LCO No. 698 1 of 16
General Assembly Raised Bill No. 5044
February Session, 2020
LCO No. 698
Referred to Committee on PUBLIC HEALTH
Introduced by:
(PH)
AN ACT CONCERNING IM MUNIZATIONS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Subsections (a) and (b) of section 10-204a of the general 1
statutes are repealed and the following is substituted in lieu thereof 2
(Effective from passage): 3
(a) Each local or regional board of education, or similar body 4
governing a nonpublic school or schools, shall require each child to be 5
protected by adequate immunization against diphtheria, pertussis, 6
tetanus, poliomyelitis, measles, mumps, rubella, [hemophilus] 7
haemophilus influenzae type B and any other vaccine required by the 8
schedule for active immunization adopted pursuant to section 19a-7f 9
before being permitted to enroll in any program operated by a public or 10
nonpublic school under its jurisdiction. Before being permitted to enter 11
seventh grade, a child shall receive a second immunization against 12
measles. Any such child who (1) presents a certificate from a physician, 13
physician assistant, advanced practice registered nurse or local health 14 Raised Bill No. 5044
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agency stating that initial immunizations have been given to such child 15
and additional immunizations are in process (A) under guidelines and 16
schedules specified by the Commissioner of Public Health; or (B) as such 17
additional immunizations are recommended, in writing on a form 18
prescribed by the Commissioner of Public Health, for such child by a 19
physician, physician assistant or advanced practice registered nurse 20
prior to the first day of regular class sessions for the school year 21
commencing July 1, 2020, if such child, prior to July 1, 2020, was exempt 22
from the appropriate provisions of this section upon presentation of a 23
statement that such immunization would be contrary to the religious 24
beliefs of such child or the parents or guardian of such child; (2) presents 25
a certificate, in a form prescribed by the Commissioner of Public Health 26
pursuant to section 6 of this act, from a physician, physician assistant or 27
advanced practice registered nurse stating that in the opinion of such 28
physician, physician assistant or advanced practice registered nurse 29
such immunization is medically contraindicated because of the physical 30
condition of such child; [or (3) presents a statement from the parents or 31
guardian of such child that such immunization would be contrary to the 32
religious beliefs of such child or the parents or guardian of such child, 33
which statement shall be acknowledged, in accordance with the 34
provisions of sections 1-32, 1-34 and 1-35, by (A) a judge of a court of 35
record or a family support magistrate, (B) a clerk or deputy clerk of a 36
court having a seal, (C) a town clerk, (D) a notary public, (E) a justice of 37
the peace, (F) an attorney admitted to the bar of this state, or (G) 38
notwithstanding any provision of chapter 6, a school nurse; or (4)] (3) in 39
the case of measles, mumps or rubella, presents a certificate from a 40
physician, physician assistant or advanced practice registered nurse or 41
from the director of health in such child's present or previous town of 42
residence, stating that the child has had a confirmed case of such 43
disease; [or (5)] (4) in the case of [hemophilus] haemophilus influenzae 44
type B has passed [his] such child's fifth birthday; or [(6)] (5) in the case 45
of pertussis, has passed [his] such child's sixth birthday, shall be exempt 46
from the appropriate provisions of this section. If the parents or 47
guardians of any child are unable to pay for such immunizations, the 48
expense of such immunizations shall, on the recommendations of such 49 Raised Bill No. 5044
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board of education, be paid by the town. [Before being permitted to 50
enter seventh grade, the parents or guardian of any child who is exempt 51
on religious grounds from the immunization requirements of this 52
section, pursuant to subdivision (3) of this subsection, shall present to 53
such school a statement that such immunization requirements are 54
contrary to the religious beliefs of such child or the parents or guardian 55
of such child, which statement shall be acknowledged, in accordance 56
with the provisions of sections 1-32, 1-34 and 1-35, by (A) a judge of a 57
court of record or a family support magistrate, (B) a clerk or deputy clerk 58
of a court having a seal, (C) a town clerk, (D) a notary public, (E) a justice 59
of the peace, (F) an attorney admitted to the bar of this state, or (G) 60
notwithstanding any provision of chapter 6, a school nurse.] 61
(b) The definitions of adequate immunization shall reflect the 62
schedule for active immunization adopted pursuant to section 19a-7f 63
and be established by regulation adopted in accordance with the 64
provisions of chapter 54 by the Commissioner of Public Health, who 65
shall also be responsible for providing procedures under which [said] 66
such boards and [said] such similar governing bodies shall collect and 67
report immunization data on each child to the Department of Public 68
Health for (1) compilation and analysis by [said] the department, and 69
