2164 - Definitions; immunization against poliomyelitis, mumps, measles, diphtheria, rubella, varicella, Haemophilus influenzae type b (Hib), pertussis, tetan

§   2164.  Definitions;  immunization  against  poliomyelitis,  mumps,  measles, diphtheria, rubella, varicella, Haemophilus influenzae  type  b  (Hib), pertussis, tetanus, pneumococcal disease, and hepatitis B.  1. As  used in this section, unless the context requires otherwise:    a.  The  term  "school"  means  and  includes  any  public, private or  parochial child caring center, day nursery,  day  care  agency,  nursery  school, kindergarten, elementary, intermediate or secondary school.    b. The term "child" shall mean and include any person between the ages  of two months and eighteen years.    c.  The  term  "person in parental relation to a child" shall mean and  include his  father  or  mother,  by  birth  or  adoption,  his  legally  appointed  guardian, or his custodian. A person shall be regarded as the  custodian of a child if he has assumed the charge and care of the  child  because  the  parents  or  legally  appointed guardian of the minor have  died, are imprisoned, are mentally ill, or have  been  committed  to  an  institution,  or  because  they have abandoned or deserted such child or  are living outside the state or their whereabouts are unknown,  or  have  designated the person pursuant to title fifteen-A of article five of the  general obligations law as a person in parental relation to the child.    d.  The term "health practitioner" shall mean any person authorized by  law to administer an immunization.    2. a. Every person in parental relation to a child in this state shall  have administered to  such  child  an  adequate  dose  or  doses  of  an  immunizing  agent  against  poliomyelitis,  mumps,  measles, diphtheria,  rubella, varicella, Haemophilus  influenzae  type  b  (Hib),  pertussis,  tetanus,   pneumococcal  disease,  and  hepatitis  B,  which  meets  the  standards approved by the United States public health service  for  such  biological  products, and which is approved by the department under such  conditions as may be specified by the public health council.    b. Every person in parental relation to a child in this state born  on  or  after January first, nineteen hundred ninety-four and entering sixth  grade or a comparable  age  level  special  education  program  with  an  unassigned  grade on or after September first, two thousand seven, shall  have administered  to  such  child  a  booster  immunization  containing  diphtheria  and  tetanus  toxoids,  and  an acellular pertussis vaccine,  which meets the standards approved by the United  States  public  health  service  for  such  biological  products,  and  which is approved by the  department under such conditions as  may  be  specified  by  the  public  health council.    3.  The  person  in  parental  relation  to any such child who has not  previously received such immunization  shall  present  the  child  to  a  health  practitioner  and request such health practitioner to administer  the  necessary  immunization  against  poliomyelitis,  mumps,   measles,  diphtheria,  Haemophilus  influenzae  type  b (Hib), rubella, varicella,  pertussis, tetanus, pneumococcal disease, and hepatitis B as provided in  subdivision two of this section.    4. If any person in parental relation to such child is unable  to  pay  for  the  services  of  a private health practitioner, such person shall  present such child to the health officer of  the  county  in  which  the  child  resides,  who  shall then administer the immunizing agent without  charge.    5. The health  practitioner  who  administers  such  immunizing  agent  against   poliomyelitis,   mumps,   measles,   diphtheria,   Haemophilus  influenzae  type  b  (Hib),  rubella,  varicella,  pertussis,   tetanus,  pneumococcal  disease,  and  hepatitis  B to any such child shall give a  certificate of such immunization to the person in parental  relation  to  such child.6.  