Connecticut 2020 Regular Session

Connecticut House Bill HB05044 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1
2	2
3		-	LCO \\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-R01-
4		-	HB.docx
5		-	1 of 19
	3	+	LCO No. 698 1 of 16
6	4
7		-	General Assembly ~~Substitute~~ Bill No. 5044
	5	+	General Assembly Raised Bill No. 5044
8	6		February Session, 2020
	7	+	LCO No. 698
	8	+
	9	+
	10	+	Referred to Committee on PUBLIC HEALTH
	11	+
	12	+
	13	+	Introduced by:
	14	+	(PH)
	15	+
9	16
10	17
11	18
12	19		AN ACT CONCERNING IM MUNIZATIONS.
13	20		Be it enacted by the Senate and House of Representatives in General
14	21		Assembly convened:
15	22
16	23		Section 1. Subsections (a) and (b) of section 10-204a of the general 1
17	24		statutes are repealed and the following is substituted in lieu thereof 2
18	25		(Effective from passage): 3
19	26		(a) Each local or regional board of education, or similar body 4
20	27		governing a nonpublic school or schools, shall require each child to be 5
21	28		protected by adequate immunization against diphtheria, pertussis, 6
22	29		tetanus, poliomyelitis, measles, mumps, rubella, [hemophilus] 7
23	30		haemophilus influenzae type B and any other vaccine required by the 8
24	31		schedule for active immunization adopted pursuant to section 19a-7f 9
25	32		before being permitted to enroll in any program operated by a public or 10
26	33		nonpublic school under its jurisdiction. Before being permitted to enter 11
27	34		seventh grade, a child shall receive a second immunization against 12
28	35		measles. Any such child who (1) presents a certificate from a physician, 13
29		-	physician assistant, advanced practice registered nurse or local health 14
30		-	agency stating that initial immunizations have been given to such child 15
31		-	and additional immunizations are in process under guidelines and 16
32		-	schedules specified by the Commissioner of Public Health; or (2) 17
33		-	presents a certificate, in a form prescribed by the commissioner 18
34		-	pursuant to section 7 of this act, from a physician, physician assistant or 19
35		-	advanced practice registered nurse stating that in the opinion of such 20
36		-	physician, physician assistant or advanced practice registered nurse 21 Substitute Bill No. 5044
	36	+	physician assistant, advanced practice registered nurse or local health 14 Raised Bill No. 5044
37	37
38	38
39		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
40		-	R01-HB.docx }
41		-	2 of 19
42	39
43		-	such immunization is medically contraindicated because of the physical 22
44		-	condition of such child; or (3) prior to the effective date of this section, 23
45		-	presents a statement from the parents or guardian of such child that 24
46		-	such immunization would be contrary to the religious beliefs of such 25
47		-	child or the parents or guardian of such child, which statement shall be 26
48		-	acknowledged, in accordance with the provisions of sections 1-32, 1-34 27
49		-	and 1-35, by (A) a judge of a court of record or a family support 28
50		-	magistrate, (B) a clerk or deputy clerk of a court having a seal, (C) a town 29
51		-	clerk, (D) a notary public, (E) a justice of the peace, (F) an attorney 30
52		-	admitted to the bar of this state, or (G) notwithstanding any provision 31
53		-	of chapter 6, a school nurse; or (4) in the case of measles, mumps or 32
54		-	rubella, presents a certificate from a physician, physician assistant or 33
55		-	advanced practice registered nurse or from the director of health in such 34
56		-	child's present or previous town of residence, stating that the child has 35
57		-	had a confirmed case of such disease; or (5) in the case of [hemophilus] 36
58		-	haemophilus influenzae type B has passed [his] such child's fifth 37
59		-	birthday; or (6) in the case of pertussis, has passed [his] such child's sixth 38
60		-	birthday, shall be exempt from the appropriate provisions of this 39
61		-	section. If the parents or guardians of any child are unable to pay for 40
62		-	such immunizations, the expense of such immunizations shall, on the 41
63		-	recommendations of such board of education, be paid by the town. 42
64		-	Before being permitted to enter seventh grade, the parents or guardian 43
65		-	of any child who is exempt on religious grounds from the immunization 44
66		-	requirements of this section, pursuant to subdivision (3) of this 45
67		-	subsection, shall present to such school a statement that such 46
68		-	immunization requirements are contrary to the religious beliefs of such 47
69		-	child or the parents or guardian of such child, which statement shall be 48
70		-	acknowledged, in accordance with the provisions of sections 1-32, 1-34 49
71		-	and 1-35, by (A) a judge of a court of record or a family support 50
72		-	magistrate, (B) a clerk or deputy clerk of a court having a seal, (C) a town 51
73		-	clerk, (D) a notary public, (E) a justice of the peace, (F) an attorney 52
74		-	admitted to the bar of this state, or (G) notwithstanding any provision 53
75		-	of chapter 6, a school nurse. 54
76		-	(b) The definitions of adequate immunization shall reflect the 55 Substitute Bill No. 5044
	40	+	LCO No. 698 2 of 16
	41	+
	42	+	agency stating that initial immunizations have been given to such child 15
	43	+	and additional immunizations are in process (A) under guidelines and 16
	44	+	schedules specified by the Commissioner of Public Health; or (B) as such 17
	45	+	additional immunizations are recommended, in writing on a form 18
	46	+	prescribed by the Commissioner of Public Health, for such child by a 19
	47	+	physician, physician assistant or advanced practice registered nurse 20
	48	+	prior to the first day of regular class sessions for the school year 21
	49	+	commencing July 1, 2020, if such child, prior to July 1, 2020, was exempt 22
	50	+	from the appropriate provisions of this section upon presentation of a 23
	51	+	statement that such immunization would be contrary to the religious 24
	52	+	beliefs of such child or the parents or guardian of such child; (2) presents 25
	53	+	a certificate, in a form prescribed by the Commissioner of Public Health 26
	54	+	pursuant to section 6 of this act, from a physician, physician assistant or 27
	55	+	advanced practice registered nurse stating that in the opinion of such 28
	56	+	physician, physician assistant or advanced practice registered nurse 29
	57	+	such immunization is medically contraindicated because of the physical 30
	58	+	condition of such child; [or (3) presents a statement from the parents or 31
	59	+	guardian of such child that such immunization would be contrary to the 32
	60	+	religious beliefs of such child or the parents or guardian of such child, 33
	61	+	which statement shall be acknowledged, in accordance with the 34
	62	+	provisions of sections 1-32, 1-34 and 1-35, by (A) a judge of a court of 35
	63	+	record or a family support magistrate, (B) a clerk or deputy clerk of a 36
	64	+	court having a seal, (C) a town clerk, (D) a notary public, (E) a justice of 37
	65	+	the peace, (F) an attorney admitted to the bar of this state, or (G) 38
	66	+	notwithstanding any provision of chapter 6, a school nurse; or (4)] (3) in 39
	67	+	the case of measles, mumps or rubella, presents a certificate from a 40
	68	+	physician, physician assistant or advanced practice registered nurse or 41
	69	+	from the director of health in such child's present or previous town of 42
	70	+	residence, stating that the child has had a confirmed case of such 43
	71	+	disease; [or (5)] (4) in the case of [hemophilus] haemophilus influenzae 44
	72	+	type B has passed [his] such child's fifth birthday; or [(6)] (5) in the case 45
	73	+	of pertussis, has passed [his] such child's sixth birthday, shall be exempt 46
	74	+	from the appropriate provisions of this section. If the parents or 47
	75	+	guardians of any child are unable to pay for such immunizations, the 48
	76	+	expense of such immunizations shall, on the recommendations of such 49 Raised Bill No. 5044
77	77
78	78
79		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
80		-	R01-HB.docx }
81		-	3 of 19
82	79
83		-	schedule for active immunization adopted pursuant to section 19a-7f 56
84		-	and be established by regulation adopted in accordance with the 57
85		-	provisions of chapter 54 by the Commissioner of Public Health, who 58
86		-	shall also be responsible for providing procedures under which [said] 59
87		-	such boards and [said] such similar governing bodies shall collect and 60
88		-	report immunization data on each child to the Department of Public 61
89		-	Health for (1) compilation and analysis by [said] the department, and 62
90		-	(2) release by the department of annual immunization rates for each 63
91		-	public and nonpublic school in the state, provided such immunization 64
92		-	data may not contain information that identifies a specific individual. 65
93		-	Sec. 2. Section 19a-25 of the general statutes is repealed and the 66
94		-	following is substituted in lieu thereof (Effective from passage): 67
95		-	(a) All information, records of interviews, written reports, statements, 68
96		-	notes, memoranda or other data, including personal data as defined in 69
97		-	subdivision (9) of section 4-190, procured by: [the] (1) The Department 70
98		-	of Public Health, by staff committees of facilities accredited by the 71
99		-	Department of Public Health or the maternity mortality review 72
100		-	committee, established pursuant to section 19a-59i, in connection with 73
101		-	studies of morbidity and mortality conducted by the Department of 74
102		-	Public Health, such staff committees or the maternal mortality review 75
103		-	committee, or carried on by said department, such staff committees or 76
104		-	the maternal mortality review committee jointly with other persons, 77
105		-	agencies or organizations, [or procured by] (2) the directors of health of 78
106		-	towns, cities or boroughs or the Department of Public Health pursuant 79
107		-	to section 19a-215, or [procured by] (3) such other persons, agencies or 80
108		-	organizations, for the purpose of reducing the morbidity or mortality 81
109		-	from any cause or condition, shall be confidential and shall be used 82
110		-	solely for the purposes of medical or scientific research and, for 83
111		-	information obtained pursuant to section 19a-215, disease prevention 84
112		-	and control by the local director of health and the Department of Public 85
113		-	Health. Such information, records, reports, statements, notes, 86
114		-	memoranda or other data shall not be admissible as evidence in any 87
115		-	action of any kind in any court or before any other tribunal, board, 88 Substitute Bill No. 5044
	80	+	LCO No. 698 3 of 16
	81	+
	82	+	board of education, be paid by the town. [Before being permitted to 50
	83	+	enter seventh grade, the parents or guardian of any child who is exempt 51
	84	+	on religious grounds from the immunization requirements of this 52
	85	+	section, pursuant to subdivision (3) of this subsection, shall present to 53
	86	+	such school a statement that such immunization requirements are 54
	87	+	contrary to the religious beliefs of such child or the parents or guardian 55
