Several state legislatures are debating vaccine-related measures as dozens of people have fallen ill from a measles outbreak that started at Disneyland in December and spread beyond the theme park. Here is a look at some of the legislation around the country:
CALIFORNIA
Three California lawmakers, all Democrats, introduced legislation this week that would require parents to vaccinate their children before they enter school unless the child cannot be immunized because of a medical condition.
Parents would no longer be able to cite personal beliefs or religious reasons to send unvaccinated children to private and public schools. Mississippi and West Virginia are the only other states with such strict vaccine rules, although the California bill’s lead author said he would consider including a religious exemption.
According to the National Conference of State Legislatures, California is among 20 states that allow for personal belief exemptions and 48 that allow for religious exemptions.
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MAINE
A bill introduced by a Democratic lawmaker would eliminate the philosophical exemption that allows parents to skip vaccinations for their children. A separate proposal backed by Democrats aims to make getting exemptions more difficult.
That bill would require parents to consult with a medical professional about the risks and benefits of vaccines and obtain a signed form if they wish to opt out for non-medical reasons.
Another measure, introduced by Republicans, would create a vaccine safety office in Maine’s Center for Disease Control and Prevention that would offer parents guidance on the risks of vaccines. Committee hearings have not yet been held on the bills.
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MICHIGAN
A statewide rule change that took effect Jan. 1 requires parents wanting a philosophical or religious waiver for childhood vaccinations to first be educated by a local health department about the risks. Previously, parents could submit a vaccination waiver to a daycare center or school without being briefed by a health expert. Michigan has one of the highest vaccination waiver rates in the U.S.
The rule change was pushed by the administration of Gov. Rick Snyder, a Republican, and approved by lawmakers.
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MINNESOTA
A bill before Minnesota lawmakers would retain existing vaccine exemptions for medical reasons or in cases of personal belief. But parents or guardians of children claiming the personal belief exemption would have to consult with a doctor about the risks associated with remaining unvaccinated. They also would have to acknowledge that their children could be barred from school or a child-care facility in the event of an outbreak. The bill has yet to be scheduled for a hearing.
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MISSISSIPPI
Under a bill that awaits a full legislative debate, the Mississippi State Department of Health would lose its role in deciding whether a child can skip or delay a vaccination that is otherwise mandatory in the state. Instead, it would allow a physician to grant a patient’s vaccine exemption for medical reasons, without seeking the department’s approval.
The U.S. Centers for Disease Control and Prevention says Mississippi had the largest percentage of kindergartners in public and private schools who have been vaccinated against diseases for the 2013-14 school year, a rate of 99.7 percent.
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MONTANA
A Republican lawmaker has added an amendment to an immunization bill that would allow for a greater number of parents to opt out of vaccinations altogether.
The amended version would allow parents to forgo vaccinations for their children based on “personal beliefs.” Montana law already allows exemptions for medical reasons and religious beliefs. It passed the House on a 95-4 vote this week.
Republican Rep. Greg Hertz, who added the amendment, said he did so to extend rights to parents who are not religious, giving them a route to opt out of vaccinations.
The Democratic sponsor of the bill, Rep. Margie MacDonald, said she plans to ask a Senate committee to remove the amendment. Her original bill sought to add chicken pox and whooping cough to the list of required childhood vaccines.
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NEW YORK
Legislation introduced in New York’s state Senate and Assembly would widen existing exemptions to vaccine mandates by creating a “philosophical” exemption for those whose opposition to immunizations is not based on religious reasons.
Currently, children must be vaccinated before attending school unless they obtain a waiver stating that they cannot receive immunizations for medical or religious reasons. But the bill’s supporters say many parents might have general concerns about vaccines that are not tied to religious doctrine.
Similar bills have been introduced in past years and have not received a vote.
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SOUTH DAKOTA
A bill scheduled for a vote in the state Senate would re-authorize schools and day care providers to be able to access records in the state’s immunization registry without parental consent, unless there is a signed refusal for the release of the information in the patient’s medical record.
Federal rule changes forced the state in August to allow schools and day care services to access the registry only if they received parental consent, so the state Department of Health brought the proposal forward to restore access.
Privacy advocates in the state Legislature won a victory by securing an amendment to the health department’s proposal. It requires providers to tell parents they have the right to stop the immunization information from being shared.
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OREGON
Oregon made it harder for parents to opt out of vaccinations for nonmedical reasons in 2013. That law requires parents to meet with a doctor or watch an informational video before they can reject vaccines for a child entering kindergarten. A bill proposed this year would expand the requirement to all children, including those already in school. A hearing on the bill has yet to be scheduled.
The U.S. Centers for Disease Control and Prevention reported that Oregon had the nation’s highest rate of nonmedical vaccine exemptions during the 2012-13 school year.
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WEST VIRGINIA
A state Senate committee this week stripped language from a bill that would have allowed parents to claim religious exemptions from childhood vaccinations.
The bill by Republican Sen. Ryan Ferns would have changed that. Parents would have been able to sign affidavits saying certain vaccinations for their children were against their religious beliefs. That language was removed this week.
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Associated Press writers Brian Bakst in St. Paul, Minnesota; Lisa Baumann in Helena, Montana; Alanna Durkin in Augusta, Maine; Jonathan Cooper in Salem, Oregon; David Eggert in Lansing, Michigan; David Klepper in Albany, New York; Jonathan Mattise in Charleston, West Virginia; Fenit Nirappil in Sacramento, California; James Nord in Pierre, South Dakota; and Emily Wagster Pettus in Jackson, Mississippi, contributed to this report.
Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
In this case the concept of “states rights” is ludicrous. Obviously many state representatives are too bound to their partisan believes to make intelligent decisions on something that effects every American. (MONTANA comes to mind.)
Slightly off topic, but it’s times like this that I miss The Colbert Report.
Maine’s efforts are likely to be fairly futile given the status of the Maine Center for Disease Control and Prevention. The state has been without its two top epidemiologists for months – the top position has been vacant for almost a year; the position responsible for monitoring and responding to a hepatitis outbreak has been vacant for months, and 14 of the 50 public health nurse positions are vacant, leaving Maine “woefully unprepared to deal with an infectious disease outbreak”, including, in recent months, a case of hepatitis A in a restaurant in its most populous county. One of the problems in filling those positions is a culture at the Maine CDC that is said to be rife with “harassment, threats and poor management…Employees paint a picture of an ineffectual leader who lets upper management run wild. They tell of threats and intimidation, of screaming bosses, of demands that are, at best, unethical, and at worst, illegal. They talk of promotions for workers who don’t question the way things are run and intra-office spying on those who do. They call the CDC “The Third Reich,” “a reign of terror” and, plainly, “hell”, and the department is embroiled in a document shredding scandal.
At one point it appeared the State Epidemiologist position would be filled, but the person backed out, apparently in response to the Kaci Hickox Ebola quarantine debacle.
http://wabi.tv/2014/11/04/maine-cdc-fire-top-job-vacancies/
ETA: The Maine CDC is fairly illustrative of the entire Maine DHHS, which has been a never-ending snafu - from a public-health perspective - under LePlague and Mary Mayhew. From Koch/Heritage perspective it’s been a smashing success: many top staffers let go and replaced with workers much lower on the pay-scale (including the top programmers, which led to a huge Medicaid payment debalce, and, at a time of the greatest expansion in access to health care in more than 50 years LePlague has managed to significantly reduce the number of people on MaineCare (Medicaid).
I guess we need to bring back smallpox. Perhaps that will persuade.
A triumphant return by polio would be nice, too. That one’s especially delightful, since it most often strikes children.