Illinois 2023-2024 Regular Session

Illinois Senate Bill SB3378 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	Public Act 103-0985
2	1		SB3378 EnrolledLRB103 39159 RJT 69305 b SB3378 Enrolled LRB103 39159 RJT 69305 b
3	2		SB3378 Enrolled LRB103 39159 RJT 69305 b
4		-	AN ACT concerning health.
5		-	Be it enacted by the People of the State of Illinois,
6		-	represented in the General Assembly:
7		-	Section 5. The Department of Public Health Powers and
8		-	Duties Law of the Civil Administrative Code of Illinois is
9		-	amended by changing Section 2310-700 as follows:
10		-	(20 ILCS 2310/2310-700)
11		-	Sec. 2310-700. Influenza and meningococcal disease and
12		-	vaccine information; school districts. The Department shall
13		-	develop, provide, or approve and shall publish informational
14		-	materials for school districts in this State regarding
15		-	influenza and influenza vaccinations and meningococcal disease
16		-	and meningococcal vaccinations in accordance with the latest
17		-	information provided by the Advisory Committee on Immunization
18		-	Practices of the Centers for Disease Control and Prevention.
19		-	(Source: P.A. 100-977, eff. 1-1-19.)
20		-	(20 ILCS 2310/2310-391 rep.)
21		-	Section 10. The Department of Public Health Powers and
22		-	Duties Law of the Civil Administrative Code of Illinois is
23		-	amended by repealing Section 2310-391.
24		-	Section 15. The School Code is amended by changing Section
	3	+	1 AN ACT concerning health.
	4	+	2 Be it enacted by the People of the State of Illinois,
	5	+	3 represented in the General Assembly:
	6	+	4 Section 5. The Department of Public Health Powers and
	7	+	5 Duties Law of the Civil Administrative Code of Illinois is
	8	+	6 amended by changing Section 2310-700 as follows:
	9	+	7 (20 ILCS 2310/2310-700)
	10	+	8 Sec. 2310-700. Influenza and meningococcal disease and
	11	+	9 vaccine information; school districts. The Department shall
	12	+	10 develop, provide, or approve and shall publish informational
	13	+	11 materials for school districts in this State regarding
	14	+	12 influenza and influenza vaccinations and meningococcal disease
	15	+	13 and meningococcal vaccinations in accordance with the latest
	16	+	14 information provided by the Advisory Committee on Immunization
	17	+	15 Practices of the Centers for Disease Control and Prevention.
	18	+	16 (Source: P.A. 100-977, eff. 1-1-19.)
	19	+	17 (20 ILCS 2310/2310-391 rep.)
	20	+	18 Section 10. The Department of Public Health Powers and
	21	+	19 Duties Law of the Civil Administrative Code of Illinois is
	22	+	20 amended by repealing Section 2310-391.
	23	+	21 Section 15. The School Code is amended by changing Section
25	24
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31		-	27-8.1 as follows:
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	32	+	1 27-8.1 as follows:
	33	+	2 (105 ILCS 5/27-8.1) (from Ch. 122, par. 27-8.1)
	34	+	3 Sec. 27-8.1. Health examinations and immunizations.
	35	+	4 (1) In compliance with rules and regulations which the
	36	+	5 Department of Public Health shall promulgate, and except as
	37	+	6 hereinafter provided, all children in Illinois shall have a
	38	+	7 health examination as follows: within one year prior to
	39	+	8 entering kindergarten or the first grade of any public,
	40	+	9 private, or parochial elementary school; upon entering the
	41	+	10 sixth and ninth grades of any public, private, or parochial
	42	+	11 school; prior to entrance into any public, private, or
	43	+	12 parochial nursery school; and, irrespective of grade,
	44	+	13 immediately prior to or upon entrance into any public,
	45	+	14 private, or parochial school or nursery school, each child
	46	+	15 shall present proof of having been examined in accordance with
	47	+	16 this Section and the rules and regulations promulgated
	48	+	17 hereunder. Any child who received a health examination within
	49	+	18 one year prior to entering the fifth grade for the 2007-2008
	50	+	19 school year is not required to receive an additional health
	51	+	20 examination in order to comply with the provisions of Public
	52	+	21 Act 95-422 when he or she attends school for the 2008-2009
	53	+	22 school year, unless the child is attending school for the
	54	+	23 first time as provided in this paragraph.
