Struck = only in HB 5145 ·
added = only in HB 1719.
WESTHB VIRGINIA1719-FN LEGISLATURE- REGULARAS INTRODUCED SESSION Introduced26-2373 House05/08 BillHOUSE 5145BILL By1719-FN DelegateAN SteeleACT [Introducedremoving JanuaryHepatitis 25,B 2024;from the list of diseases for which immunization is required under state law.
ReferredSPONSORS: to the Committee on Health and Human Resources then Education] Intr HB 2024R1920 A BILL to amend and reenact §16-3-4 of the Code of West Virginia, 1931, as amended, relating to removing Hepatitis B vaccine from the list of from compulsory immunizations.
BeRep. it enacted by the Legislature of West Virginia:
ARTICLEPotenza, 3.Straf.
PREVENTION19; AND CONTROL OF COMMUNICABLE AND OTHER INFECTIOUS DISEASES.
§16-3-4.Rep.
CompulsoryBarbour, immunizationHills. of school children;
information35; disseminated;
offenses;Rep.
penalties.DeRoy, Straf.
(a)3; Whenever a resident birth occurs, the commissioner shall promptly provide parents of the newborn child with information on immunizations mandated by this state or required for admission to a public, private, and parochial school in this state or a state-regulated child care center.
(b)Rep. Except as hereinafter provided, a child entering school or a state-regulated child care center in this state must shall be immunized against chickenpox, hepatitis-b measles, meningitis, mumps, diphtheria, polio, rubella, tetanus, and whooping cough.
(c)Drago, NoRock. child or person may be admitted or received in any of the schools of the state or a state-regulated child care center until he or she has been immunized against chickenpox, hepatitis-b measles, meningitis, mumps, diphtheria, polio, rubella, tetanus, and whooping cough or produces a certificate from the commissioner granting the child or person an exemption from the compulsory immunization requirements of this section.
(d)4; Any school or state-regulated child care center personnel having information concerning any person who attempts to be enrolled in a school or state-regulated child care center without having been immunized against chickenpox, hepatitis-b measles, meningitis, mumps, diphtheria, polio, rubella, tetanus, and whooping cough shall report the names of all such persons to the commissioner.
(e)Rep. Persons may be provisionally enrolled under minimum criteria established by the Intr HB 2024R1920 commissioner so that the person’s immunization may be completed while missing a minimum amount of school.
NoKofalt, personHills. shall may be allowed to enter school without at least one dose of each required vaccine.
(f)32; County health departments shall furnish the biologicals for this immunization for children of parents or guardians who attest that they cannot afford or otherwise access vaccines elsewhere.
(g)Rep. Health officers and physicians who provide vaccinations must shall present the person vaccinated with a certificate free of charge showing that they have been immunized against chickenpox, hepatitis-b, measles, meningitis, mumps, diphtheria, polio, rubella, tetanus and whooping cough, or he or she may give the certificate to any person or child whom he or she knows to have been immunized against chickenpox, hepatitis-b, measles, meningitis, mumps, diphtheria, polio, rubella, tetanus and whooping cough.
(h)McGrath, TheRock. commissioner is authorized to may grant, renew, condition, deny, suspend, or revoke exemptions to the compulsory immunization requirements of this section, on a statewide basis, upon sufficient medical evidence that immunization is contraindicated or there exists a specific precaution to a particular vaccine.
(1)40; A request for an exemption to the compulsory immunization requirements of this section must shall be accompanied by the certification of a licensed physician stating that the physical condition of the child is such that immunization is contraindicated or there exists a specific precaution to a particular vaccine.
(2)Rep. The commissioner is authorized to appoint and employ an Immunization Officer to make determinations on request for an exemption to the compulsory immunization requirements of this section, on a statewide basis, and delegate to the Immunization Officer the authority granted to the commissioner by this subsection.
(3)Wherry, AHills. person appointed and employed as the Immunization Officer must shall be a physician licensed under the laws of this state to practice medicine.
Intr13; HB 2024R1920 (4) The Immunization Officer's decision on a request for an exemption to the compulsory immunization requirements of this section may be appealed to the State Health Officer.
(5)Rep. The final determination of the State Health Officer is subject to a right of appeal pursuant to the provisions of §29A-5-1 et seq.
ofDrew, thisHills. code.
(i)19; A physician who provides any person with a false certificate of immunization against chickenpox, hepatitis-b, measles, meningitis, mumps, diphtheria, polio, rubella, tetanus and whooping cough is guilty of a misdemeanor and, upon conviction, shall be fined not less than $25 nor more than $100.
NOTE:Sen.
TheMurphy, purposeDist of16 thisCOMMITTEE: bill is to remove the hepatitis B vaccine from the vaccines mandated by this state or required for admission to a public, private, and parochial school in this state or a state-regulated child care center.
Strike-throughsHealth, indicateHuman languageServices thatand wouldElderly beAffairs stricken───────────────────────────────────────────────────────────────── fromANALYSIS aThis headingbill orremoves theHepatitis presentB law,from andthe underscoringlist indicatesof newdiseases languagefor thatwhich wouldchildhood beimmunization added.is required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Explanation:
Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.] Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
HB 1719-FN - AS INTRODUCED 26-2373 05/08 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT removing Hepatitis B from the list of diseases for which immunization is required under state law.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Immunization Requirements;
Hepatitis B Removed.
Amend RSA 141-C:20-a, I to read as follows:
I.
All parents or legal guardians shall have their children, who are residing in this state, immunized against diphtheria, mumps, pertussis, poliomyelitis, rubella, rubeola, tetanus, varicella, [Hepatitis B,] and Haemophilus influenzae type B (Hib).
2 Effective Date.
This act shall take effect 60 days after its passage.
LBA 26-2373 12/10/25 HB 1719-FN- FISCAL NOTE AS INTRODUCED AN ACT removing Hepatitis B from the list of diseases for which immunization is required under state law.
FISCAL IMPACT:
This bill does not provide funding, nor does it authorize new positions.
Estimated State Impact FY 2026 FY 2027 FY 2028 FY 2029 Revenue $0 ($20,000) ($82,000) ($82,000) Revenue Fund(s) Insurance assessment through the NH Vaccine Association $20,000 $82,000 $82,000 reduction in reduction in reduction in direct direct direct expenditures;
see expenditures;
expenditures;
Expenditures* $0 below for see below for see below for discussion of discussion of discussion of possible indirect possible possible indirect costs indirect costs costs Funding Source(s) NH Vaccine Association assessment, potential general funds Appropriations* $0 $0 $0 $0 Funding Source(s) None *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill METHODOLOGY:
This bill removes Hepatitis B from the list of vaccines required for children in the state.
The direct fiscal impact of the bill is in the form of reduced expenditures for vaccine purchases, estimated at $20,000 in FY27 (since some doses will have already been ordered prior to the effective date of the bill) and $82,000 in subsequent years.
Such purchases are funded through an assessment on insurers through the NH Vaccine Association, and so the assessment would presumably decrease by the same amounts.
The Department notes that some purchases would continue to occur, to be dispensed on a voluntary basis based on shared clinical decisions between physicians and their patient's parent or legal guardian.
For informational purposes, the Department states that there may be indirect costs resulting from investigations and emergency response activities should the lack of mandated vaccines for Hepatitis B result in increased outbreaks.
The Department estimates a range of $100,000 to $350,000 per outbreak, and notes that multiple outbreaks per year are possible.
AGENCIES CONTACTED:
Department of Health and Human Services