Full Text of SB0565 99th General Assembly
SB0565sam003 99TH GENERAL ASSEMBLY | Sen. Kimberly A. Lightford Filed: 5/7/2015
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| 1 | | AMENDMENT TO SENATE BILL 565
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 565, AS AMENDED, by | 3 | | replacing everything after the enacting clause with the | 4 | | following:
| 5 | | "Section 5. The School Code is amended by changing Section | 6 | | 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 | | sixth and ninth grades of any public,
private, or parochial | 16 | | school; prior to entrance into any public, private, or
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| 1 | | parochial nursery school; and, irrespective of grade, | 2 | | immediately prior to or
upon entrance into any public, private, | 3 | | or parochial school or nursery school,
each child shall present | 4 | | proof of having been examined in accordance with this
Section | 5 | | and the rules and regulations promulgated hereunder. Any child | 6 | | who received a health examination within one year prior to | 7 | | entering the fifth grade for the 2007-2008 school year is not | 8 | | required to receive an additional health examination in order | 9 | | to comply with the provisions of Public Act 95-422 when he or | 10 | | she attends school for the 2008-2009 school year, unless the | 11 | | child is attending school for the first time as provided in | 12 | | this paragraph. | 13 | | A tuberculosis skin test screening shall be included as a | 14 | | required part of
each health examination included under this | 15 | | Section if the child resides in an
area designated by the | 16 | | Department of Public Health as having a high incidence
of | 17 | | tuberculosis. Additional health examinations of pupils, | 18 | | including eye examinations, may be required when deemed | 19 | | necessary by school
authorities. Parents are encouraged to have | 20 | | their children undergo eye examinations at the same points in | 21 | | time required for health
examinations. | 22 | | (1.5) In compliance with rules adopted by the Department of | 23 | | Public Health and except as otherwise provided in this Section, | 24 | | all children in kindergarten and the second and sixth grades of | 25 | | any public, private, or parochial school shall have a dental | 26 | | examination. Each of these children shall present proof of |
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| 1 | | having been examined by a dentist in accordance with this | 2 | | Section and rules adopted under this Section before May 15th of | 3 | | the school year. If a child in the second or sixth grade fails | 4 | | to present proof by May 15th, the school may hold the child's | 5 | | report card until one of the following occurs: (i) the child | 6 | | presents proof of a completed dental examination or (ii) the | 7 | | child presents proof that a dental examination will take place | 8 | | within 60 days after May 15th. The Department of Public Health | 9 | | shall establish, by rule, a waiver for children who show an | 10 | | undue burden or a lack of access to a dentist. Each public, | 11 | | private, and parochial school must give notice of this dental | 12 | | examination requirement to the parents and guardians of | 13 | | students at least 60 days before May 15th of each school year.
| 14 | | (1.10) Except as otherwise provided in this Section, all | 15 | | children enrolling in kindergarten in a public, private, or | 16 | | parochial school on or after the effective date of this | 17 | | amendatory Act of the 95th General Assembly and any student | 18 | | enrolling for the first time in a public, private, or parochial | 19 | | school on or after the effective date of this amendatory Act of | 20 | | the 95th General Assembly shall have an eye examination. Each | 21 | | of these children shall present proof of having been examined | 22 | | by a physician licensed to practice medicine in all of its | 23 | | branches or a licensed optometrist within the previous year, in | 24 | | accordance with this Section and rules adopted under this | 25 | | Section, before October 15th of the school year. If the child | 26 | | fails to present proof by October 15th, the school may hold the |
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| 1 | | child's report card until one of the following occurs: (i) the | 2 | | child presents proof of a completed eye examination or (ii) the | 3 | | child presents proof that an eye examination will take place | 4 | | within 60 days after October 15th. The Department of Public | 5 | | Health shall establish, by rule, a waiver for children who show | 6 | | an undue burden or a lack of access to a physician licensed to | 7 | | practice medicine in all of its branches who provides eye | 8 | | examinations or to a licensed optometrist. Each public, | 9 | | private, and parochial school must give notice of this eye | 10 | | examination requirement to the parents and guardians of | 11 | | students in compliance with rules of the Department of Public | 12 | | Health. Nothing in this Section shall be construed to allow a | 13 | | school to exclude a child from attending because of a parent's | 14 | | or guardian's failure to obtain an eye examination for the | 15 | | child.
