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Provides local health directors with real-time access to the immunization registry/tracking system

Location: CT
Title: Provides local health directors with real-time access to the immunization registry/tracking system
Identifier: HB 6016
Stance: OPPOSE
Action Required: None at this time
Status: Died, failed to move out of committee

Description:

UPDATE: 6/10/2017 - HB 6016 failed to move out of committee and died.

UPDATE: 3/20/2017 - HB 6016 has not had a vote in the Joint Committee on Public Health after a public hearing on 3/7/2017.  Written testimony submitted is available here - https://www.cga.ct.gov/asp/menu/CommDocTmy.asp?comm_code=ph&date=03/07/2017

UPDATE: 3/1/2017 - HB 6016 is scheduled for a public hearing on 3/7/2017 in the Joint Committee on Public Health at 10:30 AM in Room 2C of the LOB.  

 https://www.cga.ct.gov/2017/phdata/pha/2017PHA00307-R001030PH-PHA.htm - agenda 

Public Health Committee

HB 6016 was introduced on 1/19/17 and referred to the Joint Committee on Public Health.  This bill is sponsored by Rep. Reyes.

This bill would add the following: 

AN ACT CONCERNING THE RELEASE OF INFORMATION BY THE IMMUNIZATION REGISTRY.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

That title 19a of the general statutes be amended to provide full-time local health directors with real-time access to the immunization registry for existing individual-level data.

Statement of Purpose:

To better position local health departments to address the health needs of their jurisdiction in a timely manner. 

https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&which_year=2017&bill_num=HB6016 - text, status and history

Additional Information:

Current State Law:https://www.cga.ct.gov/current/pub/chap_368a.htm#sec_19a-7 

Sec. 19a-7h. Childhood immunization registry. Regulations. (a) The Commissioner of Public Health or his designee may, within the limitations of available resources, establish and maintain for the purpose of assuring timely childhood immunization an ongoing registry of all children who have not begun the first grade of school including all newborns. The registry shall include such information as is necessary to accurately identify a child and to assess current immunization status.

(b) For purposes of this section, “health care provider” means a person who has direct or supervisory responsibility for the delivery of immunization including licensed physicians, nurse practitioners, nurse midwives, physician assistants and nurses. Each health care provider who has provided health care to a child listed in the registry shall report to the commissioner, or the commissioner’s designee, sufficient information to identify the child and the name and date of each vaccine dose given to that child or when appropriate, contraindications or exemptions to administration of each vaccine dose. Reports shall be made by such means determined by the commissioner to result in timely reporting. Each health care provider intending to administer vaccines to any child listed on the registry and each parent or guardian of such child shall be provided current information as contained in the registry on the immunization status of the child for the purposes of determining whether additional doses of recommended routine childhood immunizations are needed, or to officially document immunization status to meet state day care or school immunization entry requirements pursuant to sections 10-204a, 19a-79 and 19a-87b and regulations adopted thereunder. Each director of health of any town, city or health district and each school nurse who is required to verify the immunization status for children enrolled in prekindergarten to grade twelve, inclusive, at a public or private school in any town, city or school district pursuant to section 10-204a shall be provided with sufficient information on the children who live in his or her jurisdiction and who are listed on the registry to enable determination of which children are overdue for scheduled immunizations and to enable provision of outreach to assist in getting each such child vaccinated.

(c) Except as specified in subsections (a) and (b) of this section, all personal information including vaccination status and dates of vaccination of individuals shall be confidential pursuant to section 19a-25 and shall not be further disclosed without the authorization of the child or the child’s legal guardian. The commissioner shall adopt regulations, pursuant to chapter 54, to specify how information on vaccinations or exemptions from vaccination is reported in a timely manner to the registry, how information on the registry is made available to health care providers, parents or guardians, directors of health and school nurses, how parents or guardians may decline their child’s enrollment in the registry, and to otherwise implement the provisions of this section.

The current administrative rule allows full access to local health directors. 

http://www.ct.gov/dph/lib/dph/infectious_diseases/immunization/cirts/cirts_regulations.pdf - see page 3 

Current Rule:

(c) Local directors of health who have signed a written statement on a form provided by the department that they have read section 19a-7h of the Connecticut General Statutes and sections 19a-7h-1 through 19a-7h-5 inclusive of the Regulations of Connecticut State Agencies and will comply with them, shall have full access to all necessary registration and immunization information in the immunization registry for all children who are registered as residing in their health jurisdiction to enable them to determine which children are overdue for scheduled immunizations and to enable them to provide outreach by mail, telephone or on-site visits after first conferring with the child's last known primary care provider.

(1) The immunization registry shall provide the immunization records either by computer connection or written or printed copy.

(2) At the health director's discretion, outreach workers working on behalf of the local health department to improve immunization levels may be given sufficient information to identify and locate individual children who are behind on immunization and to inform their parents or guardians which generic vaccines are still needed.

Current law allows parents to request their children not be enrolled in the system at birth and they may submit a written request to the immunization registry at any time requesting that their child’s immunization record no longer be maintained; populated by birth certificates; applies to children from birth up to first grade, providers are required to report vaccinations given and any exemptions with 14 days. The state shouldn't be able to conduct surveillance on citizens' vaccine status from snooping in all the databases out there with this information.

Registry Web Site - http://www.ct.gov/dph/cwp/view.asp?a=3136&q=388268

Form to request your child not be enrolled in the registry (see lower right hand corner) - http://www.ct.gov/dph/lib/dph/infectious_diseases/immunization/cirts/2010_cirts_enrollment_rev_sept_10_eng.pdf