(2) release by the department of annual immunization rates for each 70
public and nonpublic school in the state, provided such immunization 71
data may not contain information that identifies a specific individual. 72
Sec. 2. Section 19a-25 of the general statutes is repealed and the 73
following is substituted in lieu thereof (Effective from passage): 74
(a) All information, records of interviews, written reports, statements, 75
notes, memoranda or other data, including personal data as defined in 76
subdivision (9) of section 4-190, procured by: [the] (1) The Department 77
of Public Health, by staff committees of facilities accredited by the 78
Department of Public Health or the maternity mortality review 79
committee, established pursuant to section 19a-59i, in connection with 80
studies of morbidity and mortality conducted by the Department of 81
Public Health, such staff committees or the maternal mortality review 82 Raised Bill No. 5044
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committee, or carried on by said department, such staff committees or 83
the maternal mortality review committee jointly with other persons, 84
agencies or organizations, [or procured by] (2) the directors of health of 85
towns, cities or boroughs or the Department of Public Health pursuant 86
to section 19a-215, or [procured by] (3) such other persons, agencies or 87
organizations, for the purpose of reducing the morbidity or mortality 88
from any cause or condition, shall be confidential and shall be used 89
solely for the purposes of medical or scientific research and, for 90
information obtained pursuant to section 19a-215, disease prevention 91
and control by the local director of health and the Department of Public 92
Health. Such information, records, reports, statements, notes, 93
memoranda or other data shall not be admissible as evidence in any 94
action of any kind in any court or before any other tribunal, board, 95
agency or person, nor shall it be exhibited or its contents disclosed in 96
any way, in whole or in part, by any officer or representative of the 97
Department of Public Health or of any such facility, by any person 98
participating in such a research project or by any other person, except 99
as may be necessary for the purpose of furthering the research project to 100
which it relates. 101
(b) Notwithstanding the provisions of chapter 55, the Department of 102
Public Health may exchange personal data for the purpose of medical 103
or scientific research, with any other governmental agency or private 104
research organization; provided such state, governmental agency or 105
private research organization shall not further disclose such personal 106
data. The Commissioner of Public Health shall adopt regulations, in 107
accordance with the provisions of chapter 54, consistent with the 108
purposes of this section to establish the procedures to ensure the 109
confidentiality of such disclosures. The furnishing of such information 110
to the Department of Public Health or its authorized representative, or 111
to any other agency cooperating in such a research project, shall not 112
subject any person, hospital, [sanitarium] behavioral health facility, rest 113
home, nursing home or other person or agency furnishing such 114
information to any action for damages or other relief because of such 115
disclosure. [This section shall not be deemed to affect disclosure] 116 Raised Bill No. 5044
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(c) The provisions of this section shall not affect: (1) Disclosure of 117
regular hospital and medical records made in the course of the regular 118
notation of the care and treatment of any patient, but only records or 119
notations by [such] the staff committees described in subsection (a) of 120
this section pursuant to their work, or (2) release by the Department of 121
Public Health of annual immunization rates for each public and 122
nonpublic school in the state pursuant to section 10-204a, as amended 123
by this act. 124
Sec. 3. Section 10a-155 of the general statutes is repealed and the 125
following is substituted in lieu thereof (Effective from passage): 126
(a) Each institution of higher education shall require each full-time or 127
matriculating student born after December 31, 1956, to provide proof of 128
adequate immunization against measles, rubella, [and on and after 129
August 1, 2010, to provide proof of adequate immunization against] 130
mumps and varicella as recommended by the national Advisory 131
Committee for Immunization Practices before permitting such student 132
to enroll in such institution. [Any such] 133
(b) Notwithstanding the provisions of subsection (a) of this section, 134
any student who (1) presents a certificate, in a form prescribed by the 135
Commissioner of Public Health pursuant to section 6 of this act, from a 136
physician or an advanced practice registered nurse stating that in the 137
opinion of such physician or advanced practice registered nurse such 138
immunization is medically contraindicated, [(2) provides a statement 139
that such immunization would be contrary to his religious beliefs, (3)] 140
(2) presents a certificate from a physician, an advanced practice 141
registered nurse or the director of health in the student's present or 142
