Req. No. 8445 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 59th Legislature (202 4) HOUSE BILL 2963 By: Olsen AS INTRODUCED An Act relating to schools; amending 70 O.S. 2021, Sections 1210.191 and 1210.192, which relate to immunizations; updating statutory reference; deleting references to enforcement; modifying name of form to notification statement; requiring immediate exemption upon receipt of statement; permitting child to attend school upon receipt; allowing certain data to be collected and recorded for statistical information; prohibiting recording of identifiable in formation; directing destruction of certain original documents; 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 Except as provided in Section 1210.192 of this title, no minor child shall be admitted to any public, private or parochial school operating in this stat e 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, th at such child has received or is in the process of receiving, immunizations aga inst diphtheria, pertussis, Req. No. 8445 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 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 Commissioner of Health, shall conform to recognized standard m edical practices in the state. The State Department of He alth 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 r easonable assistance to the State Department of Health in the enforcement of the provisions hereof immunization program. C. The 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 u ntil a concurrent resolution of disapproval is passed. He arings 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 propo sed change in the list of immunizations required and of the time and place for hearing. T he change shall become effective on a date fixed by the Commissioner. Any change in the list of immunizations required may be amended or Req. No. 8445 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 repealed in the same manner as provided for its adoption. Proceedings pursuant to this subsecti on 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, Diagno sis 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 t o this subsection. E. The State Department of Education shall provide and ensure that each school district in this state provides, on the scho ol Req. No. 8445 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 district website and in any notice or publication provided to parents regarding immunization requests notification statements, the following information re garding immunization requirements policies 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 notification statement as described in paragraph 2 of subsection A of Section 1210.192 of this title." SECTION 2. AMENDATORY 70 O.S. 202 1, Section 1210.192, is amended to read as follows: Section 1210.192 A. Any minor child, through the parent, guardian, or legal custodian of the child, may submit to the health authority charged with the enforcement of the immunization laws of this state: 1. A certificate of a licensed physician, as defined in Section 725.2 of Title 59 of the Oklahoma Statutes, stating that the physical condition of the child is such that immunization would endanger the life or health of the child; or 2. A written notification statement by the parent, guardian or legal custodian of the child objecting to immunization of the child ; whereupon. Upon receipt of the notification statement by the school where the child is enrolled, the child shall be immediately exempt Req. No. 8445 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 from the immunization laws of this state and permitted to attend school. B. The health authority may use the certificate or notification statement described in subsection A of this section to collect and record statistical information about the child, including his or her age, sex, school district, city or town, and county. The name and address of the child being exempted shall not be recorded by the health authority or any ot her government entity other than the school district. The health authority shall destroy the original certificate or notification statement within one (1) business day of recording the statistical data, if the information is recorded . SECTION 3. This act shall become effective November 1, 2024. 59-2-8445 EK 11/14/23