Florida Senate - 2010 SB 1262 By Senator Wilson 33-00950-10 20101262__ 1 A bill to be entitled 2 An act relating to school-entry health and vision 3 examinations; amending s. 1003.22, F.S.; requiring 4 children who enter public or private schools in the 5 state to present evidence of having received a 6 comprehensive vision examination; providing an 7 exemption; amending ss. 1002.20 and 1002.42, F.S.; 8 conforming provisions; requiring the imposition of a 9 fee on the retail sale of nonprescription eyeglasses; 10 providing for the fee to be used by the Department of 11 Health to assist parents in paying for school-entry 12 comprehensive vision examinations; requiring rules for 13 eligibility for and the distribution of funds; 14 providing effective dates. 15 16 Be It Enacted by the Legislature of the State of Florida: 17 18 Section 1. Effective July 1, 2011, section 1003.22, Florida 19 Statutes, is amended to read: 20 1003.22 School-entry health and vision examinations; 21 immunization against communicable diseases; exemptions; duties 22 of Department of Health.— 23 (1) Each district school board and the governing authority 24 of each private school shall require that each child who is 25 entitled to admittance to kindergarten, or is entitled to any 26 other initial entrance into a public or private school in this 27 state, present a certification of a school-entry health 28 examination and a certification of a school-entry comprehensive 29 vision examination performed within 1 year before enrollment in 30 school. The vision examination must be performed by an 31 optometrist licensed under chapter 463, an ophthalmologist 32 licensed under chapter 458 or chapter 459, or an optometrist or 33 ophthalmologist licensed in any other state in which the 34 requirements for licensure are equivalent to or more stringent 35 than those in this state. Each district school board, and the 36 governing authority of each private school, may establish a 37 policy that permits a student up to 30 school days to present a 38 certification of a school-entry health examination and up to 120 39 days to present a certification of a school-entry comprehensive 40 vision examination. Children and youths who are experiencing 41 homelessness and children who are known to the department, as 42 defined in s. 39.0016, shall be given a temporary exemption for 43 30 school days. Any district school board that establishes such 44 a policy shall include provisions in its local school health 45 services plan to assist students in obtaining the health or 46 vision examinations. However, a child shall be exempted from the 47 requirement of a health examination or a vision examination upon 48 written request of the parent of the child stating objections to 49 the examination on religious grounds. 50 (2) The State Board of Education, subject to the 51 concurrence of the Department of Health, shall adopt rules to 52 govern medical examinations and immunizations performed under 53 this section. 54 (3) The Department of Health may adopt rules necessary to 55 administer and enforce this section. The Department of Health, 56 after consultation with the Department of Education, shall adopt 57 rules governing the immunization of children against, the 58 testing for, and the control of preventable communicable 59 diseases. The rules must include procedures for exempting a 60 child from immunization requirements. Immunizations shall be 61 required for poliomyelitis, diphtheria, rubeola, rubella, 62 pertussis, mumps, tetanus, and other communicable diseases as 63 determined by rules of the Department of Health. The manner and 64 frequency of administration of the immunization or testing shall 65 conform to recognized standards of medical practice. The 66 Department of Health shall supervise and secure the enforcement 67 of the required immunization. Immunizations required by this 68 section shall be available at no cost from the county health 69 departments. 70 (4) Each district school board and the governing authority 71 of each private school shall establish and enforce as policy 72 that, prior to admittance to or attendance in a public or 73 private school, grades kindergarten through 12, or any other 74 initial entrance into a Florida public or private school, each 75 child present or have on file with the school a certification of 76 immunization for the prevention of those communicable diseases 77 for which immunization is required by the Department of Health 78 and further shall provide for appropriate screening of its 79 students for scoliosis at the proper age. Such certification 80 shall be made on forms approved and provided by the Department 81 of Health and shall become a part of each student’s permanent 82 record, to be transferred when the student transfers, is 83 promoted, or changes schools. The transfer of such immunization 84 certification by Florida public schools shall be accomplished 85 using the Florida Automated System for Transferring Education 86 Records and shall be deemed to meet the requirements of this 87 section. 88 (5)The provisions ofThis section doesshallnot apply if: 89 (a) The parent of the child objects in writing that the 90 administration of immunizing agents conflicts with his or her 91 religious tenets or practices; 92 (b) A physician licensed underthe provisions ofchapter 93 458 or chapter 459 certifies in writing, on a form approved and 94 provided by the Department of Health, that the child should be 95 permanently exempt from the required immunization for medical 96 reasons stated in writing, based upon valid clinical reasoning 97 or evidence, demonstrating the need for the permanent exemption; 98 (c) A physician licensed underthe provisions ofchapter 99 458, chapter 459, or chapter 460 certifies in writing, on a form 100 approved and provided by the Department of Health, that the 101 child has received as many immunizations as are medically 102 indicated at the time and is in the process of completing 103 necessary immunizations; 104 (d) The Department of Health determines that, according to 105 recognized standards of medical practice, any required 106 immunization is unnecessary or hazardous; or 107 (e) An authorized school official issues a temporary 108 exemption, for up to 30 school days, to permit a student who 109 transfers into a new county to attend class until his or her 110 records can be obtained. Children and youths who are 111 experiencing homelessness and children who are known to the 112 department, as defined in s. 39.0016, shall be given a temporary 113 exemption for 30 school days. The public school health nurse or 114 authorized private school official is responsible for followup 115 of each such student until proper documentation or immunizations 116 are obtained. An exemption for 30 days may be issued for a 117 student who enters a juvenile justice program to permit the 118 student to attend class until his or her records can be obtained 119 or until the immunizations can be obtained. An authorized 120 juvenile justice official is responsible for followup of each 121 student who enters a juvenile justice program until proper 122 documentation or immunizations are obtained. 