	88	+	of such child, which statement shall be acknowledged, in accordance 56
	89	+	with the provisions of sections 1-32, 1-34 and 1-35, by (A) a judge of a 57
	90	+	court of record or a family support magistrate, (B) a clerk or deputy clerk 58
	91	+	of a court having a seal, (C) a town clerk, (D) a notary public, (E) a justice 59
	92	+	of the peace, (F) an attorney admitted to the bar of this state, or (G) 60
	93	+	notwithstanding any provision of chapter 6, a school nurse.] 61
	94	+	(b) The definitions of adequate immunization shall reflect the 62
	95	+	schedule for active immunization adopted pursuant to section 19a-7f 63
	96	+	and be established by regulation adopted in accordance with the 64
	97	+	provisions of chapter 54 by the Commissioner of Public Health, who 65
	98	+	shall also be responsible for providing procedures under which [said] 66
	99	+	such boards and [said] such similar governing bodies shall collect and 67
	100	+	report immunization data on each child to the Department of Public 68
	101	+	Health for (1) compilation and analysis by [said] the department, and 69
	102	+	(2) release by the department of annual immunization rates for each 70
	103	+	public and nonpublic school in the state, provided such immunization 71
	104	+	data may not contain information that identifies a specific individual. 72
	105	+	Sec. 2. Section 19a-25 of the general statutes is repealed and the 73
	106	+	following is substituted in lieu thereof (Effective from passage): 74
	107	+	(a) All information, records of interviews, written reports, statements, 75
	108	+	notes, memoranda or other data, including personal data as defined in 76
	109	+	subdivision (9) of section 4-190, procured by: [the] (1) The Department 77
	110	+	of Public Health, by staff committees of facilities accredited by the 78
	111	+	Department of Public Health or the maternity mortality review 79
	112	+	committee, established pursuant to section 19a-59i, in connection with 80
	113	+	studies of morbidity and mortality conducted by the Department of 81
	114	+	Public Health, such staff committees or the maternal mortality review 82 Raised Bill No. 5044
116	115
117	116
118		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
119		-	R01-HB.docx }
120		-	4 of 19
121	117
122		-	agency or person, nor shall it be exhibited or its contents disclosed in 89
123		-	any way, in whole or in part, by any officer or representative of the 90
124		-	Department of Public Health or of any such facility, by any person 91
125		-	participating in such a research project or by any other person, except 92
126		-	as may be necessary for the purpose of furthering the research project to 93
127		-	which it relates. 94
128		-	(b) Notwithstanding the provisions of chapter 55, the Department of 95
129		-	Public Health may exchange personal data for the purpose of medical 96
130		-	or scientific research, with any other governmental agency or private 97
131		-	research organization; provided such state, governmental agency or 98
132		-	private research organization shall not further disclose such personal 99
133		-	data. The Commissioner of Public Health shall adopt regulations, in 100
134		-	accordance with the provisions of chapter 54, consistent with the 101
135		-	purposes of this section to establish the procedures to ensure the 102
136		-	confidentiality of such disclosures. The furnishing of such information 103
137		-	to the Department of Public Health or its authorized representative, or 104
138		-	to any other agency cooperating in such a research project, shall not 105
139		-	subject any person, hospital, [sanitarium] behavioral health facility, rest 106
140		-	home, nursing home or other person or agency furnishing such 107
141		-	information to any action for damages or other relief because of such 108
142		-	disclosure. [This section shall not be deemed to affect disclosure] 109
143		-	(c) The provisions of this section shall not affect: (1) Disclosure of 110
144		-	regular hospital and medical records made in the course of the regular 111
145		-	notation of the care and treatment of any patient, but only records or 112
146		-	notations by [such] the staff committees described in subsection (a) of 113
147		-	this section pursuant to their work, or (2) release by the Department of 114
148		-	Public Health of annual immunization rates for each public and 115
149		-	nonpublic school in the state pursuant to section 10-204a, as amended 116
150		-	by this act. 117
151		-	Sec. 3. Section 10a-155 of the general statutes is repealed and the 118
152		-	following is substituted in lieu thereof (Effective from passage): 119
153		-	(a) Each institution of higher education shall require each full-time or 120 Substitute Bill No. 5044
	118	+	LCO No. 698 4 of 16
	119	+
	120	+	committee, or carried on by said department, such staff committees or 83
	121	+	the maternal mortality review committee jointly with other persons, 84
	122	+	agencies or organizations, [or procured by] (2) the directors of health of 85
	123	+	towns, cities or boroughs or the Department of Public Health pursuant 86
	124	+	to section 19a-215, or [procured by] (3) such other persons, agencies or 87
	125	+	organizations, for the purpose of reducing the morbidity or mortality 88
	126	+	from any cause or condition, shall be confidential and shall be used 89
	127	+	solely for the purposes of medical or scientific research and, for 90
	128	+	information obtained pursuant to section 19a-215, disease prevention 91
	129	+	and control by the local director of health and the Department of Public 92
	130	+	Health. Such information, records, reports, statements, notes, 93
	131	+	memoranda or other data shall not be admissible as evidence in any 94
	132	+	action of any kind in any court or before any other tribunal, board, 95
	133	+	agency or person, nor shall it be exhibited or its contents disclosed in 96
	134	+	any way, in whole or in part, by any officer or representative of the 97
	135	+	Department of Public Health or of any such facility, by any person 98
	136	+	participating in such a research project or by any other person, except 99
	137	+	as may be necessary for the purpose of furthering the research project to 100
	138	+	which it relates. 101
	139	+	(b) Notwithstanding the provisions of chapter 55, the Department of 102
	140	+	Public Health may exchange personal data for the purpose of medical 103
	141	+	or scientific research, with any other governmental agency or private 104
	142	+	research organization; provided such state, governmental agency or 105
	143	+	private research organization shall not further disclose such personal 106
	144	+	data. The Commissioner of Public Health shall adopt regulations, in 107
	145	+	accordance with the provisions of chapter 54, consistent with the 108
	146	+	purposes of this section to establish the procedures to ensure the 109
	147	+	confidentiality of such disclosures. The furnishing of such information 110
	148	+	to the Department of Public Health or its authorized representative, or 111
	149	+	to any other agency cooperating in such a research project, shall not 112
	150	+	subject any person, hospital, [sanitarium] behavioral health facility, rest 113
	151	+	home, nursing home or other person or agency furnishing such 114
	152	+	information to any action for damages or other relief because of such 115
	153	+	disclosure. [This section shall not be deemed to affect disclosure] 116 Raised Bill No. 5044
154	154
155	155
156		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
157		-	R01-HB.docx }
158		-	5 of 19
159	156
160		-	matriculating student born after December 31, 1956, to provide proof of 121
161		-	adequate immunization against measles, rubella, [and on and after 122
162		-	August 1, 2010, to provide proof of adequate immunization against] 123
163		-	mumps and varicella as recommended by the national Advisory 124
164		-	Committee for Immunization Practices before permitting such student 125
165		-	to enroll in such institution. [Any such] 126
166		-	(b) Notwithstanding the provisions of subsection (a) of this section, 127
167		-	any student who (1) presents a certificate, in a form prescribed by the 128
168		-	Commissioner of Public Health pursuant to section 7 of this act, from a 129
169		-	physician, physician assistant or an advanced practice registered nurse 130
170		-	stating that in the opinion of such physician, physician assistant or 131
171		-	advanced practice registered nurse such immunization is medically 132
172		-	contraindicated, (2) prior to the effective date of this section, provides a 133
173		-	statement that such immunization would be contrary to his or her 134
174		-	religious beliefs, (3) presents a certificate from a physician, physician 135
175		-	assistant, an advanced practice registered nurse or the director of health 136
176		-	in the student's present or previous town of residence, stating that the 137
177		-	student has had a confirmed case of such disease, (4) is enrolled 138
178		-	exclusively in a program for which students do not congregate on 139
179		-	campus for classes or to participate in institutional-sponsored events, 140
180		-	such as students enrolled in distance learning programs for 141
181		-	individualized home study or programs conducted entirely through 142
182		-	electronic media in a setting without other students present, or (5) 143
183		-	graduated from a public or nonpublic high school in this state in 1999 or 144
184		-	later and was not exempt from the measles, rubella, [and on and after 145
185		-	August 1, 2010, the] mumps and varicella vaccination requirement 146
186		-	pursuant to subdivision (2) or (3) of subsection (a) of section 10-204a 147
187		-	shall be exempt from the appropriate provisions of this section. 148
188		-	[(b)] (c) Each institution of higher education shall keep uniform 149
189		-	records of the immunizations and immunization status of each student, 150
190		-	based on the certificate of immunization or other evidence acceptable 151
191		-	pursuant to subsection (a) of this section. The record shall be part of the 152
192		-	student's permanent record. By November first of each year, the chief 153 Substitute Bill No. 5044
	157	+	LCO No. 698 5 of 16
	158	+
	159	+	(c) The provisions of this section shall not affect: (1) Disclosure of 117
	160	+	regular hospital and medical records made in the course of the regular 118
	161	+	notation of the care and treatment of any patient, but only records or 119
	162	+	notations by [such] the staff committees described in subsection (a) of 120
	163	+	this section pursuant to their work, or (2) release by the Department of 121
	164	+	Public Health of annual immunization rates for each public and 122
	165	+	nonpublic school in the state pursuant to section 10-204a, as amended 123
	166	+	by this act. 124
	167	+	Sec. 3. Section 10a-155 of the general statutes is repealed and the 125
	168	+	following is substituted in lieu thereof (Effective from passage): 126
	169	+	(a) Each institution of higher education shall require each full-time or 127
	170	+	matriculating student born after December 31, 1956, to provide proof of 128
	171	+	adequate immunization against measles, rubella, [and on and after 129
