CHILDHOOD IMMUNIZATION REGISTRY H.B. 5477 (S-1): FLOOR ANALYSIS
House Bill 5477 (Substitute S-1 as reported) Sponsor: Representative Tracey Yokich House Committee: Health Policy
Senate Committee: Health Policy and Senior Citizens
The bill would amend the Public Health Code to require the Department of Community Health (DCH) to establish the “Childhood Immunization Registry”; to require health care providers to report immunizations to the DCH, unless a child’s parent or guardian objected; and to require the State Registrar to transmit to the registry information contained in a birth registration, upon receiving the birth registration from a local registrar.
The DCH would be required to establish the Childhood Immunization Registry to record information regarding immunizations performed under Part 92 of the Code. The Department would have to enter in the registry information received from health care providers and from the State Registrar. The information contained in the registry would be subject to the confidentiality and disclosure requirements of the bill and of sections of the Code that provide for a departmental data system and govern the inspection and disclosure of vital records. The DCH could gain access to the information when necessary to fulfill its duties under Part 92. The DCH could use information in the registry only for immunization purposes, and would have to delete information pertaining to an individual when he or she reached the age of 20.
A health care provider would be required to report to the DCH each immunization administered by the provider, unless the parent, guardian, or person in loco parentis of the child receiving the immunizing agent objected. If the parent, guardian, or person in loco parentis objected, the provider could not report the immunization. A provider who complied in good faith with these provisions would not be liable in a civil action for damages as a result of an act or omission during the compliance, except an act or omission constituting gross negligence or willful and wanton misconduct. “Health care provider” would mean a health professional, health facility, or local health department.
MCL 333.2821 et al. Legislative Analyst: S. Margules
Because the Department of Community Health has begun already to develop and implement a childhood immunization registry, the bill would have no fiscal impact on the State. To date, the State has committed approximately $1.8 million in Healthy Michigan Fund (6% of the proceeds of the tax on tobacco products) dollars for the initial design of the registry and the establishment of six regional networks. The Department plans, in FY 1996-97, to commit an additional $2,640,000 gross, with approximately $2 million from the Healthy Michigan Fund, and approximately $640,000 from Federal sources, to registry software development, hardware acquisition and installation; enhancement of the Electronic Birth Certification System, and further regional network support. The Department projects that annual operating costs, at a minimum, would be $1.0 million and would be supported with Healthy Michigan Fund dollars.
Date Completed: 12-9-96 Fiscal Analyst: P. Graham
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This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.