123 (6)(a) ANoperson licensed by this state as a physician or 124 nurse is notshall beliable for any injury caused by his or her 125 action or failure to act in the administration of a vaccine or 126 other immunizing agent pursuant to the provisions of this 127 section if the person acts as a reasonably prudent person with 128 similar professional training would have acted under the same or 129 similar circumstances. 130 (b) ANomember of a district school board, or any of its 131 employees, or member of a governing board of a private school, 132 or any of its employees, is notshall beliable for any injury 133 caused by the administration of a vaccine to any student who is 134 required to be so immunized or for a failure to diagnose 135 scoliosis pursuant to the provisions of this section. 136 (7) The parents of any child admitted to or in attendance 137 at a Florida public or private school, grades prekindergarten 138 through 12, are responsible for assuring that the child is in 139 compliance with the provisions of this section. 140 (8) Each public school, including public kindergarten, and 141 each private school, including private kindergarten, shall be 142 required to provide to the county health department director or 143 administrator annual reports of compliance with the provisions 144 of this section. Reports shall be completed on forms provided by 145 the Department of Health for each kindergarten, and other grade 146 as specified; and the reports shall include the status of 147 children who were admitted at the beginning of the school year. 148 After consultation with the Department of Education, the 149 Department of Health shall establish by administrative rule the 150 dates for submission of these reports, the grades for which the 151 reports shall be required, and the forms to be used. 152 (9) The presence of any of the communicable diseases for 153 which immunization is required by the Department of Health in a 154 Florida public or private school shall permit the county health 155 department director or administrator or the State Health Officer 156 to declare a communicable disease emergency. The declaration of 157 such emergency shall mandate that all students in attendance in 158 the school who are not in compliance with the provisions of this 159 section be identified by the district school board or by the 160 governing authority of the private school; and the school health 161 and immunization records of such children shall be made 162 available to the county health department director or 163 administrator. Those children identified as not being immunized 164 against the disease for which the emergency has been declared 165 shall be temporarily excluded from school by the district school 166 board, or the governing authority of the private school, until 167 such time as is specified by the county health department 168 director or administrator. 169 (10) Each district school board and the governing authority 170 of each private school shall: 171 (a) Refuse admittance to any child otherwise entitled to 172 admittance to kindergarten, or any other initial entrance into a 173 Florida public or private school, who is not in compliance with 174 the provisions of subsection (4). 175 (b) Temporarily exclude from attendance any student who is 176 not in compliance with the provisions of subsection (4). 177 (11)The provisions ofThis section doesdonot apply to 178 those persons admitted to or attending adult education classes 179 unless the adult students are under 21 years of age. 180 Section 2. Paragraph (a) of subsection (3) of section 181 1002.20, Florida Statutes, is amended to read: 182 1002.20 K-12 student and parent rights.—Parents of public 183 school students must receive accurate and timely information 184 regarding their child’s academic progress and must be informed 185 of ways they can help their child to succeed in school. K-12 186 students and their parents are afforded numerous statutory 187 rights including, but not limited to, the following: 188 (3) HEALTH ISSUES.— 189 (a) School-entry health and vision examinations.—The parent 190 of any child attending a public or private school shall be 191 exempt from the requirement of a health examination or a vision 192 examination upon written request stating objections on religious 193 grounds in accordance withthe provisions ofs. 1003.22(1) and 194 (2). 195 Section 3. Subsection (5) of section 1002.42, Florida 196 Statutes, is amended to read: 197 1002.42 Private schools.— 198 (5) SCHOOL-ENTRY HEALTH EXAMINATIONS.—The governing 199 authority of each private school shall require students to 200 present a certification of a school-entry health examination and 201 a certification of a school-entry comprehensive vision 202 examination in accordance withthe provisions ofs. 1003.22(1) 203 and (2). 204 Section 4. Notwithstanding any other provision of law and 205 in addition to the sales tax imposed under chapter 212, Florida 206 Statutes, a fee of 25 cents shall be imposed on the retail sale 207 of nonprescription eyeglasses. Such fee shall be collected by 208 the dealer and remitted to the Department of Revenue for deposit 209 into the Administrative Trust Fund of the Department of Health 210 for the purpose of providing funds to parents in need of 211 financial assistance to pay for the school-entry comprehensive 212 vision examination required under s. 1003.22(1), Florida 213 Statutes. The Department of Health shall adopt rules relating to 214 eligibility for and distribution of such funds. 215 Section 5. Except as otherwise expressly provided in this 216 act, this act shall take effect July 1, 2010.