In  the  event that a person in parental relation to a child makes  application for admission of such child to  a  school  or  has  a  child  attending  school  and  there  exists no certificate or other acceptable  evidence of  the  child's  immunization  against  poliomyelitis,  mumps,  measles,   diphtheria,   rubella,  varicella,  hepatitis  B,  pertussis,  tetanus, and, where applicable, Haemophilus influenzae type b (Hib)  and  pneumococcal  disease, the principal, teacher, owner or person in charge  of the school shall inform such person of  the  necessity  to  have  the  child  immunized,  that  such  immunization  may  be administered by any  health practitioner, or that the child may be immunized  without  charge  by  the  health  officer  in the county where the child resides, if such  person executes a consent therefor. In the event that such  person  does  not wish to select a health practitioner to administer the immunization,  he  or she shall be provided with a form which shall give notice that as  a prerequisite to processing the application for admission  to,  or  for  continued  attendance  at,  the  school  such person shall state a valid  reason  for  withholding  consent  or  consent  shall   be   given   for  immunization  to  be  administered  by  a  health  officer in the public  employ, or by a school physician or nurse. The form  shall  provide  for  the  execution  of a consent by such person and it shall also state that  such person need not execute such consent if subdivision eight  or  nine  of this section apply to such child.    7.  (a)  No  principal, teacher, owner or person in charge of a school  shall permit any child to be admitted to such school, or to attend  such  school, in excess of fourteen days, without the certificate provided for  in subdivision five of this section or some other acceptable evidence of  the   child's   immunization   against  poliomyelitis,  mumps,  measles,  diphtheria, rubella, varicella, hepatitis B,  pertussis,  tetanus,  and,  where  applicable,  Haemophilus influenzae type b (Hib) and pneumococcal  disease; provided, however, such fourteen day period may be extended  to  not  more  than thirty days for an individual student by the appropriate  principal, teacher, owner or other person in charge where  such  student  is transferring from out-of-state or from another country and can show a  good  faith  effort to get the necessary certification or other evidence  of immunization.    (b) A parent, a guardian or any other person in parental  relationship  to  a  child denied school entrance or attendance may appeal by petition  to the commissioner of education in accordance with  the  provisions  of  section three hundred ten of the education law.    8.  If  any  physician  licensed  to  practice  medicine in this state  certifies that such immunization may be detrimental to a child's health,  the requirements of  this  section  shall  be  inapplicable  until  such  immunization is found no longer to be detrimental to the child's health.    8-a.  Whenever  a  child  has  been refused admission to, or continued  attendance at, a school as provided for in  subdivision  seven  of  this  section  because there exists no certificate provided for in subdivision  five of this  section  or  other  acceptable  evidence  of  the  child's  immunization against poliomyelitis, mumps, measles, diphtheria, rubella,  varicella,  hepatitis  B,  pertussis,  tetanus,  and,  where applicable,  Haemophilus influenzae  type  b  (Hib)  and  pneumococcal  disease,  the  principal, teacher, owner or person in charge of the school shall:    a. forward a report of such exclusion and the name and address of such  child  to  the  local  health  authority  and  to the person in parental  relation to the child together with a notification of the responsibility  of such person under subdivision two of  this  section  and  a  form  of  consent as prescribed by regulation of the commissioner, and    b.  provide,  with  the  cooperation  of  the appropriate local health  authority, for a time and place at which an immunizing agent  or  agentsshall  be  administered, as required by subdivision two of this section,  to a child for whom a consent has been obtained. Upon failure of a local  health authority to cooperate in arranging for a time and place at which  an  immunizing  agent  or  agents  shall  be administered as required by  subdivision two of this section, the commissioner shall arrange for such  administration and may recover the cost thereof from the amount of state  aid to which the local health authority would otherwise be entitled.    9. This section shall not apply to children whose parent, parents,  or  guardian  hold  genuine and sincere religious beliefs which are contrary  to the practices herein required, and no certificate shall  be  required  as  a  prerequisite  to  such  children  being admitted or received into  school or attending school.    10. The commissioner may adopt and  amend  rules  and  regulations  to  effectuate the provisions and purposes of this section.    11.  Every  school  shall  annually provide the commissioner, on forms  provided by the commissioner, a summary regarding  compliance  with  the  provisions of this section.