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H.B. 13 Enrolled

             1     

IMMUNIZATIONS FOR TEEN MOTHERS

             2     
2011 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Jennifer M. Seelig

             5     
Senate Sponsor: Curtis S. Bramble

             6      Cosponsors:
             7      Rebecca Chavez-Houck
             8      Susan Duckworth
             9      Rebecca P. EdwardsDon L. Ipson
David Litvack
Carol Spackman Moss
Jeremy A. PetersonMarie H. Poulson
Paul Ray
Evan J. Vickers              10     
             11      LONG TITLE
             12      General Description:
             13          This bill amends the Health Code to allow a minor who is the parent of a child, or who
             14      is pregnant, to consent to immunizations.
             15      Highlighted Provisions:
             16          This bill:
             17          .    defines terms;
             18          .    replaces the term "crippled children" with "children with disabilities";
             19          .    allows minors who are pregnant or who have custody of a child to consent to
             20      immunizations in certain circumstances;
             21          .    defines the immunizations for which a minor may provide consent;
             22          .    establishes the legal effect of the minor's consent for immunizations; and
             23          .    provides that a parent or guardian of a minor who consents to an immunization is
             24      not responsible for the fees associated with the immunization unless the parent or
             25      guardian consented to the immunization.
             26      Money Appropriated in this Bill:
             27          None
             28      Other Special Clauses:
             29          None
             30      Utah Code Sections Affected:


             31      AMENDS:
             32          26-10-1, as last amended by Laws of Utah 2001, Chapter 73
             33          26-10-2, as enacted by Laws of Utah 1981, Chapter 126
             34      ENACTS:
             35          26-10-9, Utah Code Annotated 1953
             36     
             37      Be it enacted by the Legislature of the state of Utah:
             38          Section 1. Section 26-10-1 is amended to read:
             39           26-10-1. Definitions.
             40          As used in this chapter:
             41          (1) "Maternal and child health services" means:
             42          (a) the provision of educational, preventative, diagnostic, and treatment services,
             43      including medical care, hospitalization, and other institutional care and aftercare, appliances,
             44      and facilitating services directed toward reducing infant mortality and improving the health of
             45      mothers and children provided, however, that nothing in this [section] Subsection (1) shall be
             46      construed to allow any agency of the state to interfere with the rights of the parent of an
             47      unmarried minor in decisions about the providing of health information or services;
             48          (b) the development, strengthening, and improvement of standards and techniques
             49      relating to the services and care;
             50          (c) the training of personnel engaged in the provision, development, strengthening, or
             51      improvement of the services and care; and
             52          (d) necessary administrative services connected with Subsections (1)(a), (b), and (c).
             53          [(2) "Crippled children's services" means:]
             54          (2) "Minor" means a person under the age of 18.
             55          (3) "Services to children with disabilities" means:
             56          (a) the early location of [crippled] children with a disability, provided that any program
             57      of prenatal diagnosis for the purpose of detecting the possible disease or disabilities of an
             58      unborn child will not be used for screening, but rather will be utilized only when there are


             59      medical or genetic indications that warrant diagnosis;
             60          (b) the provision for [such] children described in Subsection (3)(a) of preventive,
             61      diagnosis, and treatment services, including medical care, hospitalization, and other
             62      institutional care and aftercare, appliances, and facilitating services directed toward the
             63      diagnosis of the condition of [such] those children or toward the restoration of the children to
             64      maximum physical and mental health;
             65          (c) the development, strengthening, and improvement of standards and techniques
             66      relating to [such] services and care described in this Subsection (3);
             67          (d) the training of personnel engaged in the provision, development, strengthening, or
             68      improvement of [such] services and care described in this Subsection (3); and
             69          (e) necessary administrative services connected with Subsections [(2)] (3)(a), (b), and
             70      (c).
             71          Section 2. Section 26-10-2 is amended to read:
             72           26-10-2. Maternal and child health provided by department.
             73          The department shall, as funding permits, provide for maternal and child health service
             74      and [crippled children's] services [to individuals who need such services and] for children with
             75      a disability if the individual needs the services and the individual cannot reasonably obtain
             76      [them] the services from other sources.
             77          Section 3. Section 26-10-9 is enacted to read:
             78          26-10-9. Immunizations -- Consent of minor to treatment.
             79          (1) This section:
             80          (a) is not intended to interfere with the integrity of the family or to minimize the rights
             81      of parents or children; and
             82          (b) applies to a minor, who at the time care is sought is:
             83          (i) married or has been married;
             84          (ii) emancipated as provided for in Section 78A-6-805 ;
             85          (iii) a parent with custody of a minor child; or
             86          (iv) pregnant.


             87          (2) (a) A minor described in Subsections (1)(b)(i) and (ii) may consent to:
             88          (i) immunizations against epidemic infections and communicable diseases as defined
             89      in Section 26-6-2 ; and
             90          (ii) examinations and immunizations required to attend school as provided in Title
             91      53A, Chapter 11, Students in Public Schools.
             92          (b) A minor described in Subsections (1)(b)(iii) and (iv) may consent to the
             93      immunizations described in Subsections (2)(a)(i) and (ii), and the vaccine for human
             94      papillomavirus only if:
             95          (i) the minor represents to the health care provider that the minor is an abandoned
             96      minor as defined in Section 76-5-109 ; and
             97          (ii) the health care provider makes a notation in the minor's chart that the minor
             98      represented to the health care provider that the minor is an abandoned minor under Section
             99      76-5-109 .
             100          (c) Nothing in Subsection (2)(a) or (b) requires a health care provider to immunize a
             101      minor.
             102          (3) The consent of the minor pursuant to this section:
             103          (a) is not subject to later disaffirmance because of the minority of the person receiving
             104      the medical services;
             105          (b) is not voidable because of minority at the time the medical services were provided;
             106          (c) has the same legal effect upon the minor and the same legal obligations with regard
             107      to the giving of consent as consent given by a person of full age and capacity; and
             108          (d) does not require the consent of any other person or persons to authorize the medical
             109      services described in Subsections (2)(a) and (b).
             110          (4) A health care provider who provides medical services to a minor in accordance
             111      with the provisions of this section is not subject to civil or criminal liability for providing the
             112      services described in Subsections (2)(a) and (b) without obtaining the consent of another
             113      person prior to rendering the medical services.
             114          (5) This section does not remove the requirement for parental consent or notice when


             115      required by Section 76-7-304 or 76-7-304.5 .
             116          (6) The parents, parent, or legal guardian of a minor who receives medical services
             117      pursuant to Subsections (2)(a) and (b) are not liable for the payment for those services unless
             118      the parents, parent, or legal guardian consented to the medical services.


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