previous town of residence, stating that the student has had a confirmed 143
case of such disease, [(4)] (3) is enrolled exclusively in a program for 144
which students do not congregate on campus for classes or to participate 145
in institutional-sponsored events, such as students enrolled in distance 146
learning programs for individualized home study or programs 147
conducted entirely through electronic media in a setting without other 148
students present, [or (5)] (4) graduated from a public or nonpublic high 149 Raised Bill No. 5044
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school in this state in 1999 or later and was not exempt from the measles, 150
rubella, [and on and after August 1, 2010, the] mumps and varicella 151
vaccination requirement pursuant to subdivision (2) [or (3)] of 152
subsection (a) of section 10-204a, as amended by this act, or (5) prior to 153
July 1, 2020, was exempt from the appropriate provisions of this section 154
upon presentation of a statement that such immunization would be 155
contrary to his or her religious beliefs and, prior to the first day of the 156
fall semester of 2020, presents a certificate, in a form prescribed by the 157
Commissioner of Public Health, from a physician or advanced practice 158
registered nurse stating that an immunization against measles, rubella, 159
mumps and varicella has been given to the student and that any 160
additional necessary immunizations of the student against measles, 161
rubella, mumps and varicella are in process under guidelines specified 162
by the Commissioner of Public Health or as recommended for the 163
student by the physician or advanced practice registered nurse, shall be 164
exempt from the appropriate provisions of this section. 165
[(b)] (c) Each institution of higher education shall keep uniform 166
records of the immunizations and immunization status of each student, 167
based on the certificate of immunization or other evidence acceptable 168
pursuant to subsection (a) of this section. The record shall be part of the 169
student's permanent record. By November first of each year, the chief 170
administrative officer of each institution of higher education shall cause 171
to be submitted to the Commissioner of Public Health, on a form 172
provided by the commissioner, a summary report of the immunization 173
status of all students enrolling in such institution. 174
Sec. 4. Subsection (a) of section 10a-155b of the general statutes is 175
repealed and the following is substituted in lieu thereof (Effective from 176
passage): 177
(a) For students who first enroll in the 2014-2015 school year, and first 178
enroll in each school year thereafter, each public or private college or 179
university in this state shall require that each student who resides in on-180
campus housing be vaccinated against meningitis and submit evidence 181
of having received a meningococcal conjugate vaccine not more than 182 Raised Bill No. 5044
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five years before enrollment as a condition of such residence. The 183
provisions of this subsection shall not apply to any such student who (1) 184
presents a certificate, in a form prescribed by the Commissioner of 185
Public Health pursuant to section 6 of this act, from a physician, an 186
advanced practice registered nurse or a physician assistant stating that, 187
in the opinion of such physician, advanced practice registered nurse or 188
physician assistant, such vaccination is medically contraindicated 189
because of the physical condition of such student, or (2) [presents a 190
statement that such vaccination would be contrary to the religious 191
beliefs of such student] prior to July 1, 2020, was exempt from the 192
provisions of this subsection upon presentation of a statement that such 193
vaccination would be contrary to the religious beliefs of such student 194
and, prior to the first day of the fall semester of 2020, presents a 195
certificate, in a form prescribed by the Commissioner of Public Health, 196
from a physician, an advanced practice registered nurse or a physician 197
assistant stating that a meningococcal conjugate vaccine has been given 198
to such student and that any additional necessary vaccinations of the 199
student against meningitis are in process under guidelines specified by 200
the Commissioner of Public Health or as recommended for the student 201
by the physician, advanced practice registered nurse or a physician 202
assistant. 203
Sec. 5. Section 19a-79 of the 2020 supplement to the general statutes 204
is repealed and the following is substituted in lieu thereof (Effective from 205
passage): 206
(a) The Commissioner of Early Childhood shall adopt regulations, in 207
accordance with the provisions of chapter 54, to carry out the purposes 208
of sections 19a-77 to 19a-80, inclusive, and 19a-82 to 19a-87, inclusive, 209
and to assure that child care centers and group child care homes meet 210
the health, educational and social needs of children utilizing such child 211
care centers and group child care homes. Such regulations shall (1) 212
specify that before being permitted to attend any child care center or 213
group child care home, each child shall be protected as age-appropriate 214
by adequate immunization against diphtheria, pertussis, tetanus, 215