| 16 | | (2) The Department of Public Health shall promulgate rules | 17 | | and regulations
specifying the examinations and procedures | 18 | | that constitute a health examination, which shall include a | 19 | | developmental screening for children under the age of 19 years, | 20 | | social and emotional screening developed in conjunction with an | 21 | | organization representing school districts, and the collection | 22 | | of data relating to obesity
(including at a minimum, date of | 23 | | birth, gender, height, weight, blood pressure, and date of | 24 | | exam),
and a dental examination and may recommend by rule that | 25 | | certain additional examinations be performed.
The rules and | 26 | | regulations of the Department of Public Health shall specify |
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| 1 | | that
a tuberculosis skin test screening shall be included as a | 2 | | required part of each
health examination included under this | 3 | | Section if the child resides in an area
designated by the | 4 | | Department of Public Health as having a high incidence of
| 5 | | tuberculosis. With respect to social and emotional screening, | 6 | | the rules shall, at a minimum, recommend the use of a validated | 7 | | screening tool such as the Ages and Stages Social-Emotional | 8 | | Questionnaire or the Pediatric Symptom Checklist or another | 9 | | validated screening tool as recommended by the Illinois Chapter | 10 | | of the American Academy of Pediatrics, shall provide that | 11 | | social and emotional screenings are not intended to replace or | 12 | | duplicate healthcare systems conducting screening and | 13 | | anticipatory guidance consistent with recommendations of the | 14 | | American Academy of Pediatrics, and must be consistent with the | 15 | | State Board of Education's social and emotional learning | 16 | | standards.
The Department of Public Health shall specify that a | 17 | | diabetes
screening as defined by rule shall be included as a | 18 | | required part of each
health examination.
Diabetes testing is | 19 | | not required. | 20 | | Physicians licensed to practice medicine in all of its | 21 | | branches, advanced
practice nurses who have a written | 22 | | collaborative agreement with
a collaborating physician which | 23 | | authorizes them to perform health
examinations, or physician | 24 | | assistants who have been delegated the
performance of health | 25 | | examinations by their supervising physician
shall be
| 26 | | responsible for the performance of the health examinations, |
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| 1 | | other than dental
examinations, eye examinations, and vision | 2 | | and hearing screening, and shall sign all report forms
required | 3 | | by subsection (4) of this Section that pertain to those | 4 | | portions of
the health examination for which the physician, | 5 | | advanced practice nurse, or
physician assistant is | 6 | | responsible.
If a registered
nurse performs any part of a | 7 | | health examination, then a physician licensed to
practice | 8 | | medicine in all of its branches must review and sign all | 9 | | required
report forms. Licensed dentists shall perform all | 10 | | dental examinations and
shall sign all report forms required by | 11 | | subsection (4) of this Section that
pertain to the dental | 12 | | examinations. Physicians licensed to practice medicine
in all | 13 | | its branches or licensed optometrists shall perform all eye | 14 | | examinations
required by this Section and shall sign all report | 15 | | forms required by
subsection (4) of this Section that pertain | 16 | | to the eye examination. For purposes of this Section, an eye | 17 | | examination shall at a minimum include history, visual acuity, | 18 | | subjective refraction to best visual acuity near and far, | 19 | | internal and external examination, and a glaucoma evaluation, | 20 | | as well as any other tests or observations that in the | 21 | | professional judgment of the doctor are necessary. Vision and
| 22 | | hearing screening tests, which shall not be considered | 23 | | examinations as that
term is used in this Section, shall be | 24 | | conducted in accordance with rules and
regulations of the | 25 | | Department of Public Health, and by individuals whom the
| 26 | | Department of Public Health has certified.
