ENGR. H. A. to ENGR. S. B. NO. 658 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 ENGROSSED HOUSE AMENDME NT TO ENGROSSED SENATE BILL NO . 658 By: Dahm of the Senate and West (Kevin) of the House An Act relating to schools; amending 70 O.S. 2011, Section 1210.191, which relates to required immunizations; requiring the State Department of Education and school districts to provide certain information to parents; updating statutory term; providing an effective date; and declaring an emergency. AUTHORS: Add the following House Coauthor s: Stearman, Humphrey and McDugle AUTHOR: Add the following Senate Coauthor: Standridge AMENDMENT NO. 1. Delete the title, enacting clause and entire bill and replace with: "An Act relating to schools; amending 70 O.S. 2011, Section 1210.191, which relates to required immunizations; requi ring the State Department of Education and school districts to provide certain information to parents; updating statutory term; defining terms; establishing criteria for certain entities to implement a mask mandate; specifying requirements for mandate; authorizing challenge to mandate; prescribing procedures related thereto; providing for codification; providing an effective date; and declaring an emergency. ENGR. H. A. to ENGR. S. B. NO. 658 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 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 70 O.S. 2011, 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 presented 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, haemophilus influenzae type B (HIB), measles (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 the State Board Commissioner of Health, shall conform to recognized standard medical practices in the state. The State Department of Health shall supervise and secure the enforcement of the required immunization program. The State Department of Education and 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 State Board of Health Commissioner, by rule, may alter the list of immunizations required after notice and hearing. Any change in the list of immunizations required shall be submitted to ENGR. H. A. to ENGR. S. B. NO. 658 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 next regular session of the Legislature and such change shall remain in force and effect unless and until a concurrent resolution of disapproval is passed. He arings shall be conducted by the State Board of Health Commissioner, or such officer, agents or employees as the Board of Health Commissioner may designate for that purpose. The State Board of Health Commissioner shall give appropriate notice of the proposed change in the list of immunizations required and of the time and place for hearing. The change shall become effective on a date fixed by the State Board of Health Commissioner. Any change in the list of immunizations required may be amended or repealed in the same manner as provided for its adoption. 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 districts of this state shall provide for release to the Oklahoma Health Care Authority of the immunization records of school children covered 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 increase the rate of childhood immunizations pursuant to the requirements of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) ENGR. H. A. to ENGR. S. B. NO. 658 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 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 child if such child is exempt from the immunization requirements pursuant to law. The name of any child exempt from immunization pursuant to Sect ion 1210.192 of this title shall not be included in the information transmitted pursuant to this subsection. E. The State Department of Education shall provide and ensure that each school district in this state provides, on the school 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 of the following: 1. Current, up-to-date immunization records; or 2. A completed and signed exemption form." SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1210.190 of Title 70, unless there is created a dupli cation in numbering, reads as follows: A. As used in this section: 1. "Relevant study" means: a. a randomized controlled study, b. a peer-reviewed study, or ENGR. H. A. to ENGR. S. B. NO. 658 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 c. a study performed by one or more researchers that has been published in a print or electroni c research journal; 2. "Significant adverse effects " means recurring headaches, negative impact on the cardiovascular system, negative impact on the cardiopulmonary system including , but not limited to, any reduction in blood oxygenation or respiratory vo lume, significant nausea and vomiting or other side effects that a reasonable physician would consider significant; and 3. "Substantial harm" means: a. bacterial, viral or other infection, most commonly from device contamination, b. reduced cardiovascular function, c. reduced cardiopulmonary function, d. psychological harm, e. significant injury on learning for students, or f. other adverse effects that a reasonable physician would conclude pose a risk of substantial harm. B. A board of education of a public school district or a technology center school district may only implement a mandate to wear a mask or any other medical device as provided in this subsection. 1. A board of education of a public school district or a technology center school distric t may only implement a mandate to ENGR. H. A. to ENGR. S. B. NO. 658 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 wear a mask or any other medical device after consultation with the local county health department or city -county health department within the jurisdiction of where the board is located. 2. The mandate shall explicitly list the purposes for the mandate. If no specific purposes are listed in the mandate, the mandate shall be invalidated. 3. The mandate shall reference the speci fic masks or medical devices that would meet the requirements of the mandate. If no specific masks or medical devices are referenced in the mandate, the mandate shall be invalidated. 