S00298 Summary:

BILL NOS00298B
 
SAME ASSAME AS A02912-A
 
SPONSORHOYLMAN
 
COSPNSR
 
MLTSPNSR
 
Amd §§2164 & 613, Pub Health L
 
Provides for the immunization of all children born after January 1, 2009 with the human papillomavirus (HPV).
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S00298 Actions:

BILL NOS00298B
 
01/09/2019REFERRED TO HEALTH
02/06/2019AMEND AND RECOMMIT TO HEALTH
02/06/2019PRINT NUMBER 298A
10/25/2019AMEND AND RECOMMIT TO HEALTH
10/25/2019PRINT NUMBER 298B
01/08/2020REFERRED TO HEALTH
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S00298 Committee Votes:

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S00298 Memo:

Memo not available
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S00298 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         298--B
 
                               2019-2020 Regular Sessions
 
                    IN SENATE
 
                                       (Prefiled)
 
                                     January 9, 2019
                                       ___________
 
        Introduced  by  Sen. HOYLMAN -- read twice and ordered printed, and when
          printed to be committed  to  the  Committee  on  Health  --  committee
          discharged, bill amended, ordered reprinted as amended and recommitted
          to  said  committee  --  committee  discharged,  bill amended, ordered
          reprinted as amended and recommitted to said committee
 
        AN ACT to amend the public health law, in relation to requiring  immuni-
          zation against human papillomavirus (HPV)
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Section 2164 of the public health law, as amended by  chap-
     2  ter  401 of the laws of 2015, subdivisions 6 and 7 as amended by chapter
     3  35 of the laws of 2019, is amended to read as follows:
     4    §  2164.  Definitions;  immunization  against  poliomyelitis,   mumps,
     5  measles,  diphtheria,  rubella, varicella, Haemophilus influenzae type b
     6  (Hib), pertussis, tetanus, pneumococcal disease, meningococcal  disease,
     7  [and]  hepatitis  B  and human papillomavirus (HPV). 1.  As used in this
     8  section, unless the context requires otherwise:
     9    a. The term "school" means and includes any public, private  or  paro-
    10  chial child caring center, day nursery, day care agency, nursery school,
    11  kindergarten, elementary, intermediate or secondary school.
    12    b. The term "child" shall mean and include any person between the ages
    13  of two months and eighteen years.
    14    c.  The  term  "person in parental relation to a child" shall mean and
    15  include his  father  or  mother,  by  birth  or  adoption,  his  legally
    16  appointed  guardian, or his custodian. A person shall be regarded as the
    17  custodian of a child if he has assumed the charge and care of the  child
    18  because  the  parents  or  legally  appointed guardian of the minor have
    19  died, are imprisoned, are mentally ill, or have  been  committed  to  an
    20  institution,  or  because  they have abandoned or deserted such child or
    21  are living outside the state or their whereabouts are unknown,  or  have
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03954-09-9

        S. 298--B                           2
 
     1  designated the person pursuant to title fifteen-A of article five of the
     2  general obligations law as a person in parental relation to the child.
     3    d.  The term "health practitioner" shall mean any person authorized by
     4  law to administer an immunization.
     5    2. a. Every person in parental relation to a child in this state shall
     6  have administered to such child an adequate dose or doses of an immuniz-
     7  ing agent against poliomyelitis, mumps,  measles,  diphtheria,  rubella,
     8  varicella,  Haemophilus  influenzae  type  b  (Hib), pertussis, tetanus,
     9  pneumococcal  disease,  and  hepatitis  B,  which  meets  the  standards
    10  approved  by the United States public health service for such biological
    11  products, and which is approved by the department under such  conditions
    12  as may be specified by the public health and health planning council.
    13    b.  Every person in parental relation to a child in this state born on
    14  or after January first, nineteen hundred ninety-four and entering  sixth
    15  grade  or a comparable age level special education program with an unas-
    16  signed grade on or after September first, two thousand seven, shall have
    17  administered to such child a booster immunization containing  diphtheria
    18  and tetanus toxoids, and an acellular pertussis vaccine, which meets the
    19  standards  approved  by the United States public health service for such
    20  biological products, and which is approved by the department under  such
    21  conditions  as may be specified by the public health and health planning
    22  council.
    23    c. Every person in parental relation to a child in this state entering
    24  or having entered seventh grade and twelfth grade or  a  comparable  age
    25  level  special  education  program  with an unassigned grade on or after
    26  September first, two thousand sixteen, shall have administered  to  such
    27  child an adequate dose or doses of immunizing agents against meningococ-
    28  cal  disease  as  recommended  by the advisory committee on immunization
    29  practices of the centers for disease control and prevention, which meets
    30  the standards approved by the United States public  health  service  for
    31  such  biological products, and which is approved by the department under
    32  such conditions as may be specified by  the  public  health  and  health
    33  planning council.
    34    d. Every person in parental relation to a child in this state entering
    35  or having entered seventh grade or a comparable age level special educa-
    36  tion  program  with an unassigned grade on or after September first, two
    37  thousand twenty-one, shall have administered to such child  an  adequate
    38  dose or doses of immunizing agents against human papillomavirus (HPV) as
    39  recommended  by  the advisory committee on immunization practices of the
    40  centers for disease control and prevention, which  meets  the  standards
    41  approved  by the United States public health service for such biological
    42  products, and which is approved by the department under such  conditions
    43  as may be specified by the public health and health planning council.
    44    3.  The  person  in  parental  relation  to any such child who has not
    45  previously received such immunization  shall  present  the  child  to  a
    46  health  practitioner  and request such health practitioner to administer
    47  the  necessary  immunization  against  poliomyelitis,  mumps,   measles,
    48  diphtheria,  Haemophilus  influenzae  type  b (Hib), rubella, varicella,
    49  pertussis, tetanus, pneumococcal disease, meningococcal  disease,  [and]
    50  hepatitis  B  and  human papillomavirus (HPV) as provided in subdivision
    51  two of this section.
    52    4. If any person in parental relation to such child is unable  to  pay
    53  for  the  services  of  a private health practitioner, such person shall
    54  present such child to the health officer of  the  county  in  which  the
    55  child  resides,  who  shall then administer the immunizing agent without
    56  charge.

