Rep. Camille Y. Lilly

Filed: 3/23/2015

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 1493

2    AMENDMENT NO. ______. Amend House Bill 1493 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The School Code is amended by changing Section
527-8.1 as follows:
 
6    (105 ILCS 5/27-8.1)  (from Ch. 122, par. 27-8.1)
7    Sec. 27-8.1. Health examinations and immunizations.
8    (1) In compliance with rules and regulations which the
9Department of Public Health shall promulgate, and except as
10hereinafter provided, all children in Illinois shall have a
11health examination as follows: within one year prior to
12entering kindergarten or the first grade of any public,
13private, or parochial elementary school; upon entering the
14sixth and ninth grades of any public, private, or parochial
15school; prior to entrance into any public, private, or
16parochial nursery school; and, irrespective of grade,

 

 

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1immediately prior to or upon entrance into any public, private,
2or parochial school or nursery school, each child shall present
3proof of having been examined in accordance with this Section
4and the rules and regulations promulgated hereunder. Any child
5who received a health examination within one year prior to
6entering the fifth grade for the 2007-2008 school year is not
7required to receive an additional health examination in order
8to comply with the provisions of Public Act 95-422 when he or
9she attends school for the 2008-2009 school year, unless the
10child is attending school for the first time as provided in
11this paragraph.
12    A tuberculosis skin test screening shall be included as a
13required part of each health examination included under this
14Section if the child resides in an area designated by the
15Department of Public Health as having a high incidence of
16tuberculosis. Additional health examinations of pupils,
17including eye examinations, may be required when deemed
18necessary by school authorities. Parents are encouraged to have
19their children undergo eye examinations at the same points in
20time required for health examinations.
21    (1.5) In compliance with rules adopted by the Department of
22Public Health and except as otherwise provided in this Section,
23all children in kindergarten and the second and sixth grades of
24any public, private, or parochial school shall have a dental
25examination. Each of these children shall present proof of
26having been examined by a dentist in accordance with this

 

 

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1Section and rules adopted under this Section before May 15th of
2the school year. If a child in the second or sixth grade fails
3to present proof by May 15th, the school may hold the child's
4report card until one of the following occurs: (i) the child
5presents proof of a completed dental examination or (ii) the
6child presents proof that a dental examination will take place
7within 60 days after May 15th. The Department of Public Health
8shall establish, by rule, a waiver for children who show an
9undue burden or a lack of access to a dentist. Each public,
10private, and parochial school must give notice of this dental
11examination requirement to the parents and guardians of
12students at least 60 days before May 15th of each school year.
13    (1.10) Except as otherwise provided in this Section, all
14children enrolling in kindergarten in a public, private, or
15parochial school on or after the effective date of this
16amendatory Act of the 95th General Assembly and any student
17enrolling for the first time in a public, private, or parochial
18school on or after the effective date of this amendatory Act of
19the 95th General Assembly shall have an eye examination. Each
20of these children shall present proof of having been examined
21by a physician licensed to practice medicine in all of its
22branches or a licensed optometrist within the previous year, in
23accordance with this Section and rules adopted under this
24Section, before October 15th of the school year. If the child
25fails to present proof by October 15th, the school may hold the
26child's report card until one of the following occurs: (i) the

 

 

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1child presents proof of a completed eye examination or (ii) the
2child presents proof that an eye examination will take place
3within 60 days after October 15th. The Department of Public
4Health shall establish, by rule, a waiver for children who show
5an undue burden or a lack of access to a physician licensed to
6practice medicine in all of its branches who provides eye
7examinations or to a licensed optometrist. Each public,
8private, and parochial school must give notice of this eye
9examination requirement to the parents and guardians of
10students in compliance with rules of the Department of Public
11Health. Nothing in this Section shall be construed to allow a
12school to exclude a child from attending because of a parent's
13or guardian's failure to obtain an eye examination for the
14child.
15    (2) The Department of Public Health shall promulgate rules
16and regulations specifying the examinations and procedures
17that constitute a health examination, which shall include a
18mental health examination and the collection of data relating
19to obesity (including at a minimum, date of birth, gender,
20height, weight, blood pressure, and date of exam), and a dental
21examination and may recommend by rule that certain additional
22examinations be performed. The rules and regulations of the
23Department of Public Health shall specify that a tuberculosis
24skin test screening shall be included as a required part of
25each health examination included under this Section if the
26child resides in an area designated by the Department of Public

