Req. No. 5457 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 1st Session of the 59th Legislature (2023) HOUSE BILL 2170 By: West (Kevin) AS INTRODUCED An Act relating to schools; amending 70 O.S. 2021, Section 1210.191, which relates to school immunizations; deleting rulemaking process to alter immunization list; requiring recommended changes to the list be submitted to the Legislature for approval; prohibiting adoption prior to Legislative approval; requiring changes to follow specified process; 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. 5457 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 Depa rtment of Health shall supervise and secure the enforceme nt 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 alter the list of immunizations required after notice and hearing. Any recommended change in the list of immunizations required shall be proposed by the Commissioner and submitted to the next regular s ession of the Legislature and such change shall remain in force and effect not be adopted or required unless and until a concurrent resolution of disapproval approval is passed by the Legislature. Hearings to recommend a change in the list of immunizations shall be conducted by the Commissioner, or such officer, agents or employees as th e Commissioner may designate for that purpose. The Commissioner shall give appropriate notice of the proposed recommended change in the list of immunizations required and of the time and place for hearing. The Upon approval by the Legislature, the change shall Req. No. 5457 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 become effective on a date fixed by the Commissioner. Any change in the list of immunizations required may shall 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 distric ts of this state shall provide for release to the Oklahoma Health Care Autho rity 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 S ocial 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 Section 1210.192 of this title shall not be included in t he information transmitted pursuant to this subsection. Req. No. 5457 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. " SECTION 2. This act shall become effective November 1, 2023. 59-1-5457 EK 12/16/22