        S. 298--B                           3
 
     1    5. The health  practitioner  who  administers  such  immunizing  agent
     2  against  poliomyelitis, mumps, measles, diphtheria, Haemophilus influen-
     3  zae type b (Hib), rubella, varicella, pertussis,  tetanus,  pneumococcal
     4  disease, meningococcal disease, [and] hepatitis B and human papillomavi-
     5  rus  (HPV)  to any such child shall give a certificate of such immuniza-
     6  tion to the person in parental relation to such child.
     7    6. In the event that a person in parental relation to  a  child  makes
     8  application  for  admission  of  such  child  to a school or has a child
     9  attending school and there exists no  certificate  or  other  acceptable
    10  evidence  of  the  child's  immunization  against  poliomyelitis, mumps,
    11  measles, diphtheria, rubella, varicella, hepatitis B,  pertussis,  teta-
    12  nus,  and, where applicable, Haemophilus influenzae type b (Hib), menin-
    13  gococcal disease, [and] pneumococcal disease  and  human  papillomavirus
    14  (HPV),  the  principal, teacher, owner or person in charge of the school
    15  shall inform such person of the necessity to have the  child  immunized,
    16  that  such  immunization may be administered by any health practitioner,
    17  or that the child may be immunized without charge by the health  officer
    18  in the county where the child resides, if such person executes a consent
    19  therefor. In the event that such person does not wish to select a health
    20  practitioner to administer the immunization, he or she shall be provided
    21  with a form which shall give notice that as a prerequisite to processing
    22  the  application  for  admission to, or for continued attendance at, the
    23  school such person shall state a valid reason for withholding consent or
    24  consent shall be given for immunization to be administered by  a  health
    25  officer  in  the  public  employ, or by a school physician or nurse. The
    26  form shall provide for the execution of a consent by such person and  it
    27  shall  also  state  that  such  person  need not execute such consent if
    28  subdivision eight of this section applies to such child.
    29    7. (a) No principal, teacher, owner or person in charge  of  a  school
    30  shall  permit any child to be admitted to such school, or to attend such
    31  school, in excess of fourteen days, without the certificate provided for
    32  in subdivision five of this section or some other acceptable evidence of
    33  the child's immunization against poliomyelitis, mumps, measles, diphthe-
    34  ria, rubella, varicella, hepatitis B,  pertussis,  tetanus,  and,  where
    35  applicable,  Haemophilus influenzae type b (Hib), meningococcal disease,
    36  [and] pneumococcal disease and  human  papillomavirus  (HPV);  provided,
    37  however, such fourteen day period may be extended to not more than thir-
    38  ty days for an individual student by the appropriate principal, teacher,
    39  owner  or other person in charge where such student is transferring from
    40  out-of-state or from another country and can show a good faith effort to
    41  get the necessary certification or other  evidence  of  immunization  or
    42  where the parent, guardian, or any other person in parental relationship
    43  to  such  child  can  demonstrate that a child has received at least the
    44  first dose in each immunization series required by this section and  has
    45  age  appropriate  appointments  scheduled  to  complete the immunization
    46  series according to the Advisory  Committee  on  Immunization  Practices
    47  Recommended Immunization Schedules for Persons Aged 0 through 18 Years.
    48    (b)  A parent, a guardian or any other person in parental relationship
    49  to a child denied school entrance or attendance may appeal  by  petition
    50  to  the  commissioner  of education in accordance with the provisions of
    51  section three hundred ten of the education law.
    52    8. If any physician licensed to practice medicine in this state certi-
    53  fies that such immunization may be detrimental to a child's health,  the
    54  requirements  of this section shall be inapplicable until such immuniza-
    55  tion is found no longer to be detrimental to the child's health.