	55	+	24 A tuberculosis skin test screening shall be included as a
	56	+	25 required part of each health examination included under this
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	67	+	1 Section if the child resides in an area designated by the
	68	+	2 Department of Public Health as having a high incidence of
	69	+	3 tuberculosis. Additional health examinations of pupils,
	70	+	4 including eye examinations, may be required when deemed
	71	+	5 necessary by school authorities. Parents are encouraged to
	72	+	6 have their children undergo eye examinations at the same
	73	+	7 points in time required for health examinations.
	74	+	8 (1.5) In compliance with rules adopted by the Department
	75	+	9 of Public Health and except as otherwise provided in this
	76	+	10 Section, all children in kindergarten and the second, sixth,
	77	+	11 and ninth grades of any public, private, or parochial school
	78	+	12 shall have a dental examination. Each of these children shall
	79	+	13 present proof of having been examined by a dentist in
	80	+	14 accordance with this Section and rules adopted under this
	81	+	15 Section before May 15th of the school year. If a child in the
	82	+	16 second, sixth, or ninth grade fails to present proof by May
	83	+	17 15th, the school may hold the child's report card until one of
	84	+	18 the following occurs: (i) the child presents proof of a
	85	+	19 completed dental examination or (ii) the child presents proof
	86	+	20 that a dental examination will take place within 60 days after
	87	+	21 May 15th. A school may not withhold a child's report card
	88	+	22 during a school year in which the Governor has declared a
	89	+	23 disaster due to a public health emergency pursuant to Section
	90	+	24 7 of the Illinois Emergency Management Agency Act. The
	91	+	25 Department of Public Health shall establish, by rule, a waiver
	92	+	26 for children who show an undue burden or a lack of access to a
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	103	+	1 dentist. Each public, private, and parochial school must give
	104	+	2 notice of this dental examination requirement to the parents
	105	+	3 and guardians of students at least 60 days before May 15th of
	106	+	4 each school year.
	107	+	5 (1.10) Except as otherwise provided in this Section, all
	108	+	6 children enrolling in kindergarten in a public, private, or
	109	+	7 parochial school on or after January 1, 2008 (the effective
	110	+	8 date of Public Act 95-671) and any student enrolling for the
	111	+	9 first time in a public, private, or parochial school on or
	112	+	10 after January 1, 2008 (the effective date of Public Act
	113	+	11 95-671) shall have an eye examination. Each of these children
	114	+	12 shall present proof of having been examined by a physician
	115	+	13 licensed to practice medicine in all of its branches or a
	116	+	14 licensed optometrist within the previous year, in accordance
	117	+	15 with this Section and rules adopted under this Section, before
	118	+	16 October 15th of the school year. If the child fails to present
	119	+	17 proof by October 15th, the school may hold the child's report
	120	+	18 card until one of the following occurs: (i) the child presents
	121	+	19 proof of a completed eye examination or (ii) the child
	122	+	20 presents proof that an eye examination will take place within
	123	+	21 60 days after October 15th. A school may not withhold a child's
	124	+	22 report card during a school year in which the Governor has
	125	+	23 declared a disaster due to a public health emergency pursuant
	126	+	24 to Section 7 of the Illinois Emergency Management Agency Act.
	127	+	25 The Department of Public Health shall establish, by rule, a
	128	+	26 waiver for children who show an undue burden or a lack of
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	139	+	1 access to a physician licensed to practice medicine in all of
	140	+	2 its branches who provides eye examinations or to a licensed
	141	+	3 optometrist. Each public, private, and parochial school must
	142	+	4 give notice of this eye examination requirement to the parents
	143	+	5 and guardians of students in compliance with rules of the
	144	+	6 Department of Public Health. Nothing in this Section shall be
	145	+	7 construed to allow a school to exclude a child from attending
	146	+	8 because of a parent's or guardian's failure to obtain an eye
	147	+	9 examination for the child.
