,,ii #aad? ,,congress #a/ ,session ,s4 #dhf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #ab1 #bjae ,mrs4 ,box] 7= h]self & ,mrs4 ,fe9/e97 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to am5d ! ,head ,/>t ,act to ensure t all *ildr5 9 ,head ,/>t & ,e>ly ,head ,/>t programs are vacc9at$1 & all[ exemptions only = *ildr5 ) und]ly+ m$ical conditions1 = :om vacc9es are !re=e m$ically contra9dicat$4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,head ,/>t on ,vacc9ations ,act4 #b4 ,vacc9ation requirem5t 7a7 ,head ,/>t programs ,! fir/ subsection ( section #fde ( ! ,head ,/>t ,act 7#db ,u4,s4,c4 #ihdj7 is am5d$ by add+ at ! end ! foll[+3 7#f7 7,a7 ,9 ?is p>agraph3 7i7 ,! t]m complete vacc9ation in=mation means su* in=mation z ! ,secret>y may require "u subp>agraph 7,g71 e/abli%+ t a *ild is vacc9at$ 9 accordance ) ! p$iatric vacc9e li/4 7ii7 ,! t]m ,f$]ally qualifi$ heal? c5t] has ! mean+ giv5 ! t]m 9 section #ahfa7;aa77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#d774 7iii7 ,! t]m p$iatric vacc9e li/ means ! li/1 includ+ ! s*$ule1 e/abli%$ 7& p]iodically review$ & z appropriate revis$7 by ! ,advisory ,committee on ,immunization ,practices 7an advisory committee e/abli%$ by ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion74 7iv7 ,! t]m program-regi/]$ provid] has ! mean+ giv5 ! t]m 9 section #aibh7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifs7c774 7,b7 ,9 ord] = a *ild :o is enroll$ 9 a ,head ,/>t program 7o!r ?an an ,e>ly ,head ,/>t program7 assi/$ "u ?is sub*apt] on ! effective date ( ! ,head ,/>t on ,vacc9ations ,act to rema9 eligible = p>ticipation 9 ! program1 a p>5t or gu>dian ( ! *ild %all submit complete vacc9ation in=mation to ! program1 )9 #c mon?s aft] ! effective date ( ! ,head ,/>t on ,vacc9ations ,act4 7,c7 7i7 ,9 ord] = a *ild to be enroll$ 9 a program cov]$ by subp>agraph 7,b71 a p>5t or gu>dian ( ! *ild-- 7,i7 %all submit complete vacc9ation in=mation to ! program1 9 a timely mann]1 z requir$ "u regulations issu$ "u subp>agraph 7,g72 or 7,,ii7 %all submit a sign$ agreem5t t ! p>5t or gu>dian w provide t in=mation z describ$ 9 subclause 7,i71 & cons5ts to ! adm9i/ration describ$ 9 subp>agraph 7,d77i7 or ! ref]ral describ$ 9 subp>agraph 7,d77ii74 7ii7 ,except = ! initial submission ( in=mation = a *ild describ$ 9 subp>agraph 7,b71 9 ord] = a *ild :o is enroll$ 9 a program cov]$ by subp>agraph 7,b7 to rema9 eligible = p>ticipation 9 ! program1 a p>5t or gu>dian ( ! *ild %all submit complete vacc9ation in=mation to ! program1 9 a timely mann]1 z requir$ "u su* regulations4 ,! director ( ! ,head ,/>t ag5cy involv$ %all annually require ! p>5ts or gu>dians ( ! *ildr5 9 ! program to make su* a submission to ma9ta9 t enrollm5t4 7,d7 ,to assi/ a p>5t or gu>dian 9 comply+ ) subp>agraph 7,b7 or 7,c71 ! director ( a ,head ,/>t ag5cy may use funds made available "u ?is sub*apt] to-- 7i7 at ! reque/ ( ! p>5t or gu>dian1 h an