 

 

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1Health as having a high incidence of tuberculosis. The
2Department of Public Health shall specify that a diabetes
3screening as defined by rule shall be included as a required
4part of each health examination. Diabetes testing is not
5required.
6    Physicians licensed to practice medicine in all of its
7branches, advanced practice nurses who have a written
8collaborative agreement with a collaborating physician which
9authorizes them to perform health examinations, or physician
10assistants who have been delegated the performance of health
11examinations by their supervising physician shall be
12responsible for the performance of the health examinations,
13other than dental examinations, eye examinations, and vision
14and hearing screening, and shall sign all report forms required
15by subsection (4) of this Section that pertain to those
16portions of the health examination for which the physician,
17advanced practice nurse, or physician assistant is
18responsible. If a registered nurse performs any part of a
19health examination, then a physician licensed to practice
20medicine in all of its branches must review and sign all
21required report forms. Licensed dentists shall perform all
22dental examinations and shall sign all report forms required by
23subsection (4) of this Section that pertain to the dental
24examinations. Physicians licensed to practice medicine in all
25its branches or licensed optometrists shall perform all eye
26examinations required by this Section and shall sign all report

 

 

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1forms required by subsection (4) of this Section that pertain
2to the eye examination. For purposes of this Section, an eye
3examination shall at a minimum include history, visual acuity,
4subjective refraction to best visual acuity near and far,
5internal and external examination, and a glaucoma evaluation,
6as well as any other tests or observations that in the
7professional judgment of the doctor are necessary. Vision and
8hearing screening tests, which shall not be considered
9examinations as that term is used in this Section, shall be
10conducted in accordance with rules and regulations of the
11Department of Public Health, and by individuals whom the
12Department of Public Health has certified. In these rules and
13regulations, the Department of Public Health shall require that
14individuals conducting vision screening tests give a child's
15parent or guardian written notification, before the vision
16screening is conducted, that states, "Vision screening is not a
17substitute for a complete eye and vision evaluation by an eye
18doctor. Your child is not required to undergo this vision
19screening if an optometrist or ophthalmologist has completed
20and signed a report form indicating that an examination has
21been administered within the previous 12 months."
22    (3) Every child shall, at or about the same time as he or
23she receives a health examination required by subsection (1) of
24this Section, present to the local school proof of having
25received such immunizations against preventable communicable
26diseases as the Department of Public Health shall require by

 

 

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1rules and regulations promulgated pursuant to this Section and
2the Communicable Disease Prevention Act.
3    (4) The individuals conducting the health examination,
4dental examination, or eye examination shall record the fact of
5having conducted the examination, and such additional
6information as required, including for a health examination
7data relating to obesity (including at a minimum, date of
8birth, gender, height, weight, blood pressure, and date of
9exam), on uniform forms which the Department of Public Health
10and the State Board of Education shall prescribe for statewide
11use. The examiner shall summarize on the report form any
12condition that he or she suspects indicates a need for special
13services, including for a health examination factors relating
14to obesity. The individuals confirming the administration of
15required immunizations shall record as indicated on the form
16that the immunizations were administered.
17    (5) If a child does not submit proof of having had either
18the health examination or the immunization as required, then
19the child shall be examined or receive the immunization, as the
20case may be, and present proof by October 15 of the current
21school year, or by an earlier date of the current school year
22established by a school district. To establish a date before
23October 15 of the current school year for the health
24examination or immunization as required, a school district must
25give notice of the requirements of this Section 60 days prior
26to the earlier established date. If for medical reasons one or

 

 