	148	+	10 (2) The Department of Public Health shall promulgate rules
	149	+	11 and regulations specifying the examinations and procedures
	150	+	12 that constitute a health examination, which shall include an
	151	+	13 age-appropriate developmental screening, an age-appropriate
	152	+	14 social and emotional screening, and the collection of data
	153	+	15 relating to asthma and obesity (including at a minimum, date
	154	+	16 of birth, gender, height, weight, blood pressure, and date of
	155	+	17 exam), and a dental examination and may recommend by rule that
	156	+	18 certain additional examinations be performed. The rules and
	157	+	19 regulations of the Department of Public Health shall specify
	158	+	20 that a tuberculosis skin test screening shall be included as a
	159	+	21 required part of each health examination included under this
	160	+	22 Section if the child resides in an area designated by the
	161	+	23 Department of Public Health as having a high incidence of
	162	+	24 tuberculosis. With respect to the developmental screening and
	163	+	25 the social and emotional screening, the Department of Public
	164	+	26 Health must, no later than January 1, 2019, develop rules and
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	175	+	1 appropriate revisions to the Child Health Examination form in
	176	+	2 conjunction with a statewide organization representing school
	177	+	3 boards; a statewide organization representing pediatricians;
	178	+	4 statewide organizations representing individuals holding
	179	+	5 Illinois educator licenses with school support personnel
	180	+	6 endorsements, including school social workers, school
	181	+	7 psychologists, and school nurses; a statewide organization
	182	+	8 representing children's mental health experts; a statewide
	183	+	9 organization representing school principals; the Director of
	184	+	10 Healthcare and Family Services or his or her designee, the
	185	+	11 State Superintendent of Education or his or her designee; and
	186	+	12 representatives of other appropriate State agencies and, at a
	187	+	13 minimum, must recommend the use of validated screening tools
	188	+	14 appropriate to the child's age or grade, and, with regard to
	189	+	15 the social and emotional screening, require recording only
	190	+	16 whether or not the screening was completed. The rules shall
	191	+	17 take into consideration the screening recommendations of the
	192	+	18 American Academy of Pediatrics and must be consistent with the
	193	+	19 State Board of Education's social and emotional learning
	194	+	20 standards. The Department of Public Health shall specify that
	195	+	21 a diabetes screening as defined by rule shall be included as a
	196	+	22 required part of each health examination. Diabetes testing is
	197	+	23 not required.
	198	+	24 Physicians licensed to practice medicine in all of its
	199	+	25 branches, licensed advanced practice registered nurses, or
	200	+	26 licensed physician assistants shall be responsible for the
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	211	+	1 performance of the health examinations, other than dental
	212	+	2 examinations, eye examinations, and vision and hearing
	213	+	3 screening, and shall sign all report forms required by
	214	+	4 subsection (4) of this Section that pertain to those portions
	215	+	5 of the health examination for which the physician, advanced
	216	+	6 practice registered nurse, or physician assistant is
	217	+	7 responsible. If a registered nurse performs any part of a
	218	+	8 health examination, then a physician licensed to practice
	219	+	9 medicine in all of its branches must review and sign all
	220	+	10 required report forms. Licensed dentists shall perform all
	221	+	11 dental examinations and shall sign all report forms required
	222	+	12 by subsection (4) of this Section that pertain to the dental
	223	+	13 examinations. Physicians licensed to practice medicine in all
	224	+	14 its branches or licensed optometrists shall perform all eye
	225	+	15 examinations required by this Section and shall sign all
	226	+	16 report forms required by subsection (4) of this Section that
	227	+	17 pertain to the eye examination. For purposes of this Section,
	228	+	18 an eye examination shall at a minimum include history, visual
	229	+	19 acuity, subjective refraction to best visual acuity near and
	230	+	20 far, internal and external examination, and a glaucoma
	231	+	21 evaluation, as well as any other tests or observations that in
	232	+	22 the professional judgment of the doctor are necessary. Vision
	233	+	23 and hearing screening tests, which shall not be considered
	234	+	24 examinations as that term is used in this Section, shall be
	235	+	25 conducted in accordance with rules and regulations of the
	236	+	26 Department of Public Health, and by individuals whom the
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	247	+	1 Department of Public Health has certified. In these rules and
	248	+	2 regulations, the Department of Public Health shall require
	249	+	3 that individuals conducting vision screening tests give a
	250	+	4 child's parent or guardian written notification, before the
	251	+	5 vision screening is conducted, that states, "Vision screening
	252	+	6 is not a substitute for a complete eye and vision evaluation by
	253	+	7 an eye doctor. Your child is not required to undergo this
	254	+	8 vision screening if an optometrist or ophthalmologist has
	255	+	9 completed and signed a report form indicating that an
	256	+	10 examination has been administered within the previous 12
	257	+	11 months.".