employee ( ! ag5cy1 :o is eligible to adm9i/] vacc9es 9 ! ,/ate 9 :i* ! ag5cy is locat$1 adm9i/] any miss+ vacc9es on ! p$iatric vacc9e li/ to ! *ild2 or 7ii7 assi/ ! p>5t or gu>dian 9 ga9+ access to ! vacc9es1 su* z by ref]r+ ! p>5t or gu>dian to a ,f$]ally qualifi$ heal? c5t]1 a ,/ate or c\nty public heal? cl9ic1 a program-regi/]$ provid]1 or a provid] or contractor "u title ,v ( ! ,social ,security ,act 7#db ,u4,s4,c4 #gja et seq471 t has a heal? c>e provid] :o is eligible to adm9i/] vacc9es z describ$ 9 clause 7i74 7,e7 7i7 ,subject to clause 7ii71 ! director ( a ,head ,/>t ag5cy %all1 9 a timely mann]1 remove f ! correspond+ ,head ,/>t program any *ild :o is n 9 compliance ) subp>agraph 7,b7 or 7,c74 7ii7 ,! director may exempt a *ild f subp>agraph 7,b7 or 7,c7 only if a p>5t or gu>dian ( ! *ild submits in=mation f a heal? c>e provid]1 :o 7"u ! ,/ate's law conc]n+ vacc9ations7 is qualifi$ to det]m9e :e!r ! *ild has an und]ly+ m$ical condition1 t ! *ild has an und]ly+ m$ical condition & t adm9i/ration ( vacc9es is1 !re=e1 m$ically contra9dicat$ = ! *ild4 7,f7 7i7 ,except z provid$ 9 clause 7ii71 9 ! case ( a *ild 9 a ,head ,/>t program1 ?is p>agraph %all apply not)/&+ any portion ( a ,/ate law requir+ vacc9es t is inconsi/5t ) ! p$iatric vacc9e li/4 7ii7 ,no?+ 9 ?is p>agraph %all be con/ru$ to prev5t a ,/ate f requir+ vacc9es 9 addition to ! vacc9es on ! p$iatric vacc9e li/4 7,g7 7i7 ,n lat] ?an ! effective date ( ! ,head ,/>t on ,vacc9ations ,act1 ! ,secret>y %all issue regulations conc]n+ implem5tation ( ?is p>agraph4 ,! regulations %all include provisions specify+ timel9ess = submission ( in=mation "u subp>agraph 7,c71 ! in=mation requir$ to be submitt$ z complete vacc9ation in=mation1 & timel9ess = removal ( a *ild f a ,head ,/>t program "u subp>agraph 7,e74 7ii7 ,be=e issu+ ! regulations1 ! ,secret>y %all-- 7,i7 consult ) ,indian tribes ab\t ! application ( ?is p>agraph to *ildr5 f ,indian tribes2 7,,ii7 consult ) ! national migrant & seasonal ,head ,/>t collaboration director ab\t ! application ( ?is p>agraph to *ildr5 f migrant & seasonal f>mwork] families2 & 7,,iii7 consid] ! application ( ?is p>agraph to homeless *ildr5 & fo/] *ildr54 7iii7 ,?is p>agraph takes effect on ! date ( enactm5t ( ! ,head ,/>t on ,vacc9ations ,act4 4 7b7 ,e>ly ,head ,/>t ,programs ,section #fde;,a ( ! ,head ,/>t ,act 7#db ,u4,s4,c4 #ihdj;a7 is am5d$-- 7#a7 9 subsection 7c71 by /rik+ ,p]sons & ins]t+ ,except z provid$ 9 subsection 7j71 p]sons2 & 7#b7 by add+ at ! end ! foll[+3 7j7 ,vacc9ations ,! provisions ( section #fde7;a77#f7 %all apply to ,e>ly ,head ,/>t ag5cies1 ,e>ly ,head ,/>t programs1 & *ildr5 "u age #c1 9 ! same mann] & ! same ext5t z ^? provisions apply to ,head ,/>t ag5cies1 ,head ,/>t programs1 & *ildr54 4 #c4 ,effective date ,except z o!rwise provid$ 9 ! ,head ,/>t ,act1 ?is ,act1 includ+ ! am5dm5ts made by ?is ,act1 takes effect #c mon?s aft] ! date ( enactm5t ( ?is ,act4