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90_SB0781eng 105 ILCS 5/27-8.1 from Ch. 122, par. 27-8.1 Amends the School Code. Makes a grammatical change and revises an internal Section reference to certain provisions of the School Code. LRB9003403THcd SB781 Engrossed LRB9003403THcd 1 AN ACT in relation to immunizations for school children, 2 amending named Acts. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The School Code is amended by changing 6 Section 27-8.1 as follows: 7 (105 ILCS 5/27-8.1) (from Ch. 122, par. 27-8.1) 8 Sec. 27-8.1. Health examinations and immunizations. 9 (1) In compliance with rules and regulations thatwhich10 the Department of Public Health shall promulgate, and except 11 as hereinafter provided, all children in Illinois shall have 12 a 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 fifth 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, 19 private, or parochial school or nursery school, each child 20 shall present proof of having been examined in accordance 21 with this Section and the rules and regulations promulgated 22 hereunder. 23 A tuberculosis skin test screening shall be included as a 24 required part of each health examination included under this 25 Section if the child resides in an area designated by the 26 Department of Public Health as having a high incidence of 27 tuberculosis. Additional health examinations of pupils, 28 including dental and vision examinations, may be required 29 when deemed necessary by school authorities. Parents are 30 encouraged to have their children undergo dental examinations 31 at the same points in time required for health examinations. SB781 Engrossed -2- LRB9003403THcd 1 (2) The Department of Public Health shall promulgate 2 rules and regulations specifying the examinations and 3 procedures that constitute a health examination and may 4 recommend by rule that certain additional examinations be 5 performed. The rules and regulations of the Department of 6 Public Health shall specify that a tuberculosis skin test 7 screening shall be included as a required part of each health 8 examination included under this Section if the child resides 9 in an area designated by the Department of Public Health as 10 having a high incidence of tuberculosis. 11 Physicians licensed to practice medicine in all of its 12 branches shall be responsible for the performance of the 13 health examinations, other than dental examinations and 14 vision and hearing screening, and shall sign all report forms 15 required by subsection (4) of this Section that pertain to 16 those portions of the health examination for which the 17 physician is responsible. If a registered nurse performs any 18 part of a health examination, then a physician licensed to 19 practice medicine in all of its branches must review and sign 20 all required report forms. Licensed dentists shall perform 21 all dental examinations and shall sign all report forms 22 required by subsection (4) of this Section that pertain to 23 the dental examinations. Physicians licensed to practice 24 medicine in all its branches, or licensed optometrists, shall 25 perform all vision exams required by school authorities and 26 shall sign all report forms required by subsection (4) of 27 this Section that pertain to the vision exam. Vision and 28 hearing screening tests, which shall not be considered 29 examinations as that term is used in this Section, shall be 30 conducted in accordance with rules and regulations of the 31 Department of Public Health, and by individuals whom the 32 Department of Public Health has certified. 33 (3) Every child shall, at or about the same time as he 34 or she receives a health examination required by subsection SB781 Engrossed -3- LRB9003403THcd 1 (1) of this Section, present to the local school, proof of 2 having received such immunizations against preventable 3 communicable diseases as the Department of Public Health 4 shall require by rules and regulations promulgated pursuant 5 to this Section and the Communicable Disease Prevention Act. 6 (4) The individuals conducting the health examination 7 shall record the fact of having conducted the examination, 8 and such additional information as required, on uniform forms 9 which the Department of Public Health and the State Board of 10 Education shall prescribe for statewide use. The examiner 11 shall summarize on the report form any condition that he or 12 she suspects indicates a need for special services. The 13 individuals confirming the administration of required 14 immunizations shall record as indicated on the form that the 15 immunizations were administered. 16 (5) If a child does not submit proof of having had 17 either the health examination or the immunization as 18 required, then the child shall be examined or receive the 19 immunization, as the case may be, and present proof by 20 October 15 of the current school year, or by an earlier date 21 of the current school year established by a school district. 