	258	+	12 (2.5) With respect to the developmental screening and the
	259	+	13 social and emotional screening portion of the health
	260	+	14 examination, each child may present proof of having been
	261	+	15 screened in accordance with this Section and the rules adopted
	262	+	16 under this Section before October 15th of the school year.
	263	+	17 With regard to the social and emotional screening only, the
	264	+	18 examining health care provider shall only record whether or
	265	+	19 not the screening was completed. If the child fails to present
	266	+	20 proof of the developmental screening or the social and
	267	+	21 emotional screening portions of the health examination by
	268	+	22 October 15th of the school year, qualified school support
	269	+	23 personnel may, with a parent's or guardian's consent, offer
	270	+	24 the developmental screening or the social and emotional
	271	+	25 screening to the child. Each public, private, and parochial
	272	+	26 school must give notice of the developmental screening and
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	283	+	1 social and emotional screening requirements to the parents and
	284	+	2 guardians of students in compliance with the rules of the
	285	+	3 Department of Public Health. Nothing in this Section shall be
	286	+	4 construed to allow a school to exclude a child from attending
	287	+	5 because of a parent's or guardian's failure to obtain a
	288	+	6 developmental screening or a social and emotional screening
	289	+	7 for the child. Once a developmental screening or a social and
	290	+	8 emotional screening is completed and proof has been presented
	291	+	9 to the school, the school may, with a parent's or guardian's
	292	+	10 consent, make available appropriate school personnel to work
	293	+	11 with the parent or guardian, the child, and the provider who
	294	+	12 signed the screening form to obtain any appropriate
	295	+	13 evaluations and services as indicated on the form and in other
	296	+	14 information and documentation provided by the parents,
	297	+	15 guardians, or provider.
	298	+	16 (3) Every child shall, at or about the same time as he or
	299	+	17 she receives a health examination required by subsection (1)
	300	+	18 of this Section, present to the local school proof of having
	301	+	19 received such immunizations against preventable communicable
	302	+	20 diseases as the Department of Public Health shall require by
	303	+	21 rules and regulations promulgated pursuant to this Section and
	304	+	22 the Communicable Disease Prevention Act.
	305	+	23 (4) The individuals conducting the health examination,
	306	+	24 dental examination, or eye examination shall record the fact
	307	+	25 of having conducted the examination, and such additional
	308	+	26 information as required, including for a health examination
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	319	+	1 data relating to asthma and obesity (including at a minimum,
	320	+	2 date of birth, gender, height, weight, blood pressure, and
	321	+	3 date of exam), on uniform forms which the Department of Public
	322	+	4 Health and the State Board of Education shall prescribe for
	323	+	5 statewide use. The examiner shall summarize on the report form
	324	+	6 any condition that he or she suspects indicates a need for
	325	+	7 special services, including for a health examination factors
	326	+	8 relating to asthma or obesity. The duty to summarize on the
	327	+	9 report form does not apply to social and emotional screenings.
