State of Illinois
91st General Assembly
Legislation

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91_HB3345

 
                                               LRB9110532NTsb

 1        AN ACT to amend  the  School  Code  by  changing  Section
 2    27-8.1.

 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:

 5        Section 5.   The  School  Code  is  amended  by  changing
 6    Section 27-8.1 as follows:

 7        (105 ILCS 5/27-8.1) (from Ch. 122, par. 27-8.1)
 8        Sec. 27-8.1.  Health examinations and immunizations.
 9        (1)  In  compliance  with rules and regulations which the
10    Department of Public Health shall promulgate, and  except  as
11    hereinafter  provided,  all children in Illinois shall have a
12    health examination as  follows:  within  one  year  prior  to
13    entering  kindergarten  or  the  first  grade  of any public,
14    private, or parochial elementary school;  upon  entering  the
15    fifth  and  ninth grades of any public, private, or parochial
16    school; prior  to  entrance  into  any  public,  private,  or
17    parochial   nursery   school;  and,  irrespective  of  grade,
18    immediately prior  to  or  upon  entrance  into  any  public,
19    private,  or  parochial  school or nursery school, each child
20    shall present proof of having  been  examined  in  accordance
21    with  this  Section and the rules and regulations promulgated
22    hereunder.
23        A tuberculosis skin test screening shall be included as a
24    required part of each health examination included under  this
25    Section  if  the  child  resides in an area designated by the
26    Department of Public Health as having  a  high  incidence  of
27    tuberculosis.   Additional  health  examinations  of  pupils,
28    including  dental  and  vision  examinations, may be required
29    when deemed necessary by  school  authorities.   Parents  are
30    encouraged to have their children undergo dental examinations
31    at the same points in time required for health examinations.
 
                            -2-                LRB9110532NTsb
 1        A vision examination provided by or at a public, private,
 2    or parochial school or by an entity with which the school has
 3    contracted  to perform vision examinations shall be performed
 4    only after school authorities have notified a child's parents
 5    or legal guardian at least twice about the need to  have  the
 6    child's  vision  examined  and  the parents or legal guardian
 7    have failed to have the child's  vision  examined  within  30
 8    days  after the second notice.  An entity that contracts with
 9    a public, private, or  parochial  school  to  perform  vision
10    examinations shall demonstrate to school authorities that its
11    vision  examination  program  complies  with  all  applicable
12    federal and State laws.
13        (2)  The  Department  of  Public  Health shall promulgate
14    rules  and  regulations  specifying  the   examinations   and
15    procedures  that  constitute  a  health  examination  and may
16    recommend by rule that  certain  additional  examinations  be
17    performed.    The  rules and regulations of the Department of
18    Public Health shall specify that  a  tuberculosis  skin  test
19    screening shall be included as a required part of each health
20    examination  included under this Section if the child resides
21    in an area designated by the Department of Public  Health  as
22    having a high incidence of tuberculosis.
23        Physicians  licensed  to  practice medicine in all of its
24    branches shall be responsible  for  the  performance  of  the
25    health  examinations,  other  than  dental  examinations  and
26    vision and hearing screening, and shall sign all report forms
27    required  by  subsection  (4) of this Section that pertain to
28    those portions  of  the  health  examination  for  which  the
29    physician is responsible.  If a registered nurse performs any
30    part  of  a  health examination, then a physician licensed to
31    practice medicine in all of its branches must review and sign
32    all required report forms.  Licensed dentists  shall  perform
33    all  dental  examinations  and  shall  sign  all report forms
34    required by subsection (4) of this Section  that  pertain  to
 
