Requires death records to include certain immunization data received by the decedent, requires DOH to issue regular reports on deaths/immunizations

State: NH
Bill Number: HB 1661
Position: SUPPORT
Action Required: None at this time
Status: Referred to interim study, committee report adopted on House floor by voice vote on 2/22/2024

Legislation Details:

UPDATE: 2/7/2024 - HB 1661 was referred to interim study, the House Health, Human Services and Elderly Affairs Committee report was adopted on the House floor by a voice vote on 2/22/2024. 

UPDATE: 2/7/2024 - HB 1661 was reported with the recommendation to refer to interim study in the House Health, Human Services and Elderly Affairs Committee by vote of 19-1 on 2/7/2024.

UPDATE: 1/26/2024 - HB 1661 is scheduled for a hearing in the House Health, Human Services and Elderly Affairs Committee on 2/7/2024 at 11AM in LOB 206-208. It is due out of the committee on 2/15/2024. View the hearing agenda HERE

UPDATE: 1/17/2024 - HB 1661 is scheduled for a hearing in the House Health, Human Services and Elderly Affairs Committee on 1/25/2024 at 2:45 PM in LOB 210-211. It is due out of the committee on 2/15/2024.

HB 1661 was introduced and referred to the House Health, Human Services and Elderly Affairs Committee on 1/3/2024. It is sponsored by Representative Jason Gerhard and 10 co-sponsors.

HB 1661 requires death certificates include a new section detailing the decedent's vaccination information. This would include, among other things, the vaccination administration date, product name, lot number, and site of administration. The person who certifies a death shall enter each vaccination received by the decedent in the calendar year of death and the two prior years. For children under 18 years of age the entire immunization record text shall be placed in the death certificate. This section shall apply to all deaths that occurred on or after January 1, 2020. The vaccination information specified is available from the state immunization registry.

The bill also requires the Department of Health and Human Services to make quarterly reports available to the public. These reports will contain the total deaths that occurred within 24 hours, 3 days, one, three, 10, 25, and 52 weeks of immunization, including subtotals by type of vaccine, gender, age group, race, ethnicity, and co-morbidity type, if available. Within 30 days of the close of the fiscal year, the Department shall provide these reports covering the prior 5 years on the Department's website, which will be available to the public. 

The Department shall conduct biennial cause of death and injury studies, and produce public reports within 2 weeks of the date that is one year before each US general presidential and midterm or gubernatorial election. These reports shall include deaths involving causes of or contributing condition to death, any ICD-10 codes or any replacement system code that appears on the death record after the CDC or an agent of the state has applied all codes to the death records. It shall include injuries involving anything for which an ICD-10 code or replacement code appears in a physician's notes for the patient, and demographic data that is not a violation of privacy. 

The bill also requires four biennial audits to be conducted by persons not affiliated or dependent upon any government entity, pharmaceutical industry, or public official. The Department of Health shall provide reasonable office space or a conference room for up to 4 weeks for the auditors to work. All databases and storage devices are to be accessible to the auditors. The auditors shall not be hindered in any way from their mission by the Department.  

If HB 1661 passes, its provision go into effect 60 days after passage. 

https://gencourt.state.nh.us/bill_status/legacy/bs2016/bill_docket.aspx?lsr=2636&sy=2024&txtsessionyear=2024&txtbillnumber=HB1661&sortoption=billnumber - text, status, and history of HB 1661