Req. No. 3520 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 (2024) COMMITTEE SUBSTITUTE FOR SENATE BILL 1319 By: Seifried of the Senate and Newton of the House COMMITTEE SUBSTITUTE An Act relating to vision screenings; creating the Public School Vision Screening Modernization Revolving Fund; specifying type of fund and sources of monies; providing for expenditure of funds for certain purposes; authorizing the State Department of Health to award grants for certain purposes; requiring submission of certain annual repo rt; amending 70 O.S. 2021, Section 1210.284, as amended by Section 1, Chapter 112, O.S.L. 2022 (70 O.S. Supp. 2023, Section 1210.284), which relates to public school vision screenings; requiring certain standards to permit use of electronic eye chart; defining term; requiring electronic eye chart to meet certain standards and guidelines; directing the Department to maintain certain platform and data mana gement system subject to available funding; requiring certain sharing of information; updating statutory language; providing for codification; providing an effective date; and declaring an emergency. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: Req. No. 3520 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 SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Secti on 1-114.21 of Title 63, unless there is created a duplication in numbering, reads as follows: There is hereby created in the State Treasury a revolving fund for the State Department of Health to be designated t he “Public School Vision Screening Modernization Revolving Fund ”. The fund shall be a continuing fund, n ot subject to fiscal year limitations, and shall consist of all mon ies deposited to the credit of the fund by law or from private funds donated for one or both of the purposes listed in this section. All monies accruing to the credit of the fund are hereby appropriated and may be budgeted and expended by the State Department of Health for the following purposes: 1. Awarding grants to public schools as provided by Section 2 of this act; and 2. Collection of necessary vision screening data including, but not limited to, through the cloud-based platform and data management system described in Section 1210.284 of Title 70 of the Oklahoma Statutes. Expenditures from the fund shall be made upon warrant s issued by the State Treasurer against claims filed as prescribed by law with the Director of the Office of Management and Enterprise Services for approval and payment. Req. No. 3520 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 SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-114.22 of Title 63, unless there is created a duplication in numbering, reads as follows: A. The State Department of Health may award grants to public schools from the Pub lic School Vision Screening Modernization Revolving Fund created in Section 1 of this ac t for the purpose of assisting public schools in obtaining vision screening equipment , collecting vision screening data, and obtaining related services to fulfill the requireme nts of Section 1210.284 of Title 70 of the Oklahoma Statutes. B. The State Department of Health shall electronically submit an annual report on all grants awarded under this section to the President Pro Tempore of the Senate, the Speaker of the House of Representatives, and the Governor by January 1 5 of each year. SECTION 3. AMENDATORY 70 O.S. 2021, Section 1210.284, as amended by Section 1, Chapter 112, O.S.L. 2022 (70 O.S. Supp. 2023, Section 1210.284), is amended to read as fol lows: Section 1210.284. A. 1. The parent or guardian of each student enrolled in kindergarten at a pub lic school in this state shall provide certification to school person nel that the student passed a vision screening within the previous t welve (12) months or during the school year. Such screening shall be conducted by personnel listed on the statewide registry as mainta ined by the Req. No. 3520 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 State Department of Health , which may include, but not be limited to, Oklahoma licensed optometrists and ophthalmologists. 2. The parent or guardian of each student enrolled in first or third grade at a publ ic school in this st ate shall provide within thirty (30) days of the beginning of the sch ool year certification to school personnel that the student passed a vision screening within the previous twelve (12) months . Such screening shall be conducted by personnel listed on the statewide regi stry as maintained by the State Department of Health ; provided, Oklahoma licensed optometrists and ophthalmologists shall be exempt from such standards. 3. The parent or guardian of each student who receives a vision screening as required by this section shall receive notification that a vision screening is not the equivalent of a comprehensive eye exam. B. 1. The Infant and Children’s Health Advisory Council created in Section 1-103a.1 of Title 63 of the Oklahoma Statutes shall make recommendations to the State Board Commissioner of Health on: a. standards for vision screening and refer ral; provided, Oklahoma licensed op tometrists and ophthalmologists shall be exempt from such standards , b. qualifications for initial reco gnition and renewal of recognition of vision screeners, Req. No. 3520 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. qualifications for initial recognition and renewal of recognition of vision screener trainers, d. qualifications for initial recognition and renewal of recognition of trainers of vision screener tr ainers; provided, Oklahoma licensed opto metrists and ophthalmologists shall be exempt from any training requirements, and e. grounds for denial, refusal, suspension or revocation of recognition of vision screeners, visio n screener trainers and trainers of vision screener trainers. 