poliomyelitis, measles, mumps, rubella, [hemophilus] haemophilus 216 Raised Bill No. 5044
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influenzae type B and any other vaccine required by the schedule of 217
active immunization adopted pursuant to section 19a-7f, [including 218
appropriate exemptions for children for whom such immunization is 219
medically contraindicated and for children whose parent or guardian 220
objects to such immunization on religious grounds, and that any 221
objection by a parent or a guardian to immunization of a child on 222
religious grounds shall be accompanied by a statement from such parent 223
or guardian that such immunization would be contrary to the religious 224
beliefs of such child or the parent or guardian of such child, which 225
statement shall be acknowledged, in accordance with the provisions of 226
sections 1-32, 1-34 and 1-35, by (A) a judge of a court of record or a family 227
support magistrate, (B) a clerk or deputy clerk of a court having a seal, 228
(C) a town clerk, (D) a notary public, (E) a justice of the peace, or (F) an 229
attorney admitted to the bar of this state,] (2) specify conditions under 230
which child care center directors and teachers and group child care 231
home providers may administer tests to monitor glucose levels in a child 232
with diagnosed diabetes mellitus, and administer medicinal 233
preparations, including controlled drugs specified in the regulations by 234
the commissioner, to a child receiving child care services at such child 235
care center or group child care home pursuant to the written order of a 236
physician licensed to practice medicine or a dentist licensed to practice 237
dental medicine in this or another state, or an advanced practice 238
registered nurse licensed to prescribe in accordance with section 20-94a, 239
or a physician assistant licensed to prescribe in accordance with section 240
20-12d, and the written authorization of a parent or guardian of such 241
child, (3) specify that an operator of a child care center or group child 242
care home, licensed before January 1, 1986, or an operator who receives 243
a license after January 1, 1986, for a facility licensed prior to January 1, 244
1986, shall provide a minimum of thirty square feet per child of total 245
indoor usable space, free of furniture except that needed for the 246
children's purposes, exclusive of toilet rooms, bathrooms, coatrooms, 247
kitchens, halls, isolation room or other rooms used for purposes other 248
than the activities of the children, (4) specify that a child care center or 249
group child care home licensed after January 1, 1986, shall provide 250
thirty-five square feet per child of total indoor usable space, (5) establish 251 Raised Bill No. 5044
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appropriate child care center staffing requirements for employees 252
certified in cardiopulmonary resuscitation by the American Red Cross, 253
the American Heart Association, the National Safety Council, American 254
Safety and Health Institute, Medic First Aid International, Inc. or an 255
organization using guidelines for cardiopulmonary resuscitation and 256
emergency cardiovascular care published by the American Heart 257
Association and International Liaison Committee on Resuscitation, (6) 258
specify that [on and after January 1, 2003,] a child care center or group 259
child care home (A) shall not deny services to a child on the basis of a 260
child's known or suspected allergy or because a child has a prescription 261
for an automatic prefilled cartridge injector or similar automatic 262
injectable equipment used to treat an allergic reaction, or for injectable 263
equipment used to administer glucagon, (B) shall, not later than three 264
weeks after such child's enrollment in such a center or home, have staff 265
trained in the use of such equipment on-site during all hours when such 266
a child is on-site, (C) shall require such child's parent or guardian to 267
provide the injector or injectable equipment and a copy of the 268
prescription for such medication and injector or injectable equipment 269
upon enrollment of such child, and (D) shall require a parent or 270
guardian enrolling such a child to replace such medication and 271
equipment prior to its expiration date, (7) specify that [on and after 272
January 1, 2005,] a child care center or group child care home (A) shall 273
not deny services to a child on the basis of a child's diagnosis of asthma 274
or because a child has a prescription for an inhalant medication to treat 275
asthma, and (B) shall, not later than three weeks after such child's 276
enrollment in such a center or home, have staff trained in the 277
administration of such medication on-site during all hours when such a 278
child is on-site, and (8) establish physical plant requirements for 279
licensed child care centers and licensed group child care homes that 280
exclusively serve school-age children. When establishing such 281
requirements, the Office of Early Childhood shall give consideration to 282
child care centers and group child care homes that are located in private 283
or public school buildings. With respect to this subdivision only, the 284
commissioner shall implement policies and procedures necessary to 285
implement the physical plant requirements established pursuant to this 286 Raised Bill No. 5044