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1more of the required immunizations must be given after October
215 of the current school year, or after an earlier established
3date of the current school year, then the child shall present,
4by October 15, or by the earlier established date, a schedule
5for the administration of the immunizations and a statement of
6the medical reasons causing the delay, both the schedule and
7the statement being issued by the physician, advanced practice
8nurse, physician assistant, registered nurse, or local health
9department that will be responsible for administration of the
10remaining required immunizations. If a child does not comply by
11October 15, or by the earlier established date of the current
12school year, with the requirements of this subsection, then the
13local school authority shall exclude that child from school
14until such time as the child presents proof of having had the
15health examination as required and presents proof of having
16received those required immunizations which are medically
17possible to receive immediately. During a child's exclusion
18from school for noncompliance with this subsection, the child's
19parents or legal guardian shall be considered in violation of
20Section 26-1 and subject to any penalty imposed by Section
2126-10. This subsection (5) does not apply to dental
22examinations and eye examinations. If the student is an
23out-of-state transfer student and does not have the proof
24required under this subsection (5) before October 15 of the
25current year or whatever date is set by the school district,
26then he or she may only attend classes (i) if he or she has

 

 

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1proof that an appointment for the required vaccinations has
2been scheduled with a party authorized to submit proof of the
3required vaccinations. If the proof of vaccination required
4under this subsection (5) is not submitted within 30 days after
5the student is permitted to attend classes, then the student is
6not to be permitted to attend classes until proof of the
7vaccinations has been properly submitted. No school district or
8employee of a school district shall be held liable for any
9injury or illness to another person that results from admitting
10an out-of-state transfer student to class that has an
11appointment scheduled pursuant to this subsection (5).
12    (6) Every school shall report to the State Board of
13Education by November 15, in the manner which that agency shall
14require, the number of children who have received the necessary
15immunizations and the health examination (other than a dental
16examination or eye examination) as required, indicating, of
17those who have not received the immunizations and examination
18as required, the number of children who are exempt from health
19examination and immunization requirements on religious or
20medical grounds as provided in subsection (8). On or before
21December 1 of each year, every public school district and
22registered nonpublic school shall make publicly available the
23immunization data they are required to submit to the State
24Board of Education by November 15. The immunization data made
25publicly available must be identical to the data the school
26district or school has reported to the State Board of

 

 

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1Education.
2    Every school shall report to the State Board of Education
3by June 30, in the manner that the State Board requires, the
4number of children who have received the required dental
5examination, indicating, of those who have not received the
6required dental examination, the number of children who are
7exempt from the dental examination on religious grounds as
8provided in subsection (8) of this Section and the number of
9children who have received a waiver under subsection (1.5) of
10this Section.
11    Every school shall report to the State Board of Education
12by June 30, in the manner that the State Board requires, the
13number of children who have received the required eye
14examination, indicating, of those who have not received the
15required eye examination, the number of children who are exempt
16from the eye examination as provided in subsection (8) of this
17Section, the number of children who have received a waiver
18under subsection (1.10) of this Section, and the total number
19of children in noncompliance with the eye examination
20requirement.
21    The reported information under this subsection (6) shall be
22provided to the Department of Public Health by the State Board
23of Education.
24    (7) Upon determining that the number of pupils who are
25required to be in compliance with subsection (5) of this
26Section is below 90% of the number of pupils enrolled in the

 

 

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1school district, 10% of each State aid payment made pursuant to
2Section 18-8.05 to the school district for such year may be
3withheld by the State Board of Education until the number of
4students in compliance with subsection (5) is the applicable
5specified percentage or higher.
6    (8) Parents or legal guardians who object to health,
7dental, or eye examinations or any part thereof, or to
8immunizations, on religious grounds shall not be required to
9submit their children or wards to the examinations or
10immunizations to which they so object if such parents or legal
11guardians present to the appropriate local school authority a
12signed statement of objection, detailing the grounds for the
13objection. If the physical condition of the child is such that
14any one or more of the immunizing agents should not be
15administered, the examining physician, advanced practice
16nurse, or physician assistant responsible for the performance
17of the health examination shall endorse that fact upon the
18health examination form. Exempting a child from the health,
19dental, or eye examination does not exempt the child from
20participation in the program of physical education training
21provided in Sections 27-5 through 27-7 of this Code.
22    (9) For the purposes of this Section, "nursery schools"
23means those nursery schools operated by elementary school
24systems or secondary level school units or institutions of
25higher learning.
26(Source: P.A. 97-216, eff. 1-1-12; 97-910, eff. 1-1-13; 98-673,

 

 

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1eff. 6-30-14.)".