	172	+	August 1, 2010, to provide proof of adequate immunization against] 130
	173	+	mumps and varicella as recommended by the national Advisory 131
	174	+	Committee for Immunization Practices before permitting such student 132
	175	+	to enroll in such institution. [Any such] 133
	176	+	(b) Notwithstanding the provisions of subsection (a) of this section, 134
	177	+	any student who (1) presents a certificate, in a form prescribed by the 135
	178	+	Commissioner of Public Health pursuant to section 6 of this act, from a 136
	179	+	physician or an advanced practice registered nurse stating that in the 137
	180	+	opinion of such physician or advanced practice registered nurse such 138
	181	+	immunization is medically contraindicated, [(2) provides a statement 139
	182	+	that such immunization would be contrary to his religious beliefs, (3)] 140
	183	+	(2) presents a certificate from a physician, an advanced practice 141
	184	+	registered nurse or the director of health in the student's present or 142
	185	+	previous town of residence, stating that the student has had a confirmed 143
	186	+	case of such disease, [(4)] (3) is enrolled exclusively in a program for 144
	187	+	which students do not congregate on campus for classes or to participate 145
	188	+	in institutional-sponsored events, such as students enrolled in distance 146
	189	+	learning programs for individualized home study or programs 147
	190	+	conducted entirely through electronic media in a setting without other 148
	191	+	students present, [or (5)] (4) graduated from a public or nonpublic high 149 Raised Bill No. 5044
193	192
194	193
195		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
196		-	R01-HB.docx }
197		-	6 of 19
198	194
199		-	administrative officer of each institution of higher education shall cause 154
200		-	to be submitted to the Commissioner of Public Health, on a form 155
201		-	provided by the commissioner, a summary report of the immunization 156
202		-	status of all students enrolling in such institution. 157
203		-	Sec. 4. Subsection (a) of section 10a-155b of the general statutes is 158
204		-	repealed and the following is substituted in lieu thereof (Effective from 159
205		-	passage): 160
206		-	(a) For students who first enroll in the 2014-2015 school year, and first 161
207		-	enroll in each school year thereafter, each public or private college or 162
208		-	university in this state shall require that each student who resides in on-163
209		-	campus housing be vaccinated against meningitis and submit evidence 164
210		-	of having received a meningococcal conjugate vaccine not more than 165
211		-	five years before enrollment as a condition of such residence. The 166
212		-	provisions of this subsection shall not apply to any such student who (1) 167
213		-	presents a certificate, in a form prescribed by the Commissioner of 168
214		-	Public Health pursuant to section 7 of this act, from a physician, an 169
215		-	advanced practice registered nurse or a physician assistant stating that, 170
216		-	in the opinion of such physician, advanced practice registered nurse or 171
217		-	physician assistant, such vaccination is medically contraindicated 172
218		-	because of the physical condition of such student, or (2) prior to the 173
219		-	effective date of this section, presents a statement that such vaccination 174
220		-	would be contrary to the religious beliefs of such student. 175
221		-	Sec. 5. Section 19a-79 of the 2020 supplement to the general statutes 176
222		-	is repealed and the following is substituted in lieu thereof (Effective from 177
223		-	passage): 178
224		-	(a) The Commissioner of Early Childhood shall adopt regulations, in 179
225		-	accordance with the provisions of chapter 54, to carry out the purposes 180
226		-	of sections 19a-77 to 19a-80, inclusive, and 19a-82 to 19a-87, inclusive, 181
227		-	and to assure that child care centers and group child care homes meet 182
228		-	the health, educational and social needs of children utilizing such child 183
229		-	care centers and group child care homes. Such regulations shall (1) 184
230		-	specify that before being permitted to attend any child care center or 185 Substitute Bill No. 5044
	195	+	LCO No. 698 6 of 16
	196	+
	197	+	school in this state in 1999 or later and was not exempt from the measles, 150
	198	+	rubella, [and on and after August 1, 2010, the] mumps and varicella 151
	199	+	vaccination requirement pursuant to subdivision (2) [or (3)] of 152
	200	+	subsection (a) of section 10-204a, as amended by this act, or (5) prior to 153
	201	+	July 1, 2020, was exempt from the appropriate provisions of this section 154
	202	+	upon presentation of a statement that such immunization would be 155
	203	+	contrary to his or her religious beliefs and, prior to the first day of the 156
	204	+	fall semester of 2020, presents a certificate, in a form prescribed by the 157
	205	+	Commissioner of Public Health, from a physician or advanced practice 158
	206	+	registered nurse stating that an immunization against measles, rubella, 159
	207	+	mumps and varicella has been given to the student and that any 160
	208	+	additional necessary immunizations of the student against measles, 161
	209	+	rubella, mumps and varicella are in process under guidelines specified 162
	210	+	by the Commissioner of Public Health or as recommended for the 163
	211	+	student by the physician or advanced practice registered nurse, shall be 164
	212	+	exempt from the appropriate provisions of this section. 165
	213	+	[(b)] (c) Each institution of higher education shall keep uniform 166
	214	+	records of the immunizations and immunization status of each student, 167
	215	+	based on the certificate of immunization or other evidence acceptable 168
	216	+	pursuant to subsection (a) of this section. The record shall be part of the 169
	217	+	student's permanent record. By November first of each year, the chief 170
	218	+	administrative officer of each institution of higher education shall cause 171
	219	+	to be submitted to the Commissioner of Public Health, on a form 172
	220	+	provided by the commissioner, a summary report of the immunization 173
	221	+	status of all students enrolling in such institution. 174
	222	+	Sec. 4. Subsection (a) of section 10a-155b of the general statutes is 175
	223	+	repealed and the following is substituted in lieu thereof (Effective from 176
	224	+	passage): 177
	225	+	(a) For students who first enroll in the 2014-2015 school year, and first 178
	226	+	enroll in each school year thereafter, each public or private college or 179
	227	+	university in this state shall require that each student who resides in on-180
	228	+	campus housing be vaccinated against meningitis and submit evidence 181
	229	+	of having received a meningococcal conjugate vaccine not more than 182 Raised Bill No. 5044
231	230
232	231
233		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
234		-	R01-HB.docx }
235		-	7 of 19
236	232
237		-	group child care home, each child shall be protected as age-appropriate 186
238		-	by adequate immunization against diphtheria, pertussis, tetanus, 187
239		-	poliomyelitis, measles, mumps, rubella, [hemophilus] haemophilus 188
240		-	influenzae type B and any other vaccine required by the schedule of 189
241		-	active immunization adopted pursuant to section 19a-7f, [including 190
242		-	appropriate exemptions for children for whom such immunization is 191
243		-	medically contraindicated and for children whose parent or guardian 192
244		-	objects to such immunization on religious grounds, and that any 193
245		-	objection by a parent or a guardian to immunization of a child on 194
246		-	religious grounds shall be accompanied by a statement from such parent 195
247		-	or guardian that such immunization would be contrary to the religious 196
248		-	beliefs of such child or the parent or guardian of such child, which 197
249		-	statement shall be acknowledged, in accordance with the provisions of 198
250		-	sections 1-32, 1-34 and 1-35, by (A) a judge of a court of record or a family 199
251		-	support magistrate, (B) a clerk or deputy clerk of a court having a seal, 200
252		-	(C) a town clerk, (D) a notary public, (E) a justice of the peace, or (F) an 201
253		-	attorney admitted to the bar of this state,] (2) specify conditions under 202
254		-	which child care center directors and teachers and group child care 203
255		-	home providers may administer tests to monitor glucose levels in a child 204
256		-	with diagnosed diabetes mellitus, and administer medicinal 205
257		-	preparations, including controlled drugs specified in the regulations by 206
258		-	the commissioner, to a child receiving child care services at such child 207
259		-	care center or group child care home pursuant to the written order of a 208
260		-	physician licensed to practice medicine or a dentist licensed to practice 209
261		-	dental medicine in this or another state, or an advanced practice 210
262		-	registered nurse licensed to prescribe in accordance with section 20-94a, 211
263		-	or a physician assistant licensed to prescribe in accordance with section 212
264		-	20-12d, and the written authorization of a parent or guardian of such 213
265		-	child, (3) specify that an operator of a child care center or group child 214
266		-	care home, licensed before January 1, 1986, or an operator who receives 215
267		-	a license after January 1, 1986, for a facility licensed prior to January 1, 216
268		-	1986, shall provide a minimum of thirty square feet per child of total 217
269		-	indoor usable space, free of furniture except that needed for the 218
270		-	children's purposes, exclusive of toilet rooms, bathrooms, coatrooms, 219
271		-	kitchens, halls, isolation room or other rooms used for purposes other 220 Substitute Bill No. 5044
	233	+	LCO No. 698 7 of 16
	234	+
	235	+	five years before enrollment as a condition of such residence. The 183
	236	+	provisions of this subsection shall not apply to any such student who (1) 184
	237	+	presents a certificate, in a form prescribed by the Commissioner of 185
	238	+	Public Health pursuant to section 6 of this act, from a physician, an 186
	239	+	advanced practice registered nurse or a physician assistant stating that, 187
	240	+	in the opinion of such physician, advanced practice registered nurse or 188
	241	+	physician assistant, such vaccination is medically contraindicated 189
	242	+	because of the physical condition of such student, or (2) [presents a 190
	243	+	statement that such vaccination would be contrary to the religious 191
	244	+	beliefs of such student] prior to July 1, 2020, was exempt from the 192
	245	+	provisions of this subsection upon presentation of a statement that such 193
	246	+	vaccination would be contrary to the religious beliefs of such student 194
	247	+	and, prior to the first day of the fall semester of 2020, presents a 195
	248	+	certificate, in a form prescribed by the Commissioner of Public Health, 196
	249	+	from a physician, an advanced practice registered nurse or a physician 197
	250	+	assistant stating that a meningococcal conjugate vaccine has been given 198
	251	+	to such student and that any additional necessary vaccinations of the 199
