this Act shall not apply if:
21             1.   The  parent  or  legal  guardian  of  the child
22        objects thereto on the grounds that the administration of
23        immunizing agents conflicts with his religious tenets  or
24        practices or,
25             2.   A  physician  employed  by  the parent or legal
26        guardian to provide  care  and  treatment  to  the  child
27        states  that  the physical condition of the child is such
28        that the administration of one or more  of  the  required
29        immunizing  agents  would be detrimental to the health of
30        the child.
31    (Source: P.A. 85-828.)
32        (410 ILCS 315/4 new)
                            -4-            LRB9010091DJcdam01
 1        Sec. 4.  Immunization status  registry.   The  Department
 2    may,  based  on  available resources, develop an immunization
 3    status  registry  to  make  immunization  status  information
 4    available  to  parents  or  legal  guardians,   health   care
 5    providers,  child  care  facilities, or schools in accordance
 6    with the following requirements:
 7             (1)  Immunization information may be reported to the
 8        Department  by  a   health   care   provider   performing
 9        immunization   services  for  a  patient,  provided  that
10        consent for the reporting is given by the patient  or  by
11        the  parent  or  legal guardian of a minor patient.  This
12        authorization shall not create a duty or  obligation  for
13        health care providers to report immunizations, and a duty
14        or obligation shall not be implied.
15             (2)  After receiving a report under paragraph (1) of
16        this Section, the Department may release the immunization
17        information  only  to  those  parties  for  which written
18        consent is given by the patient or by the parent or legal
19        guardian of a minor  patient.   Immunization  information
20        that  may  be  released  shall  be set forth in a written
21        consent form.
22             (3)  Persons  or  entities  receiving   immunization
23        information  shall  maintain  the  confidentiality of the
24        information released to them and may use the  information
25        only for the following purposes:
26                  (A)  To  provide  immunization  services to the
27             patient.
28                  (B)  To  monitor  the  immunization  status  of
29             individuals to ensure adherence to  the  recommended
30             immunization schedule or compliance with the law.
31                  (C)  To  compile  and  disseminate  statistical
32             information  on the immunization status of groups of
33             patients  without   identifying  information   about
34             patients included in the groups.
                            -5-            LRB9010091DJcdam01
 1             (4)  In  developing and implementing an immunization
 2        status registry the Department shall solicit  the  advice
 3        and  input  of  interested  entities,  organizations, and
 4        persons,  including   but   not   limited   to:   medical
 5        professionals;  federal,  State,  and local public health
 6        professionals; child care professionals; State and  local
 7        school   officials;   pharmaceutical   companies;   child
 8        advocates; and parents.
 9        (410 ILCS 315/5 new)
10        Sec. 5.  Confidentiality and re-disclosure. Except as set
11    forth   in  this  Act,  no  person  or  entity  who  receives
12    information  under  this  Act  may  re-disclose   information
13    contained in immunization records in any manner or form.
14        Any   health   care   provider  that  intends  to  report
15    immunization information to the Department  must  inform  the
16    patient,  or the parent or legal guardian of a minor patient,
17    and secure the written consent of that  patient,  parent,  or
18    legal guardian before reporting the information.
19        The  patient,  or the parent or legal guardian of a minor
20    patient,   may   obtain   all    individually    identifiable
21    immunization  information in the immunization status registry
22    by presenting a written consent to the patient's health  care
23    provider.  If all of that information is not available from a
24    single  health  care  provider,  a  written  consent  may  be
25    presented to the Department.
26        Reporting   or  disclosing  immunization  information  as
27    provided in this Act shall not be construed as a violation of
28    any   requirements   concerning   confidentiality   of    the
29    information.      Except   as   provided  in  this  Act,  all
30    immunization information shall be treated in the same  manner
31    as  reports  under  the  Communicable Disease Report Act (745
32    ILCS 45/).
                            -6-            LRB9010091DJcdam01
 1        Section 99.  Effective date.  This Act takes effect  upon
 2    becoming law.".

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