4. Any mandate to implement wearing a mask or any other medical device shall be reconsidered at each regularly scheduled board meeting. C. The citizens within the ju risdiction of the public school district or technology center school district may challenge the mandate at school district meetings ; provided, they present one or more of the following forms of evidence for consideration: 1. Three or more relevant studie s that show possible significant adverse effects as a result of wearing a mask or medical device that would be required under the mandate; 2. Three or more relevant studies that show any mask or medical device that would be required under the mandate is f ound not to be effective for any of the purposes provided in the mandate ; or ENGR. H. A. to ENGR. S. B. NO. 658 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. Documentation that any mask or medical device that would satisfy the mandate is shown by one or more relevant studies to pose a risk of substantial harm, if used in any manner that would satisfy the mandate, to the wearer of the mask or medical device. SECTION 3. This act shall become effective July 1, 2021. SECTION 4. It being immediately necessary for the preservation of the public peace, hea lth or safety, an emergency is hereby declared to exist, by reason whereof this act shall take effect and be in full force from and after its passage and approval. " Passed the House of Representatives the 19th day of April, 2021. Presiding Officer of the House of Representatives Passed the Senate the ____ day of __________, 2021. Presiding Officer of the Senate ENGR. S. B. NO. 658 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 ENGROSSED SENATE BILL NO. 658 By: Dahm of the Senate and West (Kevin) of the House An Act relating to schools; amending 70 O.S. 2011, Section 1210.191, which relates to required immunizations; requiring the State Department of Education and school districts to provide certain information to parents; updating statutory term; providing an effective date; and declaring an emergency. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 5. AMENDATORY 70 O.S. 2011, 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 presented to the appropriate school 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, haemophilus influenzae type B (HIB), measles (rubeola), rubella, poliomyelitis, varicella , and hepatitis A or is likely to be immune as a result of the disease. ENGR. S. B. NO. 658 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 B. Immunizations required, and the manner and frequency of their administration, as prescribed by the State Board Commissioner of Health, shall conform to recognized standard medical practices in the state. The State Department of Health shall supervise and secure the enforcement of the required immunization program. The State Department of Education and 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 State Board of Health Commissioner, by rule, may alter the list of immunizations required after notice and hearing. Any change in the list of immunizations required shall be submitted to the next regular session of the Legislature and such change shall remain in force and effect unless and until a concurrent resolution of disapproval is passed. Hearings shall be conducted by the State Board of Health Commissioner, or such officer, agents or employees as the Board of Health Commissioner may designate for that purpose. The State Board of Health Commissioner shall give appropriate notice of the proposed change in the list of immunizations required and of the time and place for hearing. The change shall become effective on a date fixed by the State Board of Health Commissioner. Any change in the list of immunizations required may be amended or repealed in the same manner as provided for its adoption. ENGR. S. B. NO. 658 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 Proceedings pursuant to this subsection shall be governed by the Administrative Procedures Ac t. D. The State Department of Education and the governing boards of the school districts of this state shall provide for release to the Oklahoma Health Care Authority of the immunization records of school children covered under Title XIX or Title XXI of t he 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 increase the rate of childhood immunizations pursuant to the requirements of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) services provisions. The prov isions 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 child if such child is exempt from t he immunization requirements pursuant to law. The name of any child exempt from immunization pursuant to Section 1210.192 of this title shall not be included in the information transmitted pursuant to this subsection. E. The State Department of Education shall provide and ensure that each school district in this state provides, on the school district website and in any notice or publication provided to ENGR. S. B. NO. 658 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 parents regarding immunization requests, the following information regarding immunization requirements f or school attendance: “For school enrollment, a parent or guardian must provide one of the following: 1. Current, up-to-date immunization records; or 2. A completed and signed exemption form. The State Department of Health advises following the recommend ed immunization schedule. State law allows for exemptions to the immunization schedule. For more information about the immunization schedule exemptions or to obtain an exemption form, please visit www.ok.gov/health or call (405) 271 -4073.” SECTION 6. This act shall become effective July 1, 2021. SECTION 7. It being immediately necessary for the preservation of the public peace, health or safety, an emergency is hereby declared to exist, by reason whereof this act shall ta ke effect and be in full force from and after its passage and approval. ENGR. S. B. NO. 658 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 Passed the Senate the 4th day of March, 2021. Presiding Officer of the Senate Passed the House of Representatives the ____ day of __________, 2021. Presiding Officer of the House of Representatives