SB 1030 - HB 1156 FISCAL NOTE Fiscal Review Committee Tennessee General Assembly February 20, 2025 Fiscal Analyst: Christine Drescher | Email: christine.drescher@capitol.tn.gov | Phone: 615-741-2564 SB 1030 - HB 1156 SUMMARY OF BILL: Deletes the provision that is it the responsibility of each parent or legal guardian to ensure that their children receive the vaccines as are recommended by guidelines of the Center for Disease Control and the American Academy of Pediatrics. FISCAL IMPACT: NOT SIGNIFICANT Assumptions: • Tennessee Code Annotated § 37-10-401(a) currently recommends the following immunizations, among others, within the first two years of a child’s life: diphtheria-tetanus- pertussis, polio, measles-mumps-rubella, Hemophilus influenzae type b conjugate vaccines, hepatitis b vaccine, pneumococcal vaccine, influenza vaccine, and varicella. • The proposed legislation still allows parents or guardians to provide the vaccines to their children and does not limit the availability of such vaccines to individuals. • The proposed legislation will not result in any fiscal or operational impact to the Department of Children’s Services. • The Department of Health (DOH) currently authorizes certain medical and religious exemptions from immunization requirements. • The proposed legislation will not impact DOH rules regarding immunization requirements for child care through 12 th grade, or the Tennessee Immunization Information System maintained by DOH. • Based on information previously provided by the Department of Education, the proposed legislation will not jeopardize federal education funding or have a significant impact on the department’s policies and procedures. • Any fiscal impact from removing the provision that it is a parent’s responsibility to ensure that a child receives certain vaccines is estimated to be not significant. CERTIFICATION: The information contained herein is true and correct to the best of my knowledge. Bojan Savic, Executive Director