HB 1457

1
A bill to be entitled
2An act relating to childhood vaccinations; amending s.
31003.22, F.S.; authorizing a parent or guardian to object
4to immunizing a minor on philosophical grounds; requiring
5that the parent or guardian sign a form in order to refuse
6to vaccinate the minor; providing requirements for the
7form; requiring that the parent or guardian periodically
8sign a new form in order to continue the exemption;
9providing an effective date.
10
11Be It Enacted by the Legislature of the State of Florida:
12
13     Section 1.  Subsection (5) of section 1003.22, Florida
14Statutes, is amended to read:
15     1003.22  School-entry health examinations; immunization
16against communicable diseases; exemptions; duties of Department
17of Health.--
18     (5)  The provisions of this section shall not apply if:
19     (a)  The parent or guardian of the child objects in writing
20that the administration of immunizing agents conflicts with his
21or her religious or philosophical tenets or practices. If the
22parent or guardian objects on philosophical grounds, he or she
23shall sign a refusal-to-vaccinate form, adopted by the American
24Academy of Pediatrics, provided by a health care provider who is
25licensed in this state and who, as part of his or her scope of
26practice, administers childhood vaccinations. This form must
27indicate that the parent or guardian has been informed by the
28health care provider of the risks, benefits, and purposes of the
29vaccinations and of the possible consequences of refusing to
30vaccinate the child, using the vaccine-information statement
31from the Centers for Disease Control and Prevention for each
32vaccine that is declined. An exemption based on philosophical
33grounds is valid for 2 years, and the parent or guardian must
34sign a new refusal-to-vaccinate form in order to continue the
35exemption;
36     (b)  A physician licensed under the provisions of chapter
37458 or chapter 459 certifies in writing, on a form approved and
38provided by the Department of Health, that the child should be
39permanently exempt from the required immunization for medical
40reasons stated in writing, based upon valid clinical reasoning
41or evidence, demonstrating the need for the permanent exemption;
42     (c)  A physician licensed under the provisions of chapter
43458, chapter 459, or chapter 460 certifies in writing, on a form
44approved and provided by the Department of Health, that the
45child has received as many immunizations as are medically
46indicated at the time and is in the process of completing
47necessary immunizations;
48     (d)  The Department of Health determines that, according to
49recognized standards of medical practice, any required
50immunization is unnecessary or hazardous; or
51     (e)  An authorized school official issues a temporary
52exemption, for a period not to exceed 30 school days, to permit
53a student who transfers into a new county to attend class until
54his or her records can be obtained. A homeless child, as defined
55in s. 1003.01, shall be given a temporary exemption for 30
56school days. The public school health nurse or authorized
57private school official is responsible for followup of each such
58student until proper documentation or immunizations are
59obtained. An exemption for 30 days may be issued for a student
60who enters a juvenile justice program to permit the student to
61attend class until his or her records can be obtained or until
62the immunizations can be obtained. An authorized juvenile
63justice official is responsible for followup of each student who
64enters a juvenile justice program until proper documentation or
65immunizations are obtained.
66     Section 2.  This act shall take effect July 1, 2009.


CODING: Words stricken are deletions; words underlined are additions.