	328	+	10 The confidentiality of the information and records relating to
	329	+	11 the developmental screening and the social and emotional
	330	+	12 screening shall be determined by the statutes, rules, and
	331	+	13 professional ethics governing the type of provider conducting
	332	+	14 the screening. The individuals confirming the administration
	333	+	15 of required immunizations shall record as indicated on the
	334	+	16 form that the immunizations were administered.
	335	+	17 (5) If a child does not submit proof of having had either
	336	+	18 the health examination or the immunization as required, then
	337	+	19 the child shall be examined or receive the immunization, as
	338	+	20 the case may be, and present proof by October 15 of the current
	339	+	21 school year, or by an earlier date of the current school year
	340	+	22 established by a school district. To establish a date before
	341	+	23 October 15 of the current school year for the health
	342	+	24 examination or immunization as required, a school district
	343	+	25 must give notice of the requirements of this Section 60 days
	344	+	26 prior to the earlier established date. If for medical reasons
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	355	+	1 one or more of the required immunizations must be given after
	356	+	2 October 15 of the current school year, or after an earlier
	357	+	3 established date of the current school year, then the child
	358	+	4 shall present, by October 15, or by the earlier established
	359	+	5 date, a schedule for the administration of the immunizations
	360	+	6 and a statement of the medical reasons causing the delay, both
	361	+	7 the schedule and the statement being issued by the physician,
	362	+	8 advanced practice registered nurse, physician assistant,
	363	+	9 registered nurse, or local health department that will be
	364	+	10 responsible for administration of the remaining required
	365	+	11 immunizations. If a child does not comply by October 15, or by
	366	+	12 the earlier established date of the current school year, with
	367	+	13 the requirements of this subsection, then the local school
	368	+	14 authority shall exclude that child from school until such time
	369	+	15 as the child presents proof of having had the health
	370	+	16 examination as required and presents proof of having received
	371	+	17 those required immunizations which are medically possible to
	372	+	18 receive immediately. During a child's exclusion from school
	373	+	19 for noncompliance with this subsection, the child's parents or
	374	+	20 legal guardian shall be considered in violation of Section
	375	+	21 26-1 and subject to any penalty imposed by Section 26-10. This
	376	+	22 subsection (5) does not apply to dental examinations, eye
	377	+	23 examinations, and the developmental screening and the social
	378	+	24 and emotional screening portions of the health examination. If
	379	+	25 the student is an out-of-state transfer student and does not
	380	+	26 have the proof required under this subsection (5) before
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	391	+	1 October 15 of the current year or whatever date is set by the
	392	+	2 school district, then he or she may only attend classes (i) if
	393	+	3 he or she has proof that an appointment for the required
	394	+	4 vaccinations has been scheduled with a party authorized to
	395	+	5 submit proof of the required vaccinations. If the proof of
	396	+	6 vaccination required under this subsection (5) is not
	397	+	7 submitted within 30 days after the student is permitted to
	398	+	8 attend classes, then the student is not to be permitted to
	399	+	9 attend classes until proof of the vaccinations has been
	400	+	10 properly submitted. No school district or employee of a school
	401	+	11 district shall be held liable for any injury or illness to
	402	+	12 another person that results from admitting an out-of-state
	403	+	13 transfer student to class that has an appointment scheduled
	404	+	14 pursuant to this subsection (5).
	405	+	15 (6) Every school shall report to the State Board of
	406	+	16 Education by November 15, in the manner which that agency
	407	+	17 shall require, the number of children who have received the
	408	+	18 necessary immunizations and the health examination (other than
	409	+	19 a dental examination or eye examination) as required,
	410	+	20 indicating, of those who have not received the immunizations
	411	+	21 and examination as required, the number of children who are
	412	+	22 exempt from health examination and immunization requirements
	413	+	23 on religious or medical grounds as provided in subsection (8).
	414	+	24 On or before December 1 of each year, every public school
	415	+	25 district and registered nonpublic school shall make publicly
	416	+	26 available the immunization data they are required to submit to
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	427	+	1 the State Board of Education by November 15. The immunization
	428	+	2 data made publicly available must be identical to the data the
	429	+	3 school district or school has reported to the State Board of
	430	+	4 Education.
