| 1 | A bill to be entitled | 
| 2 | An act relating to childhood vaccinations; amending s.  | 
| 3 | 1003.22, F.S.; authorizing a parent or guardian to object  | 
| 4 | to immunizing a minor on philosophical grounds; requiring  | 
| 5 | that the parent or guardian sign a form in order to refuse  | 
| 6 | to vaccinate the minor; providing requirements for the  | 
| 7 | form; requiring that the parent or guardian periodically  | 
| 8 | sign a new form in order to continue the exemption;  | 
| 9 | providing an effective date. | 
| 10 | 
  | 
| 11 | Be It Enacted by the Legislature of the State of Florida: | 
| 12 | 
  | 
| 13 |      Section 1.  Subsection (5) of section 1003.22, Florida  | 
| 14 | Statutes, is amended to read: | 
| 15 |      1003.22  School-entry health examinations; immunization  | 
| 16 | against communicable diseases; exemptions; duties of Department  | 
| 17 | of Health.-- | 
| 18 |      (5)  The provisions of this section shall not apply if: | 
| 19 |      (a)  The parent or guardian of the child objects in writing  | 
| 20 | that the administration of immunizing agents conflicts with his  | 
| 21 | or her religious or philosophical tenets or practices. If the  | 
| 22 | parent or guardian objects on philosophical grounds, he or she  | 
| 23 | shall sign a refusal-to-vaccinate form, adopted by the American  | 
| 24 | Academy of Pediatrics, provided by a health care provider who is  | 
| 25 | licensed in this state and who, as part of his or her scope of  | 
| 26 | practice, administers childhood vaccinations. This form must  | 
| 27 | indicate that the parent or guardian has been informed by the  | 
| 28 | health care provider of the risks, benefits, and purposes of the  | 
| 29 | vaccinations and of the possible consequences of refusing to  | 
| 30 | vaccinate the child, using the vaccine-information statement  | 
| 31 | from the Centers for Disease Control and Prevention for each  | 
| 32 | vaccine that is declined. An exemption based on philosophical  | 
| 33 | grounds is valid for 2 years, and the parent or guardian must  | 
| 34 | sign a new refusal-to-vaccinate form in order to continue the  | 
| 35 | exemption; | 
| 36 |      (b)  A physician licensed under the provisions of chapter  | 
| 37 | 458 or chapter 459 certifies in writing, on a form approved and  | 
| 38 | provided by the Department of Health, that the child should be  | 
| 39 | permanently exempt from the required immunization for medical  | 
| 40 | reasons stated in writing, based upon valid clinical reasoning  | 
| 41 | or evidence, demonstrating the need for the permanent exemption; | 
| 42 |      (c)  A physician licensed under the provisions of chapter  | 
| 43 | 458, chapter 459, or chapter 460 certifies in writing, on a form  | 
| 44 | approved and provided by the Department of Health, that the  | 
| 45 | child has received as many immunizations as are medically  | 
| 46 | indicated at the time and is in the process of completing  | 
| 47 | necessary immunizations; | 
| 48 |      (d)  The Department of Health determines that, according to  | 
| 49 | recognized standards of medical practice, any required  | 
| 50 | immunization is unnecessary or hazardous; or | 
| 51 |      (e)  An authorized school official issues a temporary  | 
| 52 | exemption, for a period not to exceed 30 school days, to permit  | 
| 53 | a student who transfers into a new county to attend class until  | 
| 54 | his or her records can be obtained. A homeless child, as defined  | 
| 55 | in s. 1003.01, shall be given a temporary exemption for 30  | 
| 56 | school days. The public school health nurse or authorized  | 
| 57 | private school official is responsible for followup of each such  | 
| 58 | student until proper documentation or immunizations are  | 
| 59 | obtained. An exemption for 30 days may be issued for a student  | 
| 60 | who enters a juvenile justice program to permit the student to  | 
| 61 | attend class until his or her records can be obtained or until  | 
| 62 | the immunizations can be obtained. An authorized juvenile  | 
| 63 | justice official is responsible for followup of each student who  | 
| 64 | enters a juvenile justice program until proper documentation or  | 
| 65 | immunizations are obtained. | 
| 66 |      Section 2.  This act shall take effect July 1, 2009. |