In these rules and |
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| 1 | | regulations, the Department of Public Health shall
require that | 2 | | individuals conducting vision screening tests give a child's
| 3 | | parent or guardian written notification, before the vision | 4 | | screening is
conducted, that states, "Vision screening is not a | 5 | | substitute for a
complete eye and vision evaluation by an eye | 6 | | doctor. Your child is not
required to undergo this vision | 7 | | screening if an optometrist or
ophthalmologist has completed | 8 | | and signed a report form indicating that
an examination has | 9 | | been administered within the previous 12 months." | 10 | | (3) Every child shall, at or about the same time as he or | 11 | | she receives
a health examination required by subsection (1) of | 12 | | this Section, present
to the local school proof of having | 13 | | received such immunizations against
preventable communicable | 14 | | diseases as the Department of Public Health shall
require by | 15 | | rules and regulations promulgated pursuant to this Section and | 16 | | the
Communicable Disease Prevention Act. | 17 | | (4) The individuals conducting the health examination,
| 18 | | dental examination, or eye examination shall record the
fact of | 19 | | having conducted the examination, and such additional | 20 | | information as
required, including for a health examination
| 21 | | data relating to obesity
(including at a minimum, date of | 22 | | birth, gender, height, weight, blood pressure, and date of | 23 | | exam), on uniform forms which the Department of Public Health | 24 | | and the State
Board of Education shall prescribe for statewide | 25 | | use. The examiner shall
summarize on the report form any | 26 | | condition that he or she suspects indicates a
need for special |
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| 1 | | services, including for a health examination factors relating | 2 | | to obesity. Regarding social and emotional functioning, | 3 | | information must be shared in a manner consistent with laws and | 4 | | policies governing healthcare confidentiality. The individuals | 5 | | confirming the administration of
required immunizations shall | 6 | | record as indicated on the form that the
immunizations were | 7 | | administered. | 8 | | (5) If a child does not submit proof of having had either | 9 | | the health
examination or the immunization as required, then | 10 | | the child shall be examined
or receive the immunization, as the | 11 | | case may be, and present proof by October
15 of the current | 12 | | school year, or by an earlier date of the current school year
| 13 | | established by a school district. To establish a date before | 14 | | October 15 of the
current school year for the health | 15 | | examination or immunization as required, a
school district must | 16 | | give notice of the requirements of this Section 60 days
prior | 17 | | to the earlier established date. If for medical reasons one or | 18 | | more of
the required immunizations must be given after October | 19 | | 15 of the current school
year, or after an earlier established | 20 | | date of the current school year, then
the child shall present, | 21 | | by October 15, or by the earlier established date, a
schedule | 22 | | for the administration of the immunizations and a statement of | 23 | | the
medical reasons causing the delay, both the schedule and | 24 | | the statement being
issued by the physician, advanced practice | 25 | | nurse, physician assistant,
registered nurse, or local health | 26 | | department that will
be responsible for administration of the |
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| 1 | | remaining required immunizations. If
a child does not comply by | 2 | | October 15, or by the earlier established date of
the current | 3 | | school year, with the requirements of this subsection, then the
| 4 | | local school authority shall exclude that child from school | 5 | | until such time as
the child presents proof of having had the | 6 | | health examination as required and
presents proof of having | 7 | | received those required immunizations which are
medically | 8 | | possible to receive immediately. During a child's exclusion | 9 | | from
school for noncompliance with this subsection, the child's | 10 | | parents or legal
guardian shall be considered in violation of | 11 | | Section 26-1 and subject to any
penalty imposed by Section | 12 | | 26-10. This subsection (5) does not apply to dental | 13 | | examinations and eye examinations. If the student is an | 14 | | out-of-state transfer student and does not have the proof | 15 | | required under this subsection (5) before October 15 of the | 16 | | current year or whatever date is set by the school district, | 17 | | then he or she may only attend classes (i) if he or she has | 18 | | proof that an appointment for the required vaccinations has | 19 | | been scheduled with a party authorized to submit proof of the | 20 | | required vaccinations. If the proof of vaccination required | 21 | | under this subsection (5) is not submitted within 30 days after | 22 | | the student is permitted to attend classes, then the student is | 23 | | not to be permitted to attend classes until proof of the | 24 | | vaccinations has been properly submitted. No school district or | 25 | | employee of a school district shall be held liable for any | 26 | | injury or illness to another person that results from admitting |