        S. 298--B                           4
 
     1    8-a. Whenever a child has been  refused  admission  to,  or  continued
     2  attendance  at,  a  school  as provided for in subdivision seven of this
     3  section because there exists no certificate provided for in  subdivision
     4  five of this section or other acceptable evidence of the child's immuni-
     5  zation against poliomyelitis, mumps, measles, diphtheria, rubella, vari-
     6  cella, hepatitis B, pertussis, tetanus, and, where applicable, Haemophi-
     7  lus  influenzae  type b (Hib), meningococcal disease, [and] pneumococcal
     8  disease and human papillomavirus (HPV), the principal, teacher, owner or
     9  person in charge of the school shall:
    10    a. forward a report of such exclusion and the name and address of such
    11  child to the local health  authority  and  to  the  person  in  parental
    12  relation to the child together with a notification of the responsibility
    13  of  such  person  under  subdivision  two  of this section and a form of
    14  consent as prescribed by regulation of the commissioner, and
    15    b. provide, with the  cooperation  of  the  appropriate  local  health
    16  authority,  for  a time and place at which an immunizing agent or agents
    17  shall be administered, as required by subdivision two of  this  section,
    18  to a child for whom a consent has been obtained. Upon failure of a local
    19  health authority to cooperate in arranging for a time and place at which
    20  an  immunizing  agent  or  agents  shall  be administered as required by
    21  subdivision two of this section, the commissioner shall arrange for such
    22  administration and may recover the cost thereof from the amount of state
    23  aid to which the local health authority would otherwise be entitled.
    24    10. The commissioner may adopt and  amend  rules  and  regulations  to
    25  effectuate the provisions and purposes of this section.
    26    11.  Every  school  shall  annually provide the commissioner, on forms
    27  provided by the commissioner, a summary regarding  compliance  with  the
    28  provisions of this section.
    29    §  2.    Subdivision  7  of  section 2164 of the public health law, as
    30  amended by chapter 401 of the laws  of  2015,  is  amended  to  read  as
    31  follows:
    32    7.  (a)  No  principal, teacher, owner or person in charge of a school
    33  shall permit any child to be admitted to such school, or to attend  such
    34  school, in excess of fourteen days, without the certificate provided for
    35  in subdivision five of this section or some other acceptable evidence of
    36  the child's immunization against poliomyelitis, mumps, measles, diphthe-
    37  ria,  rubella,  varicella,  hepatitis  B, pertussis, tetanus, and, where
    38  applicable, Haemophilus influenzae type b (Hib), meningococcal  disease,
    39  [and]  pneumococcal  disease  and  human papillomavirus (HPV); provided,
    40  however, such fourteen day period may be extended to not more than thir-
    41  ty days for an individual student by the appropriate principal, teacher,
    42  owner or other person in charge where such student is transferring  from
    43  out-of-state or from another country and can show a good faith effort to
    44  get the necessary certification or other evidence of immunization.
    45    (b)  A parent, a guardian or any other person in parental relationship
    46  to a child denied school entrance or attendance may appeal  by  petition
    47  to  the  commissioner  of education in accordance with the provisions of
    48  section three hundred ten of the education law.
    49    § 3. Paragraph (a) of subdivision 1  of  section  613  of  the  public
    50  health law, as amended by section 24 of part E of chapter 56 of the laws
    51  of 2013, is amended to read as follows:
    52    (a)  The  commissioner  shall develop and supervise the execution of a
    53  program of immunization, surveillance and testing, to raise to the high-
    54  est reasonable level the immunity of the children of the  state  against
    55  communicable  diseases including, but not limited to, influenza, poliom-
    56  yelitis, measles, mumps, rubella, haemophilus influenzae type  b  (Hib),

        S. 298--B                           5
 
     1  diphtheria,  pertussis,  tetanus,  varicella,  hepatitis B, pneumococcal
     2  disease, human papillomavirus (HPV), and the immunity of adults  of  the
     3  state against diseases identified by the commissioner, including but not
     4  limited to influenza, smallpox, hepatitis and such other diseases as the
     5  commissioner  may  designate through regulation.   Municipalities in the
     6  state shall maintain local programs of immunization to raise the immuni-
     7  ty of the children and  adults  of  each  municipality  to  the  highest
     8  reasonable  level,  in  accordance  with  an  application  for state aid
     9  submitted by the municipality and approved  by  the  commissioner.  Such
    10  programs  shall  include  assurance of provision of vaccine, serological
    11  testing of individuals and educational efforts  to  inform  health  care
    12  providers  and  target populations or their parents, if they are minors,
    13  of the facts relative to these diseases  and  immunizations  to  prevent
    14  their occurrence.
    15    § 4. This act shall take effect on September 1, 2021; provided, howev-
    16  er, that:
    17    a.  sections one and two of this act shall apply only to children born
    18  on or after January 1, 2009; and
    19    b. the amendments to subdivision 7  of  section  2164  of  the  public
    20  health law made by section one of this act shall be subject to the expi-
    21  ration  and reversion of such subdivision pursuant to section 4 of chap-
    22  ter 35 of the laws of 2019 when upon such date the provisions of section
    23  two of this act shall take effect.
    24    Effective immediately the addition, amendment  and/or  repeal  of  any
    25  rule  or  regulation necessary for the implementation of this act on its
    26  effective date are authorized to be made and completed on or before such
    27  date.
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