	252	+	student against meningitis are in process under guidelines specified by 200
	253	+	the Commissioner of Public Health or as recommended for the student 201
	254	+	by the physician, advanced practice registered nurse or a physician 202
	255	+	assistant. 203
	256	+	Sec. 5. Section 19a-79 of the 2020 supplement to the general statutes 204
	257	+	is repealed and the following is substituted in lieu thereof (Effective from 205
	258	+	passage): 206
	259	+	(a) The Commissioner of Early Childhood shall adopt regulations, in 207
	260	+	accordance with the provisions of chapter 54, to carry out the purposes 208
	261	+	of sections 19a-77 to 19a-80, inclusive, and 19a-82 to 19a-87, inclusive, 209
	262	+	and to assure that child care centers and group child care homes meet 210
	263	+	the health, educational and social needs of children utilizing such child 211
	264	+	care centers and group child care homes. Such regulations shall (1) 212
	265	+	specify that before being permitted to attend any child care center or 213
	266	+	group child care home, each child shall be protected as age-appropriate 214
	267	+	by adequate immunization against diphtheria, pertussis, tetanus, 215
	268	+	poliomyelitis, measles, mumps, rubella, [hemophilus] haemophilus 216 Raised Bill No. 5044
272	269
273	270
274		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
275		-	R01-HB.docx }
276		-	8 of 19
277	271
278		-	than the activities of the children, (4) specify that a child care center or 221
279		-	group child care home licensed after January 1, 1986, shall provide 222
280		-	thirty-five square feet per child of total indoor usable space, (5) establish 223
281		-	appropriate child care center staffing requirements for employees 224
282		-	certified in cardiopulmonary resuscitation by the American Red Cross, 225
283		-	the American Heart Association, the National Safety Council, American 226
284		-	Safety and Health Institute, Medic First Aid International, Inc. or an 227
285		-	organization using guidelines for cardiopulmonary resuscitation and 228
286		-	emergency cardiovascular care published by the American Heart 229
287		-	Association and International Liaison Committee on Resuscitation, (6) 230
288		-	specify that [on and after January 1, 2003,] a child care center or group 231
289		-	child care home (A) shall not deny services to a child on the basis of a 232
290		-	child's known or suspected allergy or because a child has a prescription 233
291		-	for an automatic prefilled cartridge injector or similar automatic 234
292		-	injectable equipment used to treat an allergic reaction, or for injectable 235
293		-	equipment used to administer glucagon, (B) shall, not later than three 236
294		-	weeks after such child's enrollment in such a center or home, have staff 237
295		-	trained in the use of such equipment on-site during all hours when such 238
296		-	a child is on-site, (C) shall require such child's parent or guardian to 239
297		-	provide the injector or injectable equipment and a copy of the 240
298		-	prescription for such medication and injector or injectable equipment 241
299		-	upon enrollment of such child, and (D) shall require a parent or 242
300		-	guardian enrolling such a child to replace such medication and 243
301		-	equipment prior to its expiration date, (7) specify that [on and after 244
302		-	January 1, 2005,] a child care center or group child care home (A) shall 245
303		-	not deny services to a child on the basis of a child's diagnosis of asthma 246
304		-	or because a child has a prescription for an inhalant medication to treat 247
305		-	asthma, and (B) shall, not later than three weeks after such child's 248
306		-	enrollment in such a center or home, have staff trained in the 249
307		-	administration of such medication on-site during all hours when such a 250
308		-	child is on-site, and (8) establish physical plant requirements for 251
309		-	licensed child care centers and licensed group child care homes that 252
310		-	exclusively serve school-age children. When establishing such 253
311		-	requirements, the Office of Early Childhood shall give consideration to 254
312		-	child care centers and group child care homes that are located in private 255 Substitute Bill No. 5044
	272	+	LCO No. 698 8 of 16
	273	+
	274	+	influenzae type B and any other vaccine required by the schedule of 217
	275	+	active immunization adopted pursuant to section 19a-7f, [including 218
	276	+	appropriate exemptions for children for whom such immunization is 219
	277	+	medically contraindicated and for children whose parent or guardian 220
	278	+	objects to such immunization on religious grounds, and that any 221
	279	+	objection by a parent or a guardian to immunization of a child on 222
	280	+	religious grounds shall be accompanied by a statement from such parent 223
	281	+	or guardian that such immunization would be contrary to the religious 224
	282	+	beliefs of such child or the parent or guardian of such child, which 225
	283	+	statement shall be acknowledged, in accordance with the provisions of 226
	284	+	sections 1-32, 1-34 and 1-35, by (A) a judge of a court of record or a family 227
	285	+	support magistrate, (B) a clerk or deputy clerk of a court having a seal, 228
	286	+	(C) a town clerk, (D) a notary public, (E) a justice of the peace, or (F) an 229
	287	+	attorney admitted to the bar of this state,] (2) specify conditions under 230
	288	+	which child care center directors and teachers and group child care 231
	289	+	home providers may administer tests to monitor glucose levels in a child 232
	290	+	with diagnosed diabetes mellitus, and administer medicinal 233
	291	+	preparations, including controlled drugs specified in the regulations by 234
	292	+	the commissioner, to a child receiving child care services at such child 235
	293	+	care center or group child care home pursuant to the written order of a 236
	294	+	physician licensed to practice medicine or a dentist licensed to practice 237
	295	+	dental medicine in this or another state, or an advanced practice 238
	296	+	registered nurse licensed to prescribe in accordance with section 20-94a, 239
	297	+	or a physician assistant licensed to prescribe in accordance with section 240
	298	+	20-12d, and the written authorization of a parent or guardian of such 241
	299	+	child, (3) specify that an operator of a child care center or group child 242
	300	+	care home, licensed before January 1, 1986, or an operator who receives 243
	301	+	a license after January 1, 1986, for a facility licensed prior to January 1, 244
	302	+	1986, shall provide a minimum of thirty square feet per child of total 245
	303	+	indoor usable space, free of furniture except that needed for the 246
	304	+	children's purposes, exclusive of toilet rooms, bathrooms, coatrooms, 247
	305	+	kitchens, halls, isolation room or other rooms used for purposes other 248
	306	+	than the activities of the children, (4) specify that a child care center or 249
	307	+	group child care home licensed after January 1, 1986, shall provide 250
	308	+	thirty-five square feet per child of total indoor usable space, (5) establish 251 Raised Bill No. 5044
313	309
314	310
315		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
316		-	R01-HB.docx }
317		-	9 of 19
318	311
319		-	or public school buildings. With respect to this subdivision only, the 256
320		-	commissioner shall implement policies and procedures necessary to 257
321		-	implement the physical plant requirements established pursuant to this 258
322		-	subdivision while in the process of adopting such policies and 259
323		-	procedures in regulation form. Until replaced by policies and 260
324		-	procedures implemented pursuant to this subdivision, any physical 261
325		-	plant requirement specified in the office's regulations that is generally 262
326		-	applicable to child care centers and group child care homes shall 263
327		-	continue to be applicable to such centers and homes that exclusively 264
328		-	serve school-age children. The commissioner shall print notice of the 265
329		-	intent to adopt regulations pursuant to this subdivision on the 266
330		-	eRegulations System not later than twenty days after the date of 267
331		-	implementation of such policies and procedures. Policies and 268
332		-	procedures implemented pursuant to this subdivision shall be valid 269
333		-	until the time final regulations are adopted. 270
334		-	(b) Any child who (1) presents a certificate, in a form prescribed by 271
335		-	the Commissioner of Public Health pursuant to section 7 of this act, 272
336		-	signed by a physician, physician assistant or advanced practice 273
337		-	registered nurse stating that, in the opinion of such physician, physician 274
338		-	assistant or advanced practice registered nurse, the immunizations 275
339		-	required pursuant to regulations adopted pursuant to subdivision (1) of 276
340		-	subsection (a) of this section are medically contraindicated, or (2) prior 277
341		-	to the effective date of this section, presents a statement that such 278
342		-	immunizations would be contrary to the religious beliefs of such child 279
343		-	or the parents or guardians of such child, shall be exempt from the 280
344		-	immunization requirements set forth in such regulations. Such 281
345		-	statement shall be acknowledged, in accordance with the provisions of 282
346		-	sections 1-32, 1-34 and 1-35, by (A) a judge of a court of record or a family 283
347		-	support magistrate, (B) a clerk or deputy clerk of a court having a seal, 284
348		-	(C) a town clerk, (D) a notary public, (E) a justice of the peace, or (F) an 285
349		-	attorney admitted to the bar of this state. 286
350		-	[(b)] (c) The commissioner may adopt regulations, pursuant to 287
351		-	chapter 54, to establish civil penalties of not more than one hundred 288 Substitute Bill No. 5044
	312	+	LCO No. 698 9 of 16
	313	+
	314	+	appropriate child care center staffing requirements for employees 252
	315	+	certified in cardiopulmonary resuscitation by the American Red Cross, 253
	316	+	the American Heart Association, the National Safety Council, American 254
	317	+	Safety and Health Institute, Medic First Aid International, Inc. or an 255
	318	+	organization using guidelines for cardiopulmonary resuscitation and 256
	319	+	emergency cardiovascular care published by the American Heart 257
	320	+	Association and International Liaison Committee on Resuscitation, (6) 258
	321	+	specify that [on and after January 1, 2003,] a child care center or group 259
	322	+	child care home (A) shall not deny services to a child on the basis of a 260
	323	+	child's known or suspected allergy or because a child has a prescription 261
	324	+	for an automatic prefilled cartridge injector or similar automatic 262
	325	+	injectable equipment used to treat an allergic reaction, or for injectable 263
	326	+	equipment used to administer glucagon, (B) shall, not later than three 264
	327	+	weeks after such child's enrollment in such a center or home, have staff 265
	328	+	trained in the use of such equipment on-site during all hours when such 266
	329	+	a child is on-site, (C) shall require such child's parent or guardian to 267