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| 1 | | an out-of-state transfer student to class that has an | 2 | | appointment scheduled pursuant to this subsection (5). | 3 | | (6) Every school shall report to the State Board of | 4 | | Education by November
15, in the manner which that agency shall | 5 | | require, the number of children who
have received the necessary | 6 | | immunizations and the health examination (other than a dental | 7 | | examination or eye examination) as
required, indicating, of | 8 | | those who have not received the immunizations and
examination | 9 | | as required, the number of children who are exempt from health
| 10 | | examination and immunization requirements on religious or | 11 | | medical grounds as
provided in subsection (8). On or before | 12 | | December 1 of each year, every public school district and | 13 | | registered nonpublic school shall make publicly available the | 14 | | immunization data they are required to submit to the State | 15 | | Board of Education by November 15. The immunization data made | 16 | | publicly available must be identical to the data the school | 17 | | district or school has reported to the State Board of | 18 | | Education. | 19 | | Every school shall report to the State Board of Education | 20 | | by June 30, in the manner that the State Board requires, the | 21 | | number of children who have received the required dental | 22 | | examination, indicating, of those who have not received the | 23 | | required dental examination, the number of children who are | 24 | | exempt from the dental examination on religious grounds as | 25 | | provided in subsection (8) of this Section and the number of | 26 | | children who have received a waiver under subsection (1.5) of |
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| 1 | | this Section. | 2 | | Every school shall report to the State Board of Education | 3 | | by June 30, in the manner that the State Board requires, the | 4 | | number of children who have received the required eye | 5 | | examination, indicating, of those who have not received the | 6 | | required eye examination, the number of children who are exempt | 7 | | from the eye examination as provided in subsection (8) of this | 8 | | Section, the number of children who have received a waiver | 9 | | under subsection (1.10) of this Section, and the total number | 10 | | of children in noncompliance with the eye examination | 11 | | requirement. | 12 | | The reported information under this subsection (6) shall be | 13 | | provided to the
Department of Public Health by the State Board | 14 | | of Education. | 15 | | (7) Upon determining that the number of pupils who are | 16 | | required to be in
compliance with subsection (5) of this | 17 | | Section is below 90% of the number of
pupils enrolled in the | 18 | | school district, 10% of each State aid payment made
pursuant to | 19 | | Section 18-8.05 to the school district for such year may be | 20 | | withheld
by the State Board of Education until the number of | 21 | | students in compliance with
subsection (5) is the applicable | 22 | | specified percentage or higher. | 23 | | (8) Parents or legal guardians who object to health,
| 24 | | dental, or eye examinations or any part thereof, or to | 25 | | immunizations, on religious grounds
shall not be required to | 26 | | submit their children or wards to the examinations
or |
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| 1 | | immunizations to which they so object if such parents or legal | 2 | | guardians
present to the appropriate local school authority a | 3 | | signed statement of
objection, detailing the grounds for the | 4 | | objection. If the physical condition
of the child is such that | 5 | | any one or more of the immunizing agents should not
be | 6 | | administered, the examining physician, advanced practice | 7 | | nurse, or
physician assistant responsible for the performance | 8 | | of the
health examination shall endorse that fact upon the | 9 | | health examination form.
Exempting a child from the health,
| 10 | | dental, or eye examination does not exempt the child from
| 11 | | participation in the program of physical education training | 12 | | provided in
Sections 27-5 through 27-7 of this Code. | 13 | | (9) For the purposes of this Section, "nursery schools" | 14 | | means those nursery
schools operated by elementary school | 15 | | systems or secondary level school units
or institutions of | 16 | | higher learning. | 17 | | (Source: P.A. 97-216, eff. 1-1-12; 97-910, eff. 1-1-13; 98-673, | 18 | | eff. 6-30-14.)".
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