S T A T E O F N E W Y O R K
________________________________________________________________________
1894
2021-2022 Regular Sessions
I N A S S E M B L Y
January 11, 2021
___________
Introduced by M. of A. SANTABARBARA, THIELE, TAGUE, ASHBY -- read once
and referred to the Committee on Health
AN ACT to amend the public health law, in relation to a standardized
form for medical exemption from required immunizations
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Subdivision 8 of section 2164 of the public health law, as
amended by chapter 401 of the laws of 2015, is amended to read as
follows:
8. If any physician, NURSE PRACTITIONER OR PHYSICIAN'S ASSISTANT
licensed to practice medicine in this state [certifies] COMPLETES THE
REQUIRED EXEMPTION FORM STATING that such immunization may be detri-
mental to a child's health, the requirements of this section shall be
inapplicable until such immunization is found no longer to be detri-
mental to the child's health BY THE CHILD'S PHYSICIAN, NURSE PRACTITION-
ER OR PHYSICIAN'S ASSISTANT. THE DEPARTMENT OR ANY OTHER STATE AGENCY,
BOARD OR COMMISSION MAY NOT REQUIRE ANY OTHER CONDITION OR REQUIREMENT
FOR THE MEDICAL EXEMPTION TO IMMUNIZATION OR IMMUNIZATIONS PROVIDED FOR
IN THIS SECTION FOR SCHOOL ADMISSION.
§ 2. Subdivision 8-a of section 2164 of the public health law is
renumbered subdivision 8-b and a new subdivision 8-a is added to read as
follows:
8-A. ANY PHYSICIAN, NURSE PRACTITIONER OR PHYSICIAN'S ASSISTANT WHO
BELIEVES THAT SUCH IMMUNIZATION MAY BE DETRIMENTAL TO THE CHILD'S HEALTH
MUST COMPLETE THE FOLLOWING FORM AND FILE IT WITH THE CHILD'S SCHOOL:
MEDICAL EXEMPTION FORM
(A) NAME(S) OF PARENT, PARENTS OR GUARDIAN:
(B) NAME OF CHILD:
(C) CHILD'S BIRTHDATE:
(D) CHILD'S HOME ADDRESS:
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD04553-01-1
A. 1894 2
(E) I HEREBY CERTIFY THAT IMMUNIZATION AGAINST (POLIOMYELITIS, MUMPS,
MEASLES, DIPTHERIA, RUBELLA, VARICELLA, HAEMOPHILUS INFLUENZAE TYPE B
(HIB), PERTUSSIS, TETANUS, PNEUMOCOCCAL DISEASE, INFLUENZA, MENINGOCOC-
CAL DISEASE AND HEPATITIS B) MAY BE DETRIMENTAL TO THE CHILD'S HEALTH.
THIS CERTIFICATION, ONCE PROVIDED TO THE CHILD'S SCHOOL, SHALL SERVE AS
AN EXEMPTION TO SECTION 2164 OF THE PUBLIC HEALTH LAW.
(SIGNATURE OF PHYSICIAN, NURSE PRACTITIONER OR PHYSICIAN'S ASSISTANT)
(DATE)
§ 3. This act shall take effect on the thirtieth day after it shall
have become a law.