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subdivision while in the process of adopting such policies and 287
procedures in regulation form. Until replaced by policies and 288
procedures implemented pursuant to this subdivision, any physical 289
plant requirement specified in the office's regulations that is generally 290
applicable to child care centers and group child care homes shall 291
continue to be applicable to such centers and homes that exclusively 292
serve school-age children. The commissioner shall print notice of the 293
intent to adopt regulations pursuant to this subdivision on the 294
eRegulations System not later than twenty days after the date of 295
implementation of such policies and procedures. Policies and 296
procedures implemented pursuant to this subdivision shall be valid 297
until the time final regulations are adopted. 298
(b) Any child who (1) presents a certificate, in a form prescribed by 299
the Commissioner of Public Health pursuant to section 6 of this act, 300
signed by a physician, physician assistant or advanced practice 301
registered nurse stating that, in the opinion of such physician, physician 302
assistant or advanced practice registered nurse, the immunizations 303
required pursuant to regulations adopted pursuant to subdivision (1) of 304
subsection (a) of this section are medically contraindicated, or (2) prior 305
to July 1, 2020, was exempt from the immunization requirements set 306
forth in such regulations upon presentation of a statement that such 307
immunizations would be contrary to the religious beliefs of such child 308
or the parents or guardians of such child and, on or before September 1, 309
2020, presents a certificate, in a form prescribed by the Commissioner of 310
Public Health, from a physician, physician assistant or advanced 311
practice registered nurse stating that an immunization against 312
diphtheria, pertussis, tetanus, poliomyelitis, measles, mumps, rubella, 313
haemophilus influenzae type B and any other vaccine required by the 314
schedule of active immunization adopted pursuant to section 19a-7f has 315
been given to such child and that any additional neces sary 316
immunizations of such student against diphtheria, pertussis, tetanus, 317
poliomyelitis, measles, mumps, rubella, haemophilus influenzae type B 318
and any other vaccine required by such schedule of active immunization 319
are in process under guidelines specified by the Commissioner of Public 320 Raised Bill No. 5044
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Health or as recommended for the child by the physician, physician 321
assistant or advanced practice registered nurse, shall be exempt from 322
the immunization requirements set forth in such regulations. 323
[(b)] (c) The commissioner may adopt regulations, pursuant to 324
chapter 54, to establish civil penalties of not more than one hundred 325
dollars per day for each day of violation and other disciplinary remedies 326
that may be imposed, following a contested-case hearing, upon the 327
holder of a license issued under section 19a-80 to operate a child care 328
center or group child care home or upon the holder of a license issued 329
under section 19a-87b to operate a family child care home. 330
[(c)] (d) The commissioner shall exempt Montessori schools 331
accredited by the American Montessori Society or the Association 332
Montessori Internationale from any provision in regulations adopted 333
pursuant to subsection (a) of this section which sets requirements on 334
group size or child to staff ratios or the provision of cots. 335
[(d)] (e) Upon the declaration by the Governor of a civil preparedness 336
emergency pursuant to section 28-9 or a public health emergency 337
pursuant to section 19a-131a, the commissioner may waive the 338
provisions of any regulation adopted pursuant to this section if the 339
commissioner determines that such waiver would not endanger the life, 340
safety or health of any child. The commissioner shall prescribe the 341
duration of such waiver, provided such waiver shall not extend beyond 342
the duration of the declared emergency. The commissioner shall 343
establish the criteria by which a waiver request shall be made and the 344
conditions for which a waiver will be granted or denied. The provisions 345
of section 19a-84 shall not apply to a denial of a waiver request under 346
this subsection. 347
[(e)] (f) Any child care center or group child care home may provide 348
child care services to homeless children and youths, as defined in 42 349
USC 11434a, as amended from time to time, for a period not to exceed 350
ninety days without complying with any provision in regulations 351
adopted pursuant to this section relating to immunization and physical 352 Raised Bill No. 5044
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examination requirements. Any child care center or group child care 353
home that provides child care services to homeless children and youths 354
at such center or home under this subsection shall maintain a record on 355
file of all homeless children and youths who have attended such center 356
or home for a period of two years after such homeless children or youths 357
are no longer receiving child care services at such center or home. 358