2. The Department shall: a. establish and thereafter maint ain a statewide registry, available via the Internet, which shall contain a list of approved vision screeners, b. maintain a list of approved vision screener trainers and trainers of vision screener trainers , and c. maintain the standards for vision screen ing and referral. Such standards shall permit the use of an electronic eye chart as a substitute for a printed eye chart to assess relative visual acuity. As used in this subparagraph, “electronic eye chart” means any computerized or other electronic system, device, automated computer program, or method of displaying on an electronic screen medically accepted and properly Req. No. 3520 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 sized optotypes, which may be letter s, numbers, or symbols, that is used to assess an individual ’s visual acuity. An electronic eye chart shall meet national standards of care and shall meet the guidelines established by the 2016 version, or most recent version if updated, of the Procedures for the Evaluation of the Visua l System by Pediatricians produced by the American Academy of Pediatrics , and d. subject to availability of funds, maintain a cloud- based platform and data management system that is compliant with the Health Insurance P ortability and Accountability Act of 1996 and the Family Educational Rights and Privacy Act of 1974 to collect individual student screening results from each school district , manage and report on compliance, and act as an analytical platform for screening outcomes . The State Department of Education shall share vision screening results and any other relevant information with the State Department of Health for the purpose of implementing this subparagraph. The agencies shall enter into an interagency agreement for the sharing of information as provided by this subparagraph. Req. No. 3520 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. After notice and hearing, the Department State Department of Health may deny, refuse, suspend or revoke ap proval to an applicant who has a history of: a. noncompliance or incomplete or partial compliance with the provisions of this section or the rules ad opted by the Board Commissioner to implement the provisions of this section, b. referring persons to a business in which the applicant has a financial interest or a business which is owned or operated by someone within the third degree of consanguinity or affinity of the applicant, or c. conduct which demonstrates that the applicant is providing services in a manner w hich does not warrant public trust. 4. The Board Commissioner, giving consideration to the recommendations of the Council, shall promulgate rules to implement the provisions of this section. C. 1. The parent or guardian of each student who fails the vision screening required in subsection A of this section shall receive a recommendation to undergo a comprehensive eye examination performed by an ophthalmologist or optometrist. 2. The ophthalmologist or optometrist shall forward a written report of the results of the comprehensive eye examination to the student’s school, parent or guardian, and prim ary health care Req. No. 3520 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 provider designated by the parent or guardian . The report shall include, but not be limited to: a. date of report, b. name, address and date of b irth of the student, c. name of the student’s school, d. type of examination, e. a summary of significant findings, including diagnoses, medication used, duration of action of medication, treatment, prognosis, whether or not a return visit is recommended a nd, if so, when, f. recommended educational adjustments for t he child, if any, which may includ e: preferential seating in the classroom, eyeglasses for f ull-time use in school, eyeglasses for part-time use in school, sight-saving eyeglasses, and any other recommendations, and g. name, address and signature of the examiner. D. No student shall be pr ohibited from attending school for a parent’s or guardian’s failure to furnish a report of the studen t’s vision screening or an examiner’s failure to furnish th e results of a student’s comprehensive eye examination require d by this section. E. School districts shall notify parents or guardians of students who enroll in kindergarten, first, or third grade for the 2007-08 school year and each year thereafter of th e requirements of this section. Req. No. 3520 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 F. The State Board of Education shall adopt rules for the implementation of this section except as provided in subsec tion B of this section. The State Department o f Education shall issue a report annually on the impact and effectiveness of this section. SECTION 4. This act shall become effective July 1 , 2024. SECTION 5. 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 a ct shall take effect and be in full force from and after its passage and approval. 59-2-3520 DC 2/15/2024 11:17:14 AM