First Substitute S.B. 67

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Senate Committee Amendments 2-14-2011 rd/cjd This document includes Senate Committee Amendments incorporated into the bill on Mon, Feb 14, 2011 at 4:29 PM by rday. --> This document includes Senate 3rd Reading Floor Amendments incorporated into the bill on Wed, Feb 23, 2011 at 12:06 PM by rday. --> Senator Luz Robles proposes the following substitute bill:

1 ANNUAL EYE EXAMINATION FOR CHILDREN IN GRADES
2 KINDERGARTEN THROUGH THREE
3 2011 GENERAL SESSION
4 STATE OF UTAH
5 Chief Sponsor: Luz Robles
6 House Sponsor: Rebecca P. Edwards
7
8 LONG TITLE
9 General Description:
10 This bill amends the health examinations required in public schools.
11 Highlighted Provisions:
12 This bill:
13 . extends the public school vision screening from age seven to age eight;
14 . requires a public school that performs vision screening to develop a process to
15 notify a parent or guardian if a child fails the vision screening or needs follow-up
16 care; and
17 . provides limited immunity to S. volunteer .S vision screeners who are trained or
17a supervised by the
18 State Office of Education;
19 Money Appropriated in this Bill:
20 None
21 Other Special Clauses:
22 None
23 Utah Code Sections Affected:
24 AMENDS:
25 53A-11-203, as last amended by Laws of Utah 2010, Chapter 273

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27 Be it enacted by the Legislature of the state of Utah:
28 Section 1. Section 53A-11-203 is amended to read:
29 53A-11-203. Vision screening.
30 (1) As used in this section, "division" means the Division of Services for the Blind and
31 Visually Impaired, State Office of Education.
32 [(1)] (2) A child under [seven] eight years of age entering school for the first time in
33 this state must present the following to the school:
34 (a) a certificate signed by a licensed physician, optometrist, or other licensed health
35 professional approved by the division, stating that the child has received vision screening to
36 determine the presence of amblyopia or other visual defects[. As used in this section,
37 "division" means the Division of Services for the Blind and Visually Impaired, State Office of
38 Education]; or
39 (b) a written statement signed by at least one parent or legal guardian of the child that
40 the screening violates the personal beliefs of the parent or legal guardian.
41 [(2)] (3) (a) The division S. :
41a (i) .S shall provide vision screening report forms to a person
42 approved by the division to conduct a free vision screening for children aged 3-1/2 to [seven]
43 eight S. ; and
43a (ii) may work with health care professionals, teachers, and vision screeners to develop
43b protocols that may be used by a parent, teacher or vision screener to help identify a child who
43c may have conditions that are not detected in a vision screening, such as problems with eye
43d focusing, eye tracking, visual perceptual skills, visual motor integration, and convergence
43e insufficiency; and
43f (iii) shall, once protocols are established under Subsection (3)(a)(ii), develop language
43g regarding the vision problems identified in Subsection (3)(a)(ii) to be included in the notice
43h required by Subsection (3)(b) .S .
44 (b) The report forms shall include the following information for a parent or guardian:
45 "vision screening is not a substitute for a complete eye exam and vision evaluation by an eye
46 doctor."
47 [(3)] (4) A school district may conduct free vision screening clinics for children aged
48 3-1/2 to [seven] eight.
49 [(4)] (5) (a) The division shall maintain a central register of children, aged 3-1/2 to
50 [seven] eight, who fail vision screening and who are referred for follow-up treatment.

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Senate 3rd Reading Amendments 2-23-2011 rd/cjd 51

(b) The register described in Subsection [(4)] (5)(a) shall include the name of the child,
52 age or birthdate, address, cause for referral, and follow-up results.
53 (c) A school district shall report referral follow-up results for children aged 3-1/2 to
54 [seven] eight to the division.
55 [(5)] (6) (a) The division shall coordinate and supervise the training of a person who
56 serves as a vision screener for a free vision screening clinic for children aged 3-1/2 to [seven]

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Senate Committee Amendments 2-14-2011 rd/cjd 57

eight.
58 (b) A S. volunteer .S vision screener providing services under Subsection (6)(a) is not
58a liable for any
59 civil damages as a result of acts or omissions related to the vision screening unless the acts or
60 omissions were willful or grossly negligent.
61 [(6)] (7) (a) Except as provided in Subsection [(6)] (7)(b), a licensed health
62 professional providing vision care to private patients may not participate as a screener in a free
63 vision screening program provided by a school district.
64 (b) A school district may:
65 (i) allow a licensed health professional who provides vision care to private patients to
66 participate as a screener in a free vision screening program for a child [eight] nine years of age
67 or older;
68 (ii) establish guidelines to administer a free vision screening program described in
69 Subsection [(6)] (7)(b)(i); and
70 (iii) establish penalties for a violation of the requirements of Subsection [(6)] (7)(c).
71 (c) A licensed health professional or other person who participates as a screener in a
72 free vision screening program described in Subsection [(6)] (7)(b):
73 (i) may not market, advertise, or promote the licensed health professional's business in
74 connection with providing the free screening at the school; and
75 (ii) shall provide the child's results of the free vision screening on a form produced by
76 the school or school district, which:
77 (A) may not include contact information other than the name of the licensed health
78 professional[.]; and
79 (B) shall include a statement: "vision screening is not a substitute for a complete eye
80 exam and vision evaluation by an eye doctor."
81 (d) A school district may provide information to a parent or guardian of the availability
82 of follow up vision services for a student.
83 [(7)] (8) The Department of Health shall[,]:
84 (a) by rule, set standards and procedures for vision screening required by this chapter[,
85 and shall], which shall include a process for notifying the parent or guardian of a child who
86 fails a vision screening or is identified as needing follow-up care; and
87 (b) provide the division with copies of rules, standards, instructions, and test charts

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89 [(8)] (9) The division shall supervise screening, referral, and follow-up required by this
90 chapter.