	431	+	5 Every school shall report to the State Board of Education
	432	+	6 by June 30, in the manner that the State Board requires, the
	433	+	7 number of children who have received the required dental
	434	+	8 examination, indicating, of those who have not received the
	435	+	9 required dental examination, the number of children who are
	436	+	10 exempt from the dental examination on religious grounds as
	437	+	11 provided in subsection (8) of this Section and the number of
	438	+	12 children who have received a waiver under subsection (1.5) of
	439	+	13 this Section.
	440	+	14 Every school shall report to the State Board of Education
	441	+	15 by June 30, in the manner that the State Board requires, the
	442	+	16 number of children who have received the required eye
	443	+	17 examination, indicating, of those who have not received the
	444	+	18 required eye examination, the number of children who are
	445	+	19 exempt from the eye examination as provided in subsection (8)
	446	+	20 of this Section, the number of children who have received a
	447	+	21 waiver under subsection (1.10) of this Section, and the total
	448	+	22 number of children in noncompliance with the eye examination
	449	+	23 requirement.
	450	+	24 The reported information under this subsection (6) shall
	451	+	25 be provided to the Department of Public Health by the State
	452	+	26 Board of Education.
	453	+
	454	+
	455	+
	456	+
	457	+
	458	+	SB3378 Enrolled - 13 - LRB103 39159 RJT 69305 b
	459	+
	460	+
	461	+	SB3378 Enrolled- 14 -LRB103 39159 RJT 69305 b SB3378 Enrolled - 14 - LRB103 39159 RJT 69305 b
	462	+	SB3378 Enrolled - 14 - LRB103 39159 RJT 69305 b
	463	+	1 (7) Upon determining that the number of pupils who are
	464	+	2 required to be in compliance with subsection (5) of this
	465	+	3 Section is below 90% of the number of pupils enrolled in the
	466	+	4 school district, 10% of each State aid payment made pursuant
	467	+	5 to Section 18-8.05 or 18-8.15 to the school district for such
	468	+	6 year may be withheld by the State Board of Education until the
	469	+	7 number of students in compliance with subsection (5) is the
	470	+	8 applicable specified percentage or higher.
	471	+	9 (8) Children of parents or legal guardians who object to
	472	+	10 health, dental, or eye examinations or any part thereof, to
	473	+	11 immunizations, or to vision and hearing screening tests on
	474	+	12 religious grounds shall not be required to undergo the
	475	+	13 examinations, tests, or immunizations to which they so object
	476	+	14 if such parents or legal guardians present to the appropriate
	477	+	15 local school authority a signed Certificate of Religious
	478	+	16 Exemption detailing the grounds for objection and the specific
	479	+	17 immunizations, tests, or examinations to which they object.
	480	+	18 The grounds for objection must set forth the specific
	481	+	19 religious belief that conflicts with the examination, test,
	482	+	20 immunization, or other medical intervention. The signed
	483	+	21 certificate shall also reflect the parent's or legal
	484	+	22 guardian's understanding of the school's exclusion policies in
	485	+	23 the case of a vaccine-preventable disease outbreak or
	486	+	24 exposure. The certificate must also be signed by the
	487	+	25 authorized examining health care provider responsible for the
	488	+	26 performance of the child's health examination confirming that
	489	+
	490	+
	491	+
	492	+
	493	+
	494	+	SB3378 Enrolled - 14 - LRB103 39159 RJT 69305 b
	495	+
	496	+
	497	+	SB3378 Enrolled- 15 -LRB103 39159 RJT 69305 b SB3378 Enrolled - 15 - LRB103 39159 RJT 69305 b
	498	+	SB3378 Enrolled - 15 - LRB103 39159 RJT 69305 b
	499	+	1 the provider provided education to the parent or legal
	500	+	2 guardian on the benefits of immunization and the health risks
	501	+	3 to the student and to the community of the communicable
	502	+	4 diseases for which immunization is required in this State.
