S T A T E O F N E W Y O R K ________________________________________________________________________ 2360--A 2011-2012 Regular Sessions I N A S S E M B L Y January 18, 2011 ___________ Introduced by M. of A. GIBSON, N. RIVERA -- Multi-Sponsored by -- M. of A. AUBRY, BOYLAND, TITONE -- read once and referred to the Committee on Health -- recommitted to the Committee on Health in accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law, in relation to encouraging immun- ization against human papillomavirus (HPV) THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. The section heading and subdivisions 2, 5 and 6 of section 2 2164 of the public health law, as amended by chapter 189 of the laws of 3 2006, subdivision 2 as separately amended by chapter 506 of the laws of 4 2006, are amended to read as follows: 5 Definitions; immunization against poliomyelitis, mumps, measles, 6 diphtheria, rubella, varicella, HUMAN PAPILLOMAVIRUS (HPV), Haemophilus 7 influenzae type b (Hib), pertussis, tetanus, pneumococcal disease, and 8 hepatitis B. 9 2. a. Every person in parental relation to a child in this state shall 10 have administered to such child an adequate dose or doses of an immuniz- 11 ing agent against poliomyelitis, mumps, measles, diphtheria, rubella, 12 varicella, Haemophilus influenzae type b (Hib), pertussis, tetanus, 13 pneumococcal disease, and hepatitis B, which meets the standards 14 approved by the United States public health service for such biological 15 products, and which is approved by the department under such conditions 16 as may be specified by the public health council. EVERY PERSON IN 17 PARENTAL RELATION TO A CHILD IN THIS STATE SHALL BE ENCOURAGED, THROUGH 18 THE PROVISION OF WRITTEN EDUCATIONAL MATERIALS AND CONSULTATION, TO HAVE 19 ADMINISTERED TO SUCH CHILD AN ADEQUATE DOSE OR DOSES OF AN IMMUNIZING 20 AGENT AGAINST HUMAN PAPILLOMAVIRUS (HPV) WHICH MEETS THE STANDARDS 21 APPROVED BY THE UNITED STATES PUBLIC HEALTH SERVICE FOR SUCH BIOLOGICAL EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02206-03-1 A. 2360--A 2 1 PRODUCTS, AND WHICH IS APPROVED BY THE DEPARTMENT UNDER SUCH CONDITIONS 2 AS MAY BE SPECIFIED BY THE PUBLIC HEALTH COUNCIL. 3 b. Every person in parental relation to a child in this state born on 4 or after January first, nineteen hundred ninety-four and entering sixth 5 grade or a comparable age level special education program with an unas- 6 signed grade on or after September first, two thousand seven, shall have 7 administered to such child a booster immunization containing diphtheria 8 and tetanus toxoids, and an acellular pertussis vaccine, which meets the 9 standards approved by the United States public health service for such 10 biological products, and which is approved by the department under such 11 conditions as may be specified by the public health council. EVERY 12 PERSON IN PARENTAL RELATION TO A CHILD IN THIS STATE BORN ON OR AFTER 13 JANUARY FIRST, NINETEEN HUNDRED NINETY-FOUR AND ENTERING SIXTH GRADE OR 14 A COMPARABLE AGE LEVEL SPECIAL EDUCATION PROGRAM WITH AN UNASSIGNED 15 GRADE ON OR AFTER SEPTEMBER FIRST, TWO THOUSAND TWELVE, SHALL BE ENCOUR- 16 AGED, THROUGH THE PROVISION OF WRITTEN EDUCATIONAL MATERIALS AND CONSUL- 17 TATION, TO HAVE ADMINISTERED TO SUCH CHILD A BOOSTER IMMUNIZATION, WHERE 18 APPLICABLE, AGAINST HUMAN PAPILLOMAVIRUS (HPV) WHICH MEETS THE STANDARDS 19 APPROVED BY THE UNITED STATES PUBLIC HEALTH SERVICE FOR SUCH BIOLOGICAL 20 PRODUCTS, AND WHICH IS APPROVED BY THE DEPARTMENT UNDER SUCH CONDITIONS 21 AS MAY BE SPECIFIED BY THE PUBLIC HEALTH COUNCIL. 22 5. The health practitioner who administers such immunizing agent 23 against poliomyelitis, mumps, measles, diphtheria, Haemophilus influen- 24 zae type b (Hib), rubella, varicella, HUMAN PAPILLOMAVIRUS (HPV), 25 pertussis, tetanus, pneumococcal disease, and hepatitis B to any such 26 child shall give a certificate of such immunization to the person in 27 parental relation to such child. 28 6. In the event that a person in parental relation to a child makes 29 application for admission of such child to a school or has a child 30 attending school and there exists no certificate or other acceptable 31 evidence of the child's immunization against poliomyelitis, mumps, 32 measles, diphtheria, rubella, varicella, hepatitis B, pertussis, teta- 33 nus, and, where applicable, Haemophilus influenzae type b (Hib) and 34 pneumococcal disease, the principal, teacher, owner or person in charge 35 of the school shall inform such person of the necessity to have, OR IN 36 THE CASE OF HUMAN PAPILLOMAVIRUS (HPV) THE EFFICACY OF VOLUNTARILY 37 HAVING, the child immunized, that such immunization may be administered 38 by any health practitioner, or that the child may be immunized without 39 charge by the health officer in the county where the child resides, if 40 such person executes a consent therefor. In the event that such person 41 does not wish to select a health practitioner to administer the immuni- 42 zation, he or she shall be provided with a form which shall give notice 43 that as a prerequisite to processing the application for admission to, 44 or for continued attendance at, the school such person shall state a 45 valid reason for withholding consent or consent shall be given for 46 immunization to be administered by a health officer in the public 47 employ, or by a school physician or nurse. The form shall provide for 48 the execution of a consent by such person and it shall also state that 49 such person need not execute such consent if subdivision eight or nine 50 of this section apply to such child. 51 S 2. Paragraph (a) of subdivision 1 of section 613 of the public 52 health law, as amended by chapter 36 of the laws of 2010, is amended to 53 read as follows: 54 (a) The commissioner shall develop and supervise the execution of a 55 program of immunization, surveillance and testing, to raise to the high- 56 est reasonable level the immunity of the children of the state against A. 2360--A 3 1 communicable diseases including, but not limited to, influenza, poliom- 2 yelitis, measles, mumps, rubella, haemophilus influenzae type b (Hib), 3 diphtheria, pertussis, tetanus, varicella, hepatitis B, pneumococcal 4 disease, and the immunity of adults of the state against diseases iden- 5 tified by the commissioner, including but not limited to influenza, 6 smallpox, and hepatitis. The commissioner shall encourage the munici- 7 palities in the state to develop and shall assist them in the develop- 8 ment and the execution of local programs of inoculation to raise the 9 immunity of the children and adults of each municipality to the highest 10 reasonable level. Such programs shall include provision of vaccine, 11 surveillance of vaccine effectiveness by means of laboratory tests, 12 serological testing of individuals and educational efforts to inform 13 health care providers and target populations or their parents, if they 14 are minors, of the facts relative to these diseases and inoculation to 15 prevent their occurrence. EDUCATIONAL EFFORTS SHALL INCLUDE, BUT NOT BE 16 LIMITED TO, INFORMATION ABOUT THE EFFICACY OF IMMUNIZING AGAINST HUMAN 17 PAPILLOMAVIRUS (HPV) TO ENCOURAGE INFORMED, VOLUNTARY VACCINATIONS. 18 S 3. This act shall take effect immediately.