[(f)] (g) Any child care center or group child care home may provide 359
child care services to a foster child for a period not to exceed forty-five 360
days without complying with any provision in regulations adopted 361
pursuant to this section relating to immunization and physical 362
examination requirements. Any child care center or group child care 363
home that provides child care services to a foster child at such center or 364
home under this subsection shall maintain a record on file of such foster 365
child for a period of two years after such foster child is no longer 366
receiving child care services at such center or home. For purposes of this 367
subsection, "foster child" means a child who is in the care and custody 368
of the Commissioner of Children and Families and placed in a foster 369
home licensed pursuant to section 17a-114, foster home approved by a 370
child-placing agency licensed pursuant to section 17a-149, facility 371
licensed pursuant to section 17a-145 or with a relative or fictive kin 372
caregiver pursuant to section 17a-114. 373
Sec. 6. (Effective from passage) On or before October 1, 2020, the 374
Commissioner of Public Health shall develop and make available on the 375
Internet web site of the Department of Public Health a certificate for use 376
by a physician, physician assistant or advanced practice registered 377
nurse stating that, in the opinion of such physician, physician assistant 378
or advanced practice registered nurse, a vaccination required by the 379
general statutes is medically contraindicated for a person because of the 380
physical condition of such person. The certificate shall include (1) 381
definitions of the terms "contraindication" and "precaution", (2) a list of 382
contraindications and precautions recognized by the National Centers 383
for Disease Control and Prevention for each of the statutorily required 384
vaccinations, from which the physician, physician assistant or advanced 385
practice registered nurse may select the relevant contraindication or 386 Raised Bill No. 5044
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precaution on behalf of such person, (3) a section in which the physician, 387
physician assistant or advanced practice registered nurse may record a 388
contraindication or precaution that is not recognized by the National 389
Centers for Disease Control and Prevention, but in his or her discretion, 390
results in the vaccination being medically contraindicated, (4) a section 391
in which the physician, physician assistant or advanced practice 392
registered nurse may include a written explanation for the exemption 393
from any statutorily required vaccinations, (5) a section requiring the 394
signature of the physician, physician assistant or advanced practice 395
registered nurse, (6) a requirement that the physician, physician 396
assistant or advanced practice registered nurse attach such person's 397
most current immunization record, and (7) a synopsis of the grounds for 398
any order of quarantine or isolation pursuant to section 19a-131b of the 399
general statutes. 400
Sec. 7. (NEW) (Effective from passage) (a) There is established an 401
Advisory Committee on Medically Contraindicated Vaccinations within 402
the Department of Public Health for the purpose of advising the 403
Commissioner of Public Health on issues concerning exemptions from 404
state or federal requirements for vaccinations that result from a 405
physician, physician assistant or advanced practice registered nurse 406
stating that a vaccination is medically contraindicated for a person due 407
to the medical condition of such person. For the purpose of performing 408
its function, the advisory committee shall (1) have access to the 409
childhood immunization registry established by the department 410
pursuant to section 19a-7h of the general statutes, (2) evaluate the 411
process used by the Department of Public Health in collecting data 412
concerning exemptions resulting from a vaccination being medically 413
contraindicated and whether the department should have any oversight 414
over such exemptions, (3) examine whether enrollment of an 415
unvaccinated child into a program operated by a public or nonpublic 416
school, institution of higher education, child care center or group child 417
care home should be conditioned upon the child meeting certain 418
criteria, (4) calculate the ratio of school nurses to students in each public 419
and nonpublic school in the state and the funding issues surrounding 420 Raised Bill No. 5044
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such ratio, (5) assess whether immunizations should be required more 421
frequently than prior to enrollment into a program operated by a public 422
or nonpublic school and prior to entering seventh grade, and (6) 423
determine whether (A) there are any discrepancies in the issuance of 424
certificates stating that a vaccine is medically contraindicated, and (B) to 425
recommend continuing education of physicians, physician assistants or 426
advanced practice registered nurses in vaccine contraindications and 427
precautions. All information obtained by the advisory committee from 428
such registry shall be confidential pursuant to section 19a-25 of the 429
general statutes, as amended by this act. 430