	330	+	provide the injector or injectable equipment and a copy of the 268
	331	+	prescription for such medication and injector or injectable equipment 269
	332	+	upon enrollment of such child, and (D) shall require a parent or 270
	333	+	guardian enrolling such a child to replace such medication and 271
	334	+	equipment prior to its expiration date, (7) specify that [on and after 272
	335	+	January 1, 2005,] a child care center or group child care home (A) shall 273
	336	+	not deny services to a child on the basis of a child's diagnosis of asthma 274
	337	+	or because a child has a prescription for an inhalant medication to treat 275
	338	+	asthma, and (B) shall, not later than three weeks after such child's 276
	339	+	enrollment in such a center or home, have staff trained in the 277
	340	+	administration of such medication on-site during all hours when such a 278
	341	+	child is on-site, and (8) establish physical plant requirements for 279
	342	+	licensed child care centers and licensed group child care homes that 280
	343	+	exclusively serve school-age children. When establishing such 281
	344	+	requirements, the Office of Early Childhood shall give consideration to 282
	345	+	child care centers and group child care homes that are located in private 283
	346	+	or public school buildings. With respect to this subdivision only, the 284
	347	+	commissioner shall implement policies and procedures necessary to 285
	348	+	implement the physical plant requirements established pursuant to this 286 Raised Bill No. 5044
352	349
353	350
354		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
355		-	R01-HB.docx }
356		-	10 of 19
357	351
358		-	dollars per day for each day of violation and other disciplinary remedies 289
359		-	that may be imposed, following a contested-case hearing, upon the 290
360		-	holder of a license issued under section 19a-80 to operate a child care 291
361		-	center or group child care home or upon the holder of a license issued 292
362		-	under section 19a-87b, as amended by this act, to operate a family child 293
363		-	care home. 294
364		-	[(c)] (d) The commissioner shall exempt Montessori schools 295
365		-	accredited by the American Montessori Society or the Association 296
366		-	Montessori Internationale from any provision in regulations adopted 297
367		-	pursuant to subsection (a) of this section which sets requirements on 298
368		-	group size or child to staff ratios or the provision of cots. 299
369		-	[(d)] (e) Upon the declaration by the Governor of a civil preparedness 300
370		-	emergency pursuant to section 28-9 or a public health emergency 301
371		-	pursuant to section 19a-131a, the commissioner may waive the 302
372		-	provisions of any regulation adopted pursuant to this section if the 303
373		-	commissioner determines that such waiver would not endanger the life, 304
374		-	safety or health of any child. The commissioner shall prescribe the 305
375		-	duration of such waiver, provided such waiver shall not extend beyond 306
376		-	the duration of the declared emergency. The commissioner shall 307
377		-	establish the criteria by which a waiver request shall be made and the 308
378		-	conditions for which a waiver will be granted or denied. The provisions 309
379		-	of section 19a-84 shall not apply to a denial of a waiver request under 310
380		-	this subsection. 311
381		-	[(e)] (f) Any child care center or group child care home may provide 312
382		-	child care services to homeless children and youths, as defined in 42 313
383		-	USC 11434a, as amended from time to time, for a period not to exceed 314
384		-	ninety days without complying with any provision in regulations 315
385		-	adopted pursuant to this section relating to immunization and physical 316
386		-	examination requirements. Any child care center or group child care 317
387		-	home that provides child care services to homeless children and youths 318
388		-	at such center or home under this subsection shall maintain a record on 319
389		-	file of all homeless children and youths who have attended such center 320
390		-	or home for a period of two years after such homeless children or youths 321 Substitute Bill No. 5044
	352	+	LCO No. 698 10 of 16
	353	+
	354	+	subdivision while in the process of adopting such policies and 287
	355	+	procedures in regulation form. Until replaced by policies and 288
	356	+	procedures implemented pursuant to this subdivision, any physical 289
	357	+	plant requirement specified in the office's regulations that is generally 290
	358	+	applicable to child care centers and group child care homes shall 291
	359	+	continue to be applicable to such centers and homes that exclusively 292
	360	+	serve school-age children. The commissioner shall print notice of the 293
	361	+	intent to adopt regulations pursuant to this subdivision on the 294
	362	+	eRegulations System not later than twenty days after the date of 295
	363	+	implementation of such policies and procedures. Policies and 296
	364	+	procedures implemented pursuant to this subdivision shall be valid 297
	365	+	until the time final regulations are adopted. 298
	366	+	(b) Any child who (1) presents a certificate, in a form prescribed by 299
	367	+	the Commissioner of Public Health pursuant to section 6 of this act, 300
	368	+	signed by a physician, physician assistant or advanced practice 301
	369	+	registered nurse stating that, in the opinion of such physician, physician 302
	370	+	assistant or advanced practice registered nurse, the immunizations 303
	371	+	required pursuant to regulations adopted pursuant to subdivision (1) of 304
	372	+	subsection (a) of this section are medically contraindicated, or (2) prior 305
	373	+	to July 1, 2020, was exempt from the immunization requirements set 306
	374	+	forth in such regulations upon presentation of a statement that such 307
	375	+	immunizations would be contrary to the religious beliefs of such child 308
	376	+	or the parents or guardians of such child and, on or before September 1, 309
	377	+	2020, presents a certificate, in a form prescribed by the Commissioner of 310
	378	+	Public Health, from a physician, physician assistant or advanced 311
	379	+	practice registered nurse stating that an immunization against 312
	380	+	diphtheria, pertussis, tetanus, poliomyelitis, measles, mumps, rubella, 313
	381	+	haemophilus influenzae type B and any other vaccine required by the 314
	382	+	schedule of active immunization adopted pursuant to section 19a-7f has 315
	383	+	been given to such child and that any additional neces sary 316
	384	+	immunizations of such student against diphtheria, pertussis, tetanus, 317
	385	+	poliomyelitis, measles, mumps, rubella, haemophilus influenzae type B 318
	386	+	and any other vaccine required by such schedule of active immunization 319
	387	+	are in process under guidelines specified by the Commissioner of Public 320 Raised Bill No. 5044
391	388
392	389
393		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
394		-	R01-HB.docx }
395		-	11 of 19
396	390
397		-	are no longer receiving child care services at such center or home. 322
398		-	[(f)] (g) Any child care center or group child care home may provide 323
399		-	child care services to a foster child for a period not to exceed forty-five 324
400		-	days without complying with any provision in regulations adopted 325
401		-	pursuant to this section relating to immunization and physical 326
402		-	examination requirements. Any child care center or group child care 327
403		-	home that provides child care services to a foster child at such center or 328
404		-	home under this subsection shall maintain a record on file of such foster 329
405		-	child for a period of two years after such foster child is no longer 330
406		-	receiving child care services at such center or home. For purposes of this 331
407		-	subsection, "foster child" means a child who is in the care and custody 332
408		-	of the Commissioner of Children and Families and placed in a foster 333
409		-	home licensed pursuant to section 17a-114, foster home approved by a 334
410		-	child-placing agency licensed pursuant to section 17a-149, facility 335
411		-	licensed pursuant to section 17a-145 or with a relative or fictive kin 336
412		-	caregiver pursuant to section 17a-114. 337
413		-	Sec. 6. Section 19a-87b of the 2020 supplement to the general statutes 338
414		-	is repealed and the following is substituted in lieu thereof (Effective from 339
415		-	passage): 340
416		-	(a) No person, group of persons, association, organization, 341
417		-	corporation, institution or agency, public or private, shall maintain a 342
418		-	family child care home, as defined in section 19a-77, without a license 343
419		-	issued by the Commissioner of Early Childhood. Licensure forms shall 344
420		-	be obtained from the Office of Early Childhood. Applications for 345
421		-	licensure shall be made to the commissioner on forms provided by the 346
422		-	office and shall contain the information required by regulations adopted 347
423		-	under this section. The licensure and application forms shall contain a 348
424		-	notice that false statements made therein are punishable in accordance 349
425		-	with section 53a-157b. Applicants shall state, in writing, that they are in 350
426		-	compliance with the regulations adopted by the commissioner pursuant 351
427		-	to subsection (f) of this section. Before a family child care home license 352
428		-	is granted, the office shall make an inquiry and investigation which shall 353
429		-	include a visit and inspection of the premises for which the license is 354 Substitute Bill No. 5044
	391	+	LCO No. 698 11 of 16
	392	+
	393	+	Health or as recommended for the child by the physician, physician 321
	394	+	assistant or advanced practice registered nurse, shall be exempt from 322
	395	+	the immunization requirements set forth in such regulations. 323
	396	+	[(b)] (c) The commissioner may adopt regulations, pursuant to 324
	397	+	chapter 54, to establish civil penalties of not more than one hundred 325
	398	+	dollars per day for each day of violation and other disciplinary remedies 326
	399	+	that may be imposed, following a contested-case hearing, upon the 327
	400	+	holder of a license issued under section 19a-80 to operate a child care 328
	401	+	center or group child care home or upon the holder of a license issued 329
	402	+	under section 19a-87b to operate a family child care home. 330
	403	+	[(c)] (d) The commissioner shall exempt Montessori schools 331
	404	+	accredited by the American Montessori Society or the Association 332
	405	+	Montessori Internationale from any provision in regulations adopted 333
	406	+	pursuant to subsection (a) of this section which sets requirements on 334
	407	+	group size or child to staff ratios or the provision of cots. 335
	408	+	[(d)] (e) Upon the declaration by the Governor of a civil preparedness 336
	409	+	emergency pursuant to section 28-9 or a public health emergency 337
	410	+	pursuant to section 19a-131a, the commissioner may waive the 338
	411	+	provisions of any regulation adopted pursuant to this section if the 339
	412	+	commissioner determines that such waiver would not endanger the life, 340
