SCS/HS/HCS/HBs 1489, 1488 & 1650 - This act requires children to receive additional immunizations, unless appropriate objections are made, and narrows the scope of practice of Emergency Medical Technicians.

Section 167.181 currently allows the Department of Health to promulgate rules requiring that children be immunized against certain diseases. New language requires the Department of Health to include the varicella and hepatitis A immunizations in such rules for children attending day care centers, preschools, or nursery schools. Beginning with the 2002-2003 school year, the Department must also require these immunizations of all children attending public, private, or parochial schools. The Department of Health must inform the public of all available exemptions to immunizations.

Currently, this section allows a parent or guardian to object to any immunization on religious or medical grounds. This act also allows an objection based on philosophical beliefs, if provided through an annual notarized statement. The objection, however, will be permitted only for the varicella and hepatitis A immunizations.

Section 190.142 currently outlines procedures for the licensure of emergency medical technicians (EMT). EMTs may perform care that is consistent with their training and if it is ordered by a physician or medical director. New language adds that the care must be in an emergency situation if providing pre- hospital care, during emergency care in a health care facility, and during inter-hospital or non-emergency transports. This portion of the act is similar to SS/HB 1615 (2000).

Portions of this act are similar to SB 905 and SB 736 (2000).
ERIN MOTLEY