22 To establish a date before October 15 of the current school 23 year for the health examination or immunization as required, 24 a school district must give notice of the requirements of 25 this Section 60 days prior to the earlier established date. 26 If for medical reasons one or more of the required 27 immunizations must be given after October 15 of the current 28 school year, or after an earlier established date of the 29 current school year, then the child shall present, by October 30 15, or by the earlier established date, a schedule for the 31 administration of the immunizations and a statement of the 32 medical reasons causing the delay, both the schedule and the 33 statement being issued by the physician, registered nurse, or 34 local health department that will be responsible for SB781 Engrossed -4- LRB9003403THcd 1 administration of the remaining required immunizations. If a 2 child does not comply by October 15, or by the earlier 3 established date of the current school year, with the 4 requirements of this subsection, then the local school 5 authority shall exclude that child from school until such 6 time as the child presents proof of having had the health 7 examination as required and presents proof of having received 8 those required immunizations which are medically possible to 9 receive immediately. During a child's exclusion from school 10 for noncompliance with this subsection, the child's parents 11 or legal guardian shall be considered in violation of Section 12 26-1 and subject to any penalty imposed by Section 26-10. 13 (6) Every school shall report to the State Board of 14 Education by November 15, in the manner which that agency 15 shall require, the number of children who have received the 16 necessary immunizations and the health examination as 17 required, indicating, of those who have not received the 18 immunizations and examination as required, the number of 19 children who are exempt from health examination and 20 immunization requirements on religious, philosophical, or 21 medical grounds as provided in subsection (8). This reported 22 information shall be provided to the Department of Public 23 Health by the State Board of Education. 24 (7) Upon determining that the number of pupils who are 25 required to be in compliance with subsection (5) of this 26 Section is below 90% of the number of pupils enrolled in the 27 school district, 10% of each State aid payment made pursuant 28 to Section 18-8 to the school district for such year shall be 29 withheld by the regional superintendent until the number of 30 students in compliance with subsection (5) is the applicable 31 specified percentage or higher. 32 (8) Children whose parents or legal guardians object to 33 health examinations or any part thereof, or to immunizations, 34 on religious or philosophical grounds shall not be required SB781 Engrossed -5- LRB9003403THcd 1 to submit their children or wards to the examinations or 2 immunizations to which they so object if such parents or 3 legal guardians present to the appropriate local school 4 authority a signed statement of objection, detailing the 5 grounds for the objection. If the physical condition of the 6 child is such that any one or more of the immunizing agents 7 should not be administered, the examining physician 8 responsible for the performance of the health examination 9 shall endorse that fact upon the health examination form. 10 Exempting a child from the health examination does not exempt 11 the child from participation in the program of physical 12 education training provided in Sections 27-5 through 27-7 of 13 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. 88-149; 89-618, eff. 8-9-96; 89-626, eff. 19 8-9-96.) 20 Section 10. The Communicable Disease Prevention Act is 21 amended by changing Section 2 as follows: 22 (410 ILCS 315/2) (from Ch. 111 1/2, par. 22.12) 23 Sec. 2. Rules; application; Task Force. 24 (a) The Department of Public Health shall promulgate 25 rules and regulations requiring immunization of children 26 against preventable communicable diseases designated by the 27 Director. Before any regulation or amendment thereto is 28 prescribed, the Department shall conduct a public hearing 29 regarding such regulation. The Department may prescribe 30 additional rules and regulations for immunization forof31 other diseases as vaccines are developed. 32 (b) The provisions of this Act shall not apply if: SB781 Engrossed -6- LRB9003403THcd 1 1. the parent or guardian of the child objects 2 thereto on the grounds that the administration of 3 immunizing agents conflicts with his or her philosophical 4 beliefs or religious tenets or practices; or,5 2. a physician employed by the parent or guardian 6 to provide care and treatment to the child states that 7 the physical condition of the child is such that the 8 administration of one or more of the required immunizing 9 agents would be detrimental to the health of the child. 10 (c) There is created the Immunization Task Force, which 11 shall consist of 12 persons. The President and Minority 12 Leader of the Senate and the Speaker and Minority Leader of 13 the House of Representatives shall each appoint to the Task 14 Force one legislator and one parent or guardian of a child 15 required to be immunized. The remaining 4 members of the 16 Task Force shall be appointed by the Director of Public 17 Health. The legislative members appointed by the Senate 18 President and the Speaker of the House shall serve as 19 co-chairs of the Task Force. 20 The Immunization Task Force shall review the process by 21 which the Department of Public Health establishes and revises 22 immunization requirements under this Act and Section 27-8.1 23 of the School Code. The Immunization Task Force shall report 24 its findings and recommendations to the Department and the 25 General Assembly by February 1, 1998. 26 (Source: P.A. 85-828.) 27 Section 99. Effective date. This Act takes effect upon 28 becoming law.