S T A T E O F N E W Y O R K
________________________________________________________________________
686
2025-2026 Regular Sessions
I N S E N A T E
(PREFILED)
January 8, 2025
___________
Introduced by Sen. MARTINEZ -- read twice and ordered printed, and when
printed to be committed to the Committee on Education
AN ACT to amend the education 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. The education law is amended by adding a new section 3205-b
to read as follows:
§ 3205-B. MEDICAL IMMUNIZATION EXEMPTION. 1. THE SCHOOL IN WHICH A
STUDENT IS ATTENDING OR WILL ATTEND SHALL ACCEPT A MEDICAL IMMUNIZATION
EXEMPTION REQUEST FORM CONTAINING THE INFORMATION PURSUANT TO SUBDIVI-
SION TWO OF THIS SECTION. THE DEPARTMENT OR ANY OTHER STATE AGENCY,
BOARD OR COMMISSION SHALL NOT REQUIRE ANY OTHER CONDITION OR REQUIREMENT
FOR THE MEDICAL EXEMPTION TO IMMUNIZATION OR IMMUNIZATIONS PROVIDED FOR
IN THIS SECTION FOR SCHOOL ADMISSION.
2. THE FORM ACCEPTED BY THE SCHOOL SHALL CONTAIN THE FOLLOWING INFOR-
MATION:
(A) NAME(S) OF PARENT, PARENTS OR GUARDIAN;
(B) NAME OF CHILD;
(C) STUDENT'S BIRTHDATE;
(D) STUDENT'S RESIDENTIAL ADDRESS;
(E) SCHOOL NAME AND DISTRICT;
(F) THE MEDICAL REASON, DIAGNOSIS AND/OR CONDITION OF WHICH DEEMS
IMMUNIZATION DETRIMENTAL TO THE STUDENT'S HEALTH; AND
(G) THE SIGNATURE OF A LICENSED PHYSICIAN, PHYSICIAN'S ASSISTANT OR
NURSE PRACTITIONER, THEIR MEDICAL LICENSE NUMBER AND PRACTICE AFFIL-
IATION DECLARING: I HEREBY CERTIFY THAT IMMUNIZATION AGAINST (POLIOMYEL-
ITIS, MUMPS, MEASLES, DIPTHERIA, RUBELLA, VARICELLA, HAEMOPHILUS
INFLUENZAE TYPE B (HIB), PERTUSSIS, TETANUS, PNEUMOCOCCAL DISEASE,
INFLUENZA, MENINGOCOCCAL DISEASE AND HEPATITIS B) MAY BE DETRIMENTAL TO
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02758-01-5
S. 686 2
THE CHILD'S HEALTH. THE DATE AND SIGNATURE OF THE PHYSICIAN, NURSE PRAC-
TITIONER OR PHYSICIAN'S ASSISTANT SHALL APPEAR HERE. THIS CERTIFICATION,
ONCE PROVIDED TO THE STUDENT'S SCHOOL, SHALL SERVE AS AN EXEMPTION TO
SECTION 2164 OF THE PUBLIC HEALTH LAW.
§ 2. This act shall take effect on the thirtieth day after it shall
have become a law.