	413	+	safety or health of any child. The commissioner shall prescribe the 341
	414	+	duration of such waiver, provided such waiver shall not extend beyond 342
	415	+	the duration of the declared emergency. The commissioner shall 343
	416	+	establish the criteria by which a waiver request shall be made and the 344
	417	+	conditions for which a waiver will be granted or denied. The provisions 345
	418	+	of section 19a-84 shall not apply to a denial of a waiver request under 346
	419	+	this subsection. 347
	420	+	[(e)] (f) Any child care center or group child care home may provide 348
	421	+	child care services to homeless children and youths, as defined in 42 349
	422	+	USC 11434a, as amended from time to time, for a period not to exceed 350
	423	+	ninety days without complying with any provision in regulations 351
	424	+	adopted pursuant to this section relating to immunization and physical 352 Raised Bill No. 5044
430	425
431	426
432		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
433		-	R01-HB.docx }
434		-	12 of 19
435	427
436		-	requested. Any inspection conducted by the office shall include an 355
437		-	inspection for evident sources of lead poisoning. The office shall provide 356
438		-	for a chemical analysis of any paint chips found on such premises. 357
439		-	Neither the commissioner nor the commissioner's designee shall require 358
440		-	an annual inspection for homes seeking license renewal or for licensed 359
441		-	homes, except that the commissioner or the commissioner's designee 360
442		-	shall make an unannounced visit, inspection or investigation of each 361
443		-	licensed family child care home at least once every year. A licensed 362
444		-	family child care home shall not be subject to any conditions on the 363
445		-	operation of such home by local officials, other than those imposed by 364
446		-	the office pursuant to this subsection, if the home complies with all local 365
447		-	codes and ordinances applicable to single and multifamily dwellings. 366
448		-	(b) No person shall act as an assistant or substitute staff member to a 367
449		-	person or entity maintaining a family child care home, as defined in 368
450		-	section 19a-77, without an approval issued by the commissioner. Any 369
451		-	person seeking to act as an assistant or substitute staff member in a 370
452		-	family child care home shall submit an application for such approval to 371
453		-	the office. Applications for approval shall: (1) Be made to the 372
454		-	commissioner on forms provided by the office, (2) contain the 373
455		-	information required by regulations adopted under this section, and (3) 374
456		-	be accompanied by a fee of fifteen dollars. The approval application 375
457		-	forms shall contain a notice that false statements made in such form are 376
458		-	punishable in accordance with section 53a-157b. 377
459		-	(c) The commissioner, within available appropriations, shall require 378
460		-	each initial applicant or prospective employee of a family child care 379
461		-	home in a position requiring the provision of care to a child, including 380
462		-	an assistant or substitute staff member and each household member 381
463		-	who is sixteen years of age or older, to submit to comprehensive 382
464		-	background checks, including state and national criminal history 383
465		-	records checks. The criminal history records checks required pursuant 384
466		-	to this subsection shall be conducted in accordance with section 29-17a. 385
467		-	The commissioner shall also request a check of the state child abuse 386
468		-	registry established pursuant to section 17a-101k. The commissioner 387 Substitute Bill No. 5044
	428	+	LCO No. 698 12 of 16
	429	+
	430	+	examination requirements. Any child care center or group child care 353
	431	+	home that provides child care services to homeless children and youths 354
	432	+	at such center or home under this subsection shall maintain a record on 355
	433	+	file of all homeless children and youths who have attended such center 356
	434	+	or home for a period of two years after such homeless children or youths 357
	435	+	are no longer receiving child care services at such center or home. 358
	436	+	[(f)] (g) Any child care center or group child care home may provide 359
	437	+	child care services to a foster child for a period not to exceed forty-five 360
	438	+	days without complying with any provision in regulations adopted 361
	439	+	pursuant to this section relating to immunization and physical 362
	440	+	examination requirements. Any child care center or group child care 363
	441	+	home that provides child care services to a foster child at such center or 364
	442	+	home under this subsection shall maintain a record on file of such foster 365
	443	+	child for a period of two years after such foster child is no longer 366
	444	+	receiving child care services at such center or home. For purposes of this 367
	445	+	subsection, "foster child" means a child who is in the care and custody 368
	446	+	of the Commissioner of Children and Families and placed in a foster 369
	447	+	home licensed pursuant to section 17a-114, foster home approved by a 370
	448	+	child-placing agency licensed pursuant to section 17a-149, facility 371
	449	+	licensed pursuant to section 17a-145 or with a relative or fictive kin 372
	450	+	caregiver pursuant to section 17a-114. 373
	451	+	Sec. 6. (Effective from passage) On or before October 1, 2020, the 374
	452	+	Commissioner of Public Health shall develop and make available on the 375
	453	+	Internet web site of the Department of Public Health a certificate for use 376
	454	+	by a physician, physician assistant or advanced practice registered 377
	455	+	nurse stating that, in the opinion of such physician, physician assistant 378
	456	+	or advanced practice registered nurse, a vaccination required by the 379
	457	+	general statutes is medically contraindicated for a person because of the 380
	458	+	physical condition of such person. The certificate shall include (1) 381
	459	+	definitions of the terms "contraindication" and "precaution", (2) a list of 382
	460	+	contraindications and precautions recognized by the National Centers 383
	461	+	for Disease Control and Prevention for each of the statutorily required 384
	462	+	vaccinations, from which the physician, physician assistant or advanced 385
	463	+	practice registered nurse may select the relevant contraindication or 386 Raised Bill No. 5044
469	464
470	465
471		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
472		-	R01-HB.docx }
473		-	13 of 19
474	466
475		-	shall notify each licensee of the provisions of this subsection. For 388
476		-	purposes of this subsection, "household member" means any person, 389
477		-	other than the person who is licensed to conduct, operate or maintain a 390
478		-	family child care home, who resides in the family child care home, such 391
479		-	as the licensee's spouse or children, tenants and any other occupant. 392
480		-	(d) An application for initial licensure pursuant to this section shall 393
481		-	be accompanied by a fee of forty dollars and such license shall be issued 394
482		-	for a term of four years. An application for renewal of a license issued 395
483		-	pursuant to this section shall be accompanied by a fee of forty dollars 396
484		-	and a certification from the licensee that any child enrolled in the family 397
485		-	child care home has received age-appropriate immunizations in 398
486		-	accordance with regulations adopted pursuant to subsection (f) of this 399
487		-	section. A license issued pursuant to this section shall be renewed for a 400
488		-	term of four years. In the case of an applicant submitting an application 401
489		-	for renewal of a license that has expired, and who has ceased operations 402
490		-	of a family child care home due to such expired license, the 403
491		-	commissioner may renew such expired license within thirty days of the 404
492		-	date of such expiration upon receipt of an application for renewal that 405
493		-	is accompanied by such fee and such certification. 406
494		-	(e) An application for initial staff approval or renewal of staff 407
495		-	approval shall be accompanied by a fee of fifteen dollars. Such 408
496		-	approvals shall be issued or renewed for a term of two years. 409
497		-	(f) The commissioner shall adopt regulations, in accordance with the 410
498		-	provisions of chapter 54, to assure that family child care homes, as 411
499		-	defined in section 19a-77, meet the health, educational and social needs 412
500		-	of children utilizing such homes. Such regulations shall ensure that the 413
501		-	family child care home is treated as a residence, and not an institutional 414
502		-	facility. Such regulations shall specify that each child be protected as 415
503		-	age-appropriate by adequate immunization against diphtheria, 416
504		-	pertussis, tetanus, poliomyelitis, measles, mumps, rubella, 417
505		-	[hemophilus] haemophilus influenzae type B and any other vaccine 418
506		-	required by the schedule of active immunization adopted pursuant to 419
507		-	section 19a-7f. [Such regulations shall provide appropriate exemptions 420 Substitute Bill No. 5044
	467	+	LCO No. 698 13 of 16
	468	+
	469	+	precaution on behalf of such person, (3) a section in which the physician, 387
	470	+	physician assistant or advanced practice registered nurse may record a 388
	471	+	contraindication or precaution that is not recognized by the National 389
	472	+	Centers for Disease Control and Prevention, but in his or her discretion, 390
	473	+	results in the vaccination being medically contraindicated, (4) a section 391
	474	+	in which the physician, physician assistant or advanced practice 392
	475	+	registered nurse may include a written explanation for the exemption 393
	476	+	from any statutorily required vaccinations, (5) a section requiring the 394
	477	+	signature of the physician, physician assistant or advanced practice 395
	478	+	registered nurse, (6) a requirement that the physician, physician 396
	479	+	assistant or advanced practice registered nurse attach such person's 397
	480	+	most current immunization record, and (7) a synopsis of the grounds for 398
	481	+	any order of quarantine or isolation pursuant to section 19a-131b of the 399
	482	+	general statutes. 400
	483	+	Sec. 7. (NEW) (Effective from passage) (a) There is established an 401
	484	+	Advisory Committee on Medically Contraindicated Vaccinations within 402
	485	+	the Department of Public Health for the purpose of advising the 403
	486	+	Commissioner of Public Health on issues concerning exemptions from 404
	487	+	state or federal requirements for vaccinations that result from a 405
	488	+	physician, physician assistant or advanced practice registered nurse 406
	489	+	stating that a vaccination is medically contraindicated for a person due 407
	490	+	to the medical condition of such person. For the purpose of performing 408
	491	+	its function, the advisory committee shall (1) have access to the 409
	492	+	childhood immunization registry established by the department 410
	493	+	pursuant to section 19a-7h of the general statutes, (2) evaluate the 411
