Req. No. 9196 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 58th Legislature (202 2) HOUSE BILL 3151 By: West (Kevin) AS INTRODUCED An Act relating to school immunizations; amending 70 O.S. 2021, Section 1210.191, which relates to immunization requirements for students; requiring State Commissioner of Health to propose changes; mandating legislative approval of any proposed changes to the required immunizations list; providing that Legislature specify an effective date for changes; defining terms; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 70 O.S. 2021, Section 1210.191, is amended to read as follows: Section 1210.191 A. No minor child shall be admitted to any public, private or parochial school operating in this state unless and until certification is present ed to the appropriate s chool authorities from a licensed physician, or authorized representative of the State Department of Health, that such child has received or is in the process of receiving, immunizations against diphtheria, pertussis, tetanus, haemop hilus influenzae type B (HIB), measles Req. No. 9196 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (rubeola), rubella, poliomyelitis, varicella and hepatitis A or is likely to be immune as a result of the disease. B. Immunizations required, and the manner and frequency of their administration, as prescribed by th e State Commissioner of Health, shall conform to recognized standard medical practices in the state. The State Department o f Health shall supervise and secure the enforcement of the required immunization program. The State Department of Education a nd the governing boards of the school districts of this state shall render reasonable assistance to the State Department of Health in the enforcement of the provisions hereof. C. The Commissioner, by rule, may propose after notice and hearing to alter the list of immun izations required after notice and hearing. Any proposed change in the list of immunizations required shall be submitted to the next regular session of the Legislature and such change shall remain only be in force and effect unless and until a concurrent resolution of dis approval is passed upon approval by the Legislature. Hearings for the proposed change shall be conducted by the Commissioner, or such officer, agents or employees as the Commissioner may designate for that purpose. The Commissioner shall give appropriate notice of the propo sed change in the list of immunizations required and of the time and place fo r hearing. The change shall become effective on a date fixed specified by the Commissioner Legislature. Any proposed change in Req. No. 9196 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the list of immunizations required m ay be amended or repeal ed in the same manner as provided for its adoption in this subsection. Proceedings pursuant to this subsection shall be governed by the Administrative Procedures Act. D. The State Department of Education and the governing boards of the school distric ts of this state shall provide for release to the Oklahoma Health Care Authority of the immunization records of school children covere d under Title XIX or Title XXI of the federal Social Security Act who have not received the required immunizations at the appropriate time. The information received pursuant to such release shall be transmitted by the Oklahoma Health Care Authority to medical providers who provide services to such children pursuant to Title XIX or Title XXI to assist in their efforts to incr ease the rate of childhood immunizations pursuant to the requirements of the Early and Periodic Screening, Diagnosis and Treatment (EP SDT) services provisions. The provisions of this subsection shall not be construed to prohibit or affect the eligibility of any child to receive benefits pursuant to Title XIX or Title XXI of the Social Security Act or to require the immunization of any c hild if such child is exempt from the immunization requirements pursuant to law. The name of any child exempt from immuni zation pursuant to Sect ion 1210.192 of this title shall not be included in the information transmitted pursuant to this subsection. Req. No. 9196 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 E. The State Department of Education shall provide and ensure that each school district in this state provides, on the scho ol district website and in any notice or publication provided to parents regarding immunization requests, the following information regarding immunization requirements for school attendance: "For school enrollment, a parent or guardian shall provide one o f the following: 1. Current, up-to-date immunization records; or 2. A completed and signed exemption form." F. As used in this section : 1. "Immunity" means a person can be exposed to a disease without becoming infected and shall not be used interchangeably with "protection"; 2. "Immunization" means a process by which a pers on becomes immune to a disease. Immunization is often used interchangeably with vaccination or inoculation ; 3. "Protection" means to shield from harm and shall not be used interchangeably with "immunity"; 4. "Vaccination" means the act of introducing a vaccine into the body to produce immunity to a specific disease; and 5. "Vaccine" means a preparation that is used to stimula te the body's immune response against diseases. Vaccin es are usually administered through needle injections, but some can be administered by mouth or sprayed in to the nose. Req. No. 9196 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SECTION 2. This act shall become effective November 1, 2022. 58-2-9196 EK 01/18/22