(b) The advisory committee shall consist of the following members: 431
(1) Two appointed by the speaker of the House of Representatives, 432
one of whom shall be a physician licensed pursuant to chapter 370 of the 433
general statutes who is a pediatrician, and one of whom shall be a 434
member of the public; 435
(2) Two appointed by the president pro tempore of the Senate, one of 436
whom shall be a physician licensed pursuant to chapter 370 of the 437
general statutes who has expertise in the efficacy of vaccines, and one of 438
whom shall be a member of the public; 439
(3) One appointed by the majority leader of the House of 440
Representatives, who shall be a school nurse; 441
(4) One appointed by the majority leader of the Senate, who shall be 442
a physician assistant licensed pursuant to chapter 370 of the general 443
statutes who has experience in the administration of vaccines; 444
(5) One appointed by the minority leader of the House of 445
Representatives, who shall be an advanced practice registered nurse 446
licensed pursuant to chapter 378 of the general statutes who has 447
experience in the administration of vaccines; 448
(6) One appointed by the minority leader of the Senate, who shall be 449
a representative of the Connecticut Chapter of the American Academy 450 Raised Bill No. 5044
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of Pediatrics; 451
(7) The Commissioner of Public Health, or the commissioner's 452
designee; and 453
(8) The Commissioner of Education, or the commissioner's designee. 454
(c) The advisory committee shall meet not less than biannually. On or 455
before January 1, 2021, and annually thereafter, the committee shall 456
report, in accordance with the provisions of section 11-4a of the general 457
statutes, on its activities and findings to the joint standing committee of 458
the General Assembly having cognizance of matters relating to public 459
health. 460
Sec. 8. Subsection (f) of section 19a-87b of the 2020 supplement to the 461
general statutes is repealed and the following is substituted in lieu 462
thereof (Effective from passage): 463
(f) The commissioner shall adopt regulations, in accordance with the 464
provisions of chapter 54, to assure that family child care homes, as 465
defined in section 19a-77, meet the health, educational and social needs 466
of children utilizing such homes. Such regulations shall ensure that the 467
family child care home is treated as a residence, and not an institutional 468
facility. Such regulations shall specify that each child be protected as 469
age-appropriate by adequate immunization against diphtheria, 470
pertussis, tetanus, poliomyelitis, measles, mumps, rubella, 471
[hemophilus] haemophilus influenzae type B and any other vaccine 472
required by the schedule of active immunization adopted pursuant to 473
section 19a-7f. Such regulations shall provide appropriate exemptions 474
for children for whom such immunization is medically contraindicated 475
and for children whose parents or guardian objects to such 476
immunization on religious grounds and require that any such objection 477
be accompanied by a statement from such parents or guardian that such 478
immunization would be contrary to the religious beliefs of such child or 479
the parents or guardian of such child, which statement shall be 480
acknowledged, in accordance with the provisions of sections 1-32, 1-34 481
and 1-35, by (1) a judge of a court of record or a family support 482 Raised Bill No. 5044
LCO No. 698 16 of 16
magistrate, (2) a clerk or deputy clerk of a court having a seal, (3) a town 483
clerk, (4) a notary public, (5) a justice of the peace, or (6) an attorney 484
admitted to the bar of this state. Such regulations shall also specify 485
conditions under which family child care home providers may 486
administer tests to monitor glucose levels in a child with diagnosed 487
diabetes mellitus, and administer medicinal preparations, including 488
controlled drugs specified in the regulations by the commissioner, to a 489
child receiving child care services at a family child care home pursuant 490
to a written order of a physician licensed to practice medicine in this or 491
another state, an advanced practice registered nurse licensed to 492
prescribe in accordance with section 20-94a or a physician assistant 493
licensed to prescribe in accordance with section 20-12d, and the written 494
authorization of a parent or guardian of such child. Such regulations 495
shall specify appropriate standards for extended care and intermittent 496
short-term overnight care. The commissioner shall inform each licensee, 497
by way of a plain language summary provided not later than sixty days 498
after the regulation's effective date, of any new or changed regulations 499
adopted under this subsection with which a licensee must comply. 500
This act shall take effect as follows and shall amend the following
sections:
Section 1 from passage 10-204a(a) and (b)
Sec. 2 from passage 19a-25
Sec. 3 from passage 10a-155
Sec. 4 from passage 10a-155b(a)
Sec. 5 from passage 19a-79
Sec. 6 from passage New section
Sec. 7 from passage New section
Sec. 8 from passage 19a-87b(f)
Statement of Purpose:
To protect the public health by ensuring adequate and appropriate
immunizations of children.
[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
underlined.]