	494	+	process used by the Department of Public Health in collecting data 412
	495	+	concerning exemptions resulting from a vaccination being medically 413
	496	+	contraindicated and whether the department should have any oversight 414
	497	+	over such exemptions, (3) examine whether enrollment of an 415
	498	+	unvaccinated child into a program operated by a public or nonpublic 416
	499	+	school, institution of higher education, child care center or group child 417
	500	+	care home should be conditioned upon the child meeting certain 418
	501	+	criteria, (4) calculate the ratio of school nurses to students in each public 419
	502	+	and nonpublic school in the state and the funding issues surrounding 420 Raised Bill No. 5044
508	503
509	504
510		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
511		-	R01-HB.docx }
512		-	14 of 19
513	505
514		-	for children for whom such immunization is medically contraindicated 421
515		-	and for children whose parents or guardian objects to such 422
516		-	immunization on religious grounds and require that any such objection 423
517		-	be accompanied by a statement from such parents or guardian that such 424
518		-	immunization would be contrary to the religious beliefs of such child or 425
519		-	the parents or guardian of such child, which statement shall be 426
520		-	acknowledged, in accordance with the provisions of sections 1-32, 1-34 427
521		-	and 1-35, by (1) a judge of a court of record or a family support 428
522		-	magistrate, (2) a clerk or deputy clerk of a court having a seal, (3) a town 429
523		-	clerk, (4) a notary public, (5) a justice of the peace, or (6) an attorney 430
524		-	admitted to the bar of this state.] Such regulations shall also specify 431
525		-	conditions under which family child care home providers may 432
526		-	administer tests to monitor glucose levels in a child with diagnosed 433
527		-	diabetes mellitus, and administer medicinal preparations, including 434
528		-	controlled drugs specified in the regulations by the commissioner, to a 435
529		-	child receiving child care services at a family child care home pursuant 436
530		-	to a written order of a physician licensed to practice medicine in this or 437
531		-	another state, an advanced practice registered nurse licensed to 438
532		-	prescribe in accordance with section 20-94a or a physician assistant 439
533		-	licensed to prescribe in accordance with section 20-12d, and the written 440
534		-	authorization of a parent or guardian of such child. Such regulations 441
535		-	shall specify appropriate standards for extended care and intermittent 442
536		-	short-term overnight care. The commissioner shall inform each licensee, 443
537		-	by way of a plain language summary provided not later than sixty days 444
538		-	after the regulation's effective date, of any new or changed regulations 445
539		-	adopted under this subsection with which a licensee must comply. 446
540		-	(g) Any child who (1) presents a certificate, in a form prescribed by 447
541		-	the Commissioner of Public Health pursuant to section 7 of this act, 448
542		-	signed by a physician, physician assistant or advanced practice 449
543		-	registered nurse stating that, in the opinion of such physician, physician 450
544		-	assistant or advanced practice registered nurse, the immunizations 451
545		-	required pursuant to regulations adopted pursuant to subsection (f) of 452
546		-	this section are medically contraindicated, or (2) prior to the effective 453
547		-	date of this section, presents a statement that such immunizations 454 Substitute Bill No. 5044
	506	+	LCO No. 698 14 of 16
	507	+
	508	+	such ratio, (5) assess whether immunizations should be required more 421
	509	+	frequently than prior to enrollment into a program operated by a public 422
	510	+	or nonpublic school and prior to entering seventh grade, and (6) 423
	511	+	determine whether (A) there are any discrepancies in the issuance of 424
	512	+	certificates stating that a vaccine is medically contraindicated, and (B) to 425
	513	+	recommend continuing education of physicians, physician assistants or 426
	514	+	advanced practice registered nurses in vaccine contraindications and 427
	515	+	precautions. All information obtained by the advisory committee from 428
	516	+	such registry shall be confidential pursuant to section 19a-25 of the 429
	517	+	general statutes, as amended by this act. 430
	518	+	(b) The advisory committee shall consist of the following members: 431
	519	+	(1) Two appointed by the speaker of the House of Representatives, 432
	520	+	one of whom shall be a physician licensed pursuant to chapter 370 of the 433
	521	+	general statutes who is a pediatrician, and one of whom shall be a 434
	522	+	member of the public; 435
	523	+	(2) Two appointed by the president pro tempore of the Senate, one of 436
	524	+	whom shall be a physician licensed pursuant to chapter 370 of the 437
	525	+	general statutes who has expertise in the efficacy of vaccines, and one of 438
	526	+	whom shall be a member of the public; 439
	527	+	(3) One appointed by the majority leader of the House of 440
	528	+	Representatives, who shall be a school nurse; 441
	529	+	(4) One appointed by the majority leader of the Senate, who shall be 442
	530	+	a physician assistant licensed pursuant to chapter 370 of the general 443
	531	+	statutes who has experience in the administration of vaccines; 444
	532	+	(5) One appointed by the minority leader of the House of 445
	533	+	Representatives, who shall be an advanced practice registered nurse 446
	534	+	licensed pursuant to chapter 378 of the general statutes who has 447
	535	+	experience in the administration of vaccines; 448
	536	+	(6) One appointed by the minority leader of the Senate, who shall be 449
	537	+	a representative of the Connecticut Chapter of the American Academy 450 Raised Bill No. 5044
548	538
549	539
550		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
551		-	R01-HB.docx }
552		-	15 of 19
553	540
554		-	would be contrary to the religious beliefs of such child or the parents or 455
555		-	guardians of such child, shall be exempt from the immunization 456
556		-	requirements set forth in such regulations. Such statement shall be 457
557		-	acknowledged, in accordance with the provisions of sections 1-32, 1-34 458
558		-	and 1-35, by (A) a judge of a court of record or a family support 459
559		-	magistrate, (B) a clerk or deputy clerk of a court having a seal, (C) a town 460
560		-	clerk, (D) a notary public, (E) a justice of the peace, or (F) an attorney 461
561		-	admitted to the bar of this state. 462
562		-	[(g)] (h) Upon the declaration by the Governor of a civil preparedness 463
563		-	emergency pursuant to section 28-9 or a public health emergency 464
564		-	pursuant to section 19a-131a, the commissioner may waive the 465
565		-	provisions of any regulation adopted pursuant to this section if the 466
566		-	commissioner determines that such waiver would not endanger the life, 467
567		-	safety or health of any child. The commissioner shall prescribe the 468
568		-	duration of such waiver, provided such waiver shall not extend beyond 469
569		-	the duration of the declared emergency. The commissioner shall 470
570		-	establish the criteria by which a waiver request shall be made and the 471
571		-	conditions for which a waiver will be granted or denied. The provisions 472
572		-	of section 19a-84 shall not apply to a denial of a waiver request under 473
573		-	this subsection. 474
574		-	[(h)] (i) Any family child care home may provide child care services 475
575		-	to homeless children and youths, as defined in 42 USC 11434a, as 476
576		-	amended from time to time, for a period not to exceed ninety days 477
577		-	without complying with any provision in regulations adopted pursuant 478
578		-	to this section relating to immunization and physical examination 479
579		-	requirements. Any family child care home that provides child care 480
580		-	services to homeless children and youths at such home under this 481
581		-	subsection shall maintain a record on file of all homeless children and 482
582		-	youths who have attended such home for a period of two years after 483
583		-	such homeless children or youths are no longer receiving child care 484
584		-	services at such home. 485
585		-	[(i)] (j) Any family child care home may provide child care services to 486
586		-	a foster child for a period not to exceed forty-five days without 487 Substitute Bill No. 5044
	541	+	LCO No. 698 15 of 16
	542	+
	543	+	of Pediatrics; 451
	544	+	(7) The Commissioner of Public Health, or the commissioner's 452
	545	+	designee; and 453
	546	+	(8) The Commissioner of Education, or the commissioner's designee. 454
	547	+	(c) The advisory committee shall meet not less than biannually. On or 455
	548	+	before January 1, 2021, and annually thereafter, the committee shall 456
	549	+	report, in accordance with the provisions of section 11-4a of the general 457
	550	+	statutes, on its activities and findings to the joint standing committee of 458
	551	+	the General Assembly having cognizance of matters relating to public 459
	552	+	health. 460
	553	+	Sec. 8. Subsection (f) of section 19a-87b of the 2020 supplement to the 461
	554	+	general statutes is repealed and the following is substituted in lieu 462
	555	+	thereof (Effective from passage): 463
	556	+	(f) The commissioner shall adopt regulations, in accordance with the 464
	557	+	provisions of chapter 54, to assure that family child care homes, as 465
	558	+	defined in section 19a-77, meet the health, educational and social needs 466
	559	+	of children utilizing such homes. Such regulations shall ensure that the 467
	560	+	family child care home is treated as a residence, and not an institutional 468
	561	+	facility. Such regulations shall specify that each child be protected as 469
	562	+	age-appropriate by adequate immunization against diphtheria, 470
	563	+	pertussis, tetanus, poliomyelitis, measles, mumps, rubella, 471
	564	+	[hemophilus] haemophilus influenzae type B and any other vaccine 472
	565	+	required by the schedule of active immunization adopted pursuant to 473
	566	+	section 19a-7f. Such regulations shall provide appropriate exemptions 474
	567	+	for children for whom such immunization is medically contraindicated 475
	568	+	and for children whose parents or guardian objects to such 476
	569	+	immunization on religious grounds and require that any such objection 477
	570	+	be accompanied by a statement from such parents or guardian that such 478
	571	+	immunization would be contrary to the religious beliefs of such child or 479
	572	+	the parents or guardian of such child, which statement shall be 480
	573	+	acknowledged, in accordance with the provisions of sections 1-32, 1-34 481
	574	+	and 1-35, by (1) a judge of a court of record or a family support 482 Raised Bill No. 5044
587	575
588	576
589		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
590		-	R01-HB.docx }
591		-	16 of 19
592	577
593		-	complying with any provision in regulations adopted pursuant to this 488
594		-	section relating to immunization and physical examination 489
595		-	requirements. Any family child care home that provides child care 490