	503	+	5 However, the health care provider's signature on the
	504	+	6 certificate reflects only that education was provided and does
	505	+	7 not allow a health care provider grounds to determine a
	506	+	8 religious exemption. Those receiving immunizations required
	507	+	9 under this Code shall be provided with the relevant vaccine
	508	+	10 information statements that are required to be disseminated by
	509	+	11 the federal National Childhood Vaccine Injury Act of 1986,
	510	+	12 which may contain information on circumstances when a vaccine
	511	+	13 should not be administered, prior to administering a vaccine.
	512	+	14 A healthcare provider may consider including without
	513	+	15 limitation the nationally accepted recommendations from
	514	+	16 federal agencies such as the Advisory Committee on
	515	+	17 Immunization Practices, the information outlined in the
	516	+	18 relevant vaccine information statement, and vaccine package
	517	+	19 inserts, along with the healthcare provider's clinical
	518	+	20 judgment, to determine whether any child may be more
	519	+	21 susceptible to experiencing an adverse vaccine reaction than
	520	+	22 the general population, and, if so, the healthcare provider
	521	+	23 may exempt the child from an immunization or adopt an
	522	+	24 individualized immunization schedule. The Certificate of
	523	+	25 Religious Exemption shall be created by the Department of
	524	+	26 Public Health and shall be made available and used by parents
	525	+
	526	+
	527	+
	528	+
	529	+
	530	+	SB3378 Enrolled - 15 - LRB103 39159 RJT 69305 b
	531	+
	532	+
	533	+	SB3378 Enrolled- 16 -LRB103 39159 RJT 69305 b SB3378 Enrolled - 16 - LRB103 39159 RJT 69305 b
	534	+	SB3378 Enrolled - 16 - LRB103 39159 RJT 69305 b
	535	+	1 and legal guardians by the beginning of the 2015-2016 school
	536	+	2 year. Parents or legal guardians must submit the Certificate
	537	+	3 of Religious Exemption to their local school authority prior
	538	+	4 to entering kindergarten, sixth grade, and ninth grade for
	539	+	5 each child for which they are requesting an exemption. The
	540	+	6 religious objection stated need not be directed by the tenets
	541	+	7 of an established religious organization. However, general
	542	+	8 philosophical or moral reluctance to allow physical
	543	+	9 examinations, eye examinations, immunizations, vision and
	544	+	10 hearing screenings, or dental examinations does not provide a
	545	+	11 sufficient basis for an exception to statutory requirements.
	546	+	12 The local school authority is responsible for determining if
	547	+	13 the content of the Certificate of Religious Exemption
	548	+	14 constitutes a valid religious objection. The local school
	549	+	15 authority shall inform the parent or legal guardian of
	550	+	16 exclusion procedures, in accordance with the Department's
	551	+	17 rules under Part 690 of Title 77 of the Illinois
	552	+	18 Administrative Code, at the time the objection is presented.
	553	+	19 If the physical condition of the child is such that any one
	554	+	20 or more of the immunizing agents should not be administered,
	555	+	21 the examining physician, advanced practice registered nurse,
	556	+	22 or physician assistant responsible for the performance of the
	557	+	23 health examination shall endorse that fact upon the health
	558	+	24 examination form.
	559	+	25 Exempting a child from the health, dental, or eye
	560	+	26 examination does not exempt the child from participation in
	561	+
	562	+
	563	+
	564	+
	565	+
	566	+	SB3378 Enrolled - 16 - LRB103 39159 RJT 69305 b
	567	+
	568	+
	569	+	SB3378 Enrolled- 17 -LRB103 39159 RJT 69305 b SB3378 Enrolled - 17 - LRB103 39159 RJT 69305 b
	570	+	SB3378 Enrolled - 17 - LRB103 39159 RJT 69305 b
	571	+
	572	+
	573	+
	574	+
	575	+
	576	+	SB3378 Enrolled - 17 - LRB103 39159 RJT 69305 b