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92_HB3111 LRB9206754NTsb 1 AN ACT relating to education. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The School Code is amended by changing 5 Section 27-8.1 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 thatwhich9 the Department of Public Health shall promulgate, and except 10 as hereinafter provided, all children in Illinois shall have 11 a health examination as follows: within one year prior to 12 entering kindergarten or the first grade of any public, 13 private, or parochial elementary school; upon entering the 14 fifth and ninth grades of any public, private, or parochial 15 school; prior to entrance into any public, private, or 16 parochial nursery school; and, irrespective of grade, 17 immediately prior to or upon entrance into any public, 18 private, or parochial school or nursery school, each child 19 shall present proof of having been examined in accordance 20 with this Section and the rules and regulations promulgated 21 hereunder. 22 A tuberculosis skin test screening shall be included as a 23 required part of each health examination included under this 24 Section if the child resides in an area designated by the 25 Department of Public Health as having a high incidence of 26 tuberculosis. Additional health examinations of pupils, 27 including dental and vision examinations, may be required 28 when deemed necessary by school authorities. Parents are 29 encouraged to have their children undergo dental examinations 30 at the same points in time required for health examinations. 31 (2) The Department of Public Health shall promulgate -2- LRB9206754NTsb 1 rules and regulations specifying the examinations and 2 procedures that constitute a health examination and may 3 recommend by rule that certain additional examinations be 4 performed. The rules and regulations of the Department of 5 Public Health shall specify that a tuberculosis skin test 6 screening shall be included as a required part of each health 7 examination included under this Section if the child resides 8 in an area designated by the Department of Public Health as 9 having a high incidence of tuberculosis. 10 Physicians licensed to practice medicine in all of its 11 branches shall be responsible for the performance of the 12 health examinations, other than dental examinations and 13 vision and hearing screening, and shall sign all report forms 14 required by subsection (4) of this Section that pertain to 15 those portions of the health examination for which the 16 physician is responsible. If a registered nurse performs any 17 part of a health examination, then a physician licensed to 18 practice medicine in all of its branches must review and sign 19 all required report forms. Licensed dentists shall perform 20 all dental examinations and shall sign all report forms 21 required by subsection (4) of this Section that pertain to 22 the dental examinations. Physicians licensed to practice 23 medicine in all its branches, or licensed optometrists, shall 24 perform all vision exams required by school authorities and 25 shall sign all report forms required by subsection (4) of 26 this Section that pertain to the vision exam. Vision and 27 hearing screening tests, which shall not be considered 28 examinations as that term is used in this Section, shall be 29 conducted in accordance with rules and regulations of the 30 Department of Public Health, and by individuals whom the 31 Department of Public Health has certified. 32 (3) Every child shall, at or about the same time as he 33 or she receives a health examination required by subsection 34 (1) of this Section, present to the local school proof of -3- LRB9206754NTsb 1 having received such immunizations against preventable 2 communicable diseases as the Department of Public Health 3 shall require by rules and regulations promulgated pursuant 4 to this Section and the Communicable Disease Prevention Act. 5 (4) The individuals conducting the health examination 6 shall record the fact of having conducted the examination, 7 and such additional information as required, on uniform forms 8 which the Department of Public Health and the State Board of 9 Education shall prescribe for statewide use. The examiner 10 shall summarize on the report form any condition that he or 11 she suspects indicates a need for special services. The 12 individuals confirming the administration of required 13 immunizations shall record as indicated on the form that the 14 immunizations were administered. 15 (5) If a child does not submit proof of having had 16 either the health examination or the immunization as 17 required, then the child shall be examined or receive the 18 immunization, as the case may be, and present proof by 19 October 15 of the current school year, or by an earlier date 20 of the current school year established by a school district. 21 To establish a date before October 15 of the current school 22 year for the health examination or immunization as required, 23 a school district must give notice of the requirements of 24 this Section 60 days prior to the earlier established date. 25 If for medical reasons one or more of the required 26 immunizations must be given after October 15 of the current 27 school year, or after an earlier established date of the 28 current school year, then the child shall present, by October 29 15, or by the earlier established date, a schedule for the 30 administration of the immunizations and a statement of the 31 medical reasons causing the delay, both the schedule and the 32 statement being issued by the physician, registered nurse, or 33 local health department that will be responsible for 34 administration of the remaining required immunizations. If a -4- LRB9206754NTsb 1 child does not comply by October 15, or by the earlier 2 established date of the current school year, with the 3 requirements of this subsection, then the local school 4 authority shall exclude that child from school until such 5 time as the child presents proof of having had the health 6 examination as required and presents proof of having received 7 those required immunizations which are medically possible to 8 receive immediately. During a child's exclusion from school 9 for noncompliance with this subsection, the child's parents 10 or legal guardian shall be considered in violation of Section 11 26-1 and subject to any penalty imposed by Section 26-10. 12 (6) Every school shall report to the State Board of 13 Education by November 15, in the manner which that agency 14 shall require, the number of children who have received the 15 necessary immunizations and the health examination as 16 required, indicating, of those who have not received the 17 immunizations and examination as required, the number of 18 children who are exempt from health examination and 19 immunization requirements on religious or medical grounds as 20 provided in subsection (8). This reported information shall 21 be provided to the Department of Public Health by the State 22 Board of Education. 23 (7) Upon determining that the number of pupils who are 24 required to be in compliance with subsection (5) of this 25 Section is below 90% of the number of pupils enrolled in the 26 school district, 10% of each State aid payment made pursuant 27 to Section 18-8 to the school district for such year shall be 28 withheld by the regional superintendent until the number of 29 students in compliance with subsection (5) is the applicable 30 specified percentage or higher. 31 (8) Parents or legal guardians who object to health 32 examinations or any part thereof, or to immunizations, on 33 religious grounds shall not be required to submit their 34 children or wards to the examinations or immunizations to -5- LRB9206754NTsb 1 which they so object if such parents or legal guardians 2 present to the appropriate local school authority a signed 3 statement of objection, detailing the grounds for the 4 objection. If the physical condition of the child is such 5 that any one or more of the immunizing agents should not be 6 administered, the examining physician responsible for the 7 performance of the health examination shall endorse that fact 8 upon the health examination form. Exempting a child from the 9 health examination does not exempt the child from 10 participation in the program of physical education training 11 provided in Sections 27-5 through 27-7 of this Code. 12 (9) For the purposes of this Section, "nursery schools" 13 means those nursery schools operated by elementary school 14 systems or secondary level school units or institutions of 15 higher learning. 16 (Source: P.A. 91-357, eff. 7-29-99.)