596		-	services to a foster child at such home under this subsection shall 491
597		-	maintain a record on file of such foster child for a period of two years 492
598		-	after such foster child is no longer receiving child care services at such 493
599		-	home. For purposes of this subsection, "foster child" means a child who 494
600		-	is in the care and custody of the Commissioner of Children and Families 495
601		-	and placed in a foster home licensed pursuant to section 17a-114, foster 496
602		-	home approved by a child-placing agency licensed pursuant to section 497
603		-	17a-149, facility licensed pursuant to section 17a-145 or with a relative 498
604		-	or fictive kin caregiver pursuant to section 17a-114. 499
605		-	Sec. 7. (Effective from passage) On or before October 1, 2020, the 500
606		-	Commissioner of Public Health shall develop and make available on the 501
607		-	Internet web site of the Department of Public Health a certificate for use 502
608		-	by a physician, physician assistant or advanced practice registered 503
609		-	nurse stating that, in the opinion of such physician, physician assistant 504
610		-	or advanced practice registered nurse, a vaccination required by the 505
611		-	general statutes is medically contraindicated for a person because of the 506
612		-	physical condition of such person. The certificate shall include (1) 507
613		-	definitions of the terms "contraindication" and "precaution", (2) a list of 508
614		-	contraindications and precautions recognized by the National Centers 509
615		-	for Disease Control and Prevention for each of the statutorily required 510
616		-	vaccinations, from which the physician, physician assistant or advanced 511
617		-	practice registered nurse may select the relevant contraindication or 512
618		-	precaution on behalf of such person, (3) a section in which the physician, 513
619		-	physician assistant or advanced practice registered nurse may record a 514
620		-	contraindication or precaution that is not recognized by the National 515
621		-	Centers for Disease Control and Prevention, but in his or her discretion, 516
622		-	results in the vaccination being medically contraindicated, including, 517
623		-	but not limited to, any autoimmune disorder or family history of any 518
624		-	autoimmune disorder, (4) a section in which the physician, physician 519
625		-	assistant or advanced practice registered nurse may include a written 520
626		-	explanation for the exemption from any statutorily required 521 Substitute Bill No. 5044
	578	+	LCO No. 698 16 of 16
627	579
628		-
629		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
630		-	R01-HB.docx }
631		-	17 of 19
632		-
633		-	vaccinations, (5) a section requiring the signature of the physician, 522
634		-	physician assistant or advanced practice registered nurse, (6) a 523
635		-	requirement that the physician, physician assistant or advanced practice 524
636		-	registered nurse attach such person's most current immunization 525
637		-	record, and (7) a synopsis of the grounds for any order of quarantine or 526
638		-	isolation pursuant to section 19a-131b of the general statutes. 527
639		-	Sec. 8. (NEW) (Effective from passage) (a) There is established an 528
640		-	Advisory Committee on Medically Contraindicated Vaccinations within 529
641		-	the Department of Public Health for the purpose of advising the 530
642		-	Commissioner of Public Health on issues concerning exemptions from 531
643		-	state or federal requirements for vaccinations that result from a 532
644		-	physician, physician assistant or advanced practice registered nurse 533
645		-	stating that a vaccination is medically contraindicated for a person due 534
646		-	to the medical condition of such person. For the purpose of performing 535
647		-	its function, the advisory committee shall (1) have access to the 536
648		-	childhood immunization registry established by the department 537
649		-	pursuant to section 19a-7h of the general statutes, (2) evaluate the 538
650		-	process used by the Department of Public Health in collecting data 539
651		-	concerning exemptions resulting from a vaccination being medically 540
652		-	contraindicated and whether the department should have any oversight 541
653		-	over such exemptions, (3) examine whether enrollment of an 542
654		-	unvaccinated child into a program operated by a public or nonpublic 543
655		-	school, institution of higher education, child care center or group child 544
656		-	care home should be conditioned upon the child meeting certain 545
657		-	criteria, (4) calculate the ratio of school nurses to students in each public 546
658		-	and nonpublic school in the state and the funding issues surrounding 547
659		-	such ratio, (5) assess whether immunizations should be required more 548
660		-	frequently than prior to enrollment into a program operated by a public 549
661		-	or nonpublic school and prior to entering seventh grade, and (6) 550
662		-	determine whether (A) there are any discrepancies in the issuance of 551
663		-	certificates stating that a vaccine is medically contraindicated, and (B) to 552
664		-	recommend continuing education of physicians, physician assistants or 553
665		-	advanced practice registered nurses in vaccine contraindications and 554
666		-	precautions. All information obtained by the advisory committee from 555 Substitute Bill No. 5044
667		-
668		-
669		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
670		-	R01-HB.docx }
671		-	18 of 19
672		-
673		-	such registry shall be confidential pursuant to section 19a-25 of the 556
674		-	general statutes, as amended by this act. 557
675		-	(b) The advisory committee shall consist of the following members: 558
676		-	(1) Two appointed by the speaker of the House of Representatives, 559
677		-	one of whom shall be a physician licensed pursuant to chapter 370 of the 560
678		-	general statutes who is a pediatrician, and one of whom shall be a 561
679		-	member of the public; 562
680		-	(2) Two appointed by the president pro tempore of the Senate, one of 563
681		-	whom shall be a physician licensed pursuant to chapter 370 of the 564
682		-	general statutes who has expertise in the efficacy of vaccines, and one of 565
683		-	whom shall be a member of the public; 566
684		-	(3) One appointed by the majority leader of the House of 567
685		-	Representatives, who shall be a school nurse; 568
686		-	(4) One appointed by the majority leader of the Senate, who shall be 569
687		-	a physician assistant licensed pursuant to chapter 370 of the general 570
688		-	statutes who has experience in the administration of vaccines; 571
689		-	(5) One appointed by the minority leader of the House of 572
690		-	Representatives, who shall be an advanced practice registered nurse 573
691		-	licensed pursuant to chapter 378 of the general statutes who has 574
692		-	experience in the administration of vaccines; 575
693		-	(6) One appointed by the minority leader of the Senate, who shall be 576
694		-	a representative of the Connecticut Chapter of the American Academy 577
695		-	of Pediatrics; 578
696		-	(7) The Commissioner of Public Health, or the commissioner's 579
697		-	designee; 580
698		-	(8) The Commissioner of Education, or the commissioner's designee; 581
699		-	and 582
700		-	(9) The Commissioner of Early Childhood, or the commissioner's 583 Substitute Bill No. 5044
701		-
702		-
703		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2020HB-05044-
704		-	R01-HB.docx }
705		-	19 of 19
706		-
707		-	designee. 584
708		-	(c) The advisory committee shall meet not less than biannually. On or 585
709		-	before January 1, 2021, and annually thereafter, the committee shall 586
710		-	report, in accordance with the provisions of section 11-4a of the general 587
711		-	statutes, on its activities and findings to the joint standing committee of 588
712		-	the General Assembly having cognizance of matters relating to public 589
713		-	health. 590
714		-	Sec. 9. (NEW) (Effective from passage) The Department of Public 591
715		-	Health, in collaboration with the State Department of Education and the 592
716		-	Office of Early Childhood, shall evaluate all of the data collected by said 593
717		-	departments concerning exemptions from immunization requirements. 594
718		-	Not later than January 1, 2021, and annually thereafter, the 595
719		-	Commissioners of Public Health, Education and Early Childhood shall 596
720		-	jointly report, in accordance with the provisions of section 11-4a of the 597
721		-	general statutes, to the joint standing committee of the General 598
722		-	Assembly having cognizance of matters relating to public health 599
723		-	regarding the evaluation of such data. 600
	580	+	magistrate, (2) a clerk or deputy clerk of a court having a seal, (3) a town 483
	581	+	clerk, (4) a notary public, (5) a justice of the peace, or (6) an attorney 484
	582	+	admitted to the bar of this state. Such regulations shall also specify 485
	583	+	conditions under which family child care home providers may 486
	584	+	administer tests to monitor glucose levels in a child with diagnosed 487
	585	+	diabetes mellitus, and administer medicinal preparations, including 488
	586	+	controlled drugs specified in the regulations by the commissioner, to a 489
	587	+	child receiving child care services at a family child care home pursuant 490
	588	+	to a written order of a physician licensed to practice medicine in this or 491
	589	+	another state, an advanced practice registered nurse licensed to 492
	590	+	prescribe in accordance with section 20-94a or a physician assistant 493
	591	+	licensed to prescribe in accordance with section 20-12d, and the written 494
	592	+	authorization of a parent or guardian of such child. Such regulations 495
	593	+	shall specify appropriate standards for extended care and intermittent 496
	594	+	short-term overnight care. The commissioner shall inform each licensee, 497
	595	+	by way of a plain language summary provided not later than sixty days 498
	596	+	after the regulation's effective date, of any new or changed regulations 499
	597	+	adopted under this subsection with which a licensee must comply. 500
724	598		This act shall take effect as follows and shall amend the following
725	599		sections:
726	600
727	601		Section 1 from passage 10-204a(a) and (b)
728	602		Sec. 2 from passage 19a-25
729	603		Sec. 3 from passage 10a-155
730	604		Sec. 4 from passage 10a-155b(a)
731	605		Sec. 5 from passage 19a-79
732		-	Sec. 6 from passage ~~19a-87b~~
	606	+	Sec. 6 from passage New section
733	607		Sec. 7 from passage New section
734		-	Sec. 8 from passage New section
735		-	Sec. 9 from passage New section
	608	+	Sec. 8 from passage 19a-87b(f)
736	609
737		-	Statement of Legislative Commissioners:
738		-	In Section 1(a)(2), ", in a form prescribed by the commissioner pursuant
739		-	to section 7 of this act," was added for consistency.
740		-
741		-	PH Joint Favorable Subst.
	610	+	Statement of Purpose:
	611	+	To protect the public health by ensuring adequate and appropriate
	612	+	immunizations of children.
	613	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
	614	+	that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
	615	+	underlined.]
742	616