                            -3-                LRB9110532NTsb
 1    the  dental  examinations.   Physicians  licensed to practice
 2    medicine in all its branches, or licensed optometrists, shall
 3    perform all vision exams required by school  authorities  and
 4    shall  sign  all  report  forms required by subsection (4) of
 5    this Section that pertain to the  vision  exam.   Vision  and
 6    hearing  screening  tests,  which  shall  not  be  considered
 7    examinations  as  that term is used in this Section, shall be
 8    conducted in accordance with rules  and  regulations  of  the
 9    Department  of  Public  Health,  and  by individuals whom the
10    Department of Public Health has certified.
11        (3)  Every child shall, at or about the same time  as  he
12    or  she  receives a health examination required by subsection
13    (1) of this Section, present to the  local  school  proof  of
14    having   received   such  immunizations  against  preventable
15    communicable diseases as  the  Department  of  Public  Health
16    shall  require  by rules and regulations promulgated pursuant
17    to this Section and the Communicable Disease Prevention Act.
18        (4)  The individuals conducting  the  health  examination
19    shall  record  the  fact of having conducted the examination,
20    and such additional information as required, on uniform forms
21    which the Department of Public Health and the State Board  of
22    Education  shall  prescribe  for statewide use.  The examiner
23    shall summarize on the report form any condition that  he  or
24    she  suspects  indicates  a  need  for special services.  The
25    individuals  confirming  the   administration   of   required
26    immunizations  shall record as indicated on the form that the
27    immunizations were administered.
28        (5)  If a child does  not  submit  proof  of  having  had
29    either   the   health  examination  or  the  immunization  as
30    required, then the child shall be  examined  or  receive  the
31    immunization,  as  the  case  may  be,  and  present proof by
32    October 15 of the current school year, or by an earlier  date
33    of  the current school year established by a school district.
34    To establish a date before October 15 of the  current  school
 
                            -4-                LRB9110532NTsb
 1    year  for the health examination or immunization as required,
 2    a school district must give notice  of  the  requirements  of
 3    this  Section  60 days prior to the earlier established date.
 4    If  for  medical  reasons  one  or  more  of   the   required
 5    immunizations  must  be given after October 15 of the current
 6    school year, or after an  earlier  established  date  of  the
 7    current school year, then the child shall present, by October
 8    15,  or  by  the earlier established date, a schedule for the
 9    administration of the immunizations and a  statement  of  the
10    medical  reasons causing the delay, both the schedule and the
11    statement being issued by the physician, registered nurse, or
12    local  health  department  that  will  be   responsible   for
13    administration of the remaining required immunizations.  If a
14    child  does  not  comply  by  October  15,  or by the earlier
15    established  date  of  the  current  school  year,  with  the
16    requirements  of  this  subsection,  then  the  local  school
17    authority shall exclude that child  from  school  until  such
18    time  as  the  child  presents proof of having had the health
19    examination as required and presents proof of having received
20    those required immunizations which are medically possible  to
21    receive  immediately.  During a child's exclusion from school
22    for noncompliance with this subsection, the  child's  parents
23    or legal guardian shall be considered in violation of Section
24    26-1 and subject to any penalty imposed by Section 26-10.
25        (6)  Every  school  shall  report  to  the State Board of
26    Education by November 15, in the  manner  which  that  agency
27    shall  require,  the number of children who have received the
28    necessary  immunizations  and  the  health   examination   as
29    required,  indicating,  of  those  who  have not received the
30    immunizations and examination  as  required,  the  number  of
31    children   who   are   exempt  from  health  examination  and
32    immunization requirements on religious or medical grounds  as
33    provided  in subsection (8).  This reported information shall
34    be provided to the Department of Public Health by  the  State
 
                            -5-                LRB9110532NTsb
 1    Board of Education.
 2        (7)  Upon  determining  that the number of pupils who are
 3    required to be in compliance  with  subsection  (5)  of  this
 4    Section  is below 90% of the number of pupils enrolled in the
 5    school district, 10% of each State aid payment made  pursuant
 6    to  Section 18-8.05 18-8 to the school district for such year
 7    shall be withheld by the regional  superintendent  until  the
 8    number  of  students in compliance with subsection (5) is the
 9    applicable specified percentage or higher.
10        (8)  Parents or legal  guardians  who  object  to  health
11    examinations  or  any  part  thereof, or to immunizations, on
12    religious grounds shall  not  be  required  to  submit  their
13    children  or  wards  to  the examinations or immunizations to
14    which they so object  if  such  parents  or  legal  guardians
15    present  to  the  appropriate local school authority a signed
16    statement  of  objection,  detailing  the  grounds  for   the
17    objection.   If  the  physical condition of the child is such
18    that any one or more of the immunizing agents should  not  be
19    administered,  the  examining  physician  responsible for the
20    performance of the health examination shall endorse that fact
21    upon the health examination form.  Exempting a child from the
22    health  examination  does   not   exempt   the   child   from
23    participation  in  the program of physical education training
24    provided in Sections 27-5 through 27-7 of this Code.
25        (9)  For the purposes of this Section, "nursery  schools"
26    means  those  nursery  schools  operated by elementary school
27    systems or secondary level school units  or  institutions  of
28    higher learning.
29    (Source: P.A. 91-357, eff. 7-29-99.)

30        Section  99.  Effective date.  This Act takes effect upon
31    becoming law.

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