Revision: May 6, 2022, 9:18 a.m.
HB 1606 - AS AMENDED BY THE SENATE
15Mar2022... 0919h
05/05/2022 1687s
2022 SESSION
22-2150
05/10
HOUSE BILL 1606
AN ACT relative to administration of the state immunization registry.
SPONSORS: Rep. Lang, Belk. 4; Rep. Nunez, Hills. 37; Rep. Rice, Hills. 37; Rep. Binford, Graf. 15; Rep. Harvey-Bolia, Belk. 4; Rep. Notter, Hills. 21; Rep. T. Lekas, Hills. 37; Rep. Bordes, Belk. 3; Rep. Pauer, Hills. 26; Rep. McLean, Hills. 44; Sen. Avard, Dist 12; Sen. Giuda, Dist 2; Sen. Ricciardi, Dist 9
COMMITTEE: Health, Human Services and Elderly Affairs
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AMENDED ANALYSIS
This bill requires a patient to have the opportunity to opt-out or opt-in to the immunization registry. The bill also provides that a patient's personal data shall not be entered into the registry without their explicit consent.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
15Mar2022... 0919h
05/05/2022 1687s 22-2150
05/10
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Two
AN ACT relative to administration of the state immunization registry.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Paragraph; Communicable Disease; Immunization Registry; Opportunity to Opt-out or Opt-in to the Registry. Amend RSA 141-C:20-f by inserting after paragraph II the following new paragraph:
II-a. Each patient, or the patient's parent or guardian if the patient is a minor, shall be given the opportunity to opt-out or opt-in to the immunization registry. No patient’s personal data, such as name, address, date of birth, immunization, or vaccination information, shall be entered into the registry without the explicit, written or electronic consent of the patient, or the patient’s parent or guardian.
2 Effective Date. This act shall take effect July 1, 2023.
22-2150
Amended 4/11/22
HB 1606- FISCAL NOTE
AS AMENDED BY THE HOUSE (AMENDMENT #2022-0919h)
AN ACT making the state vaccine registry an opt-in program.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
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| Estimated Increase / (Decrease) | |||
STATE: | FY 2022 | FY 2023 | FY 2024 | FY 2025 |
Appropriation | $0 | $0 | $0 | $0 |
Revenue | $0 | $0 | $0 | $0 |
Expenditures | $0 | $10.5 million | $10.5 million | $10.5 million |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ ] Other | |||
METHODOLOGY:
This bill requires that each patient, or patient's guardian in the case of a minor, be given the opportunity to opt-out or opt-in to the state immunization registry for each administered vaccine. The Department of Health and Human Services states that while the current immunization information system (IIS) would be sufficient to support a blanket opt-in/opt-out model for participation in the registry, it does not support an opt-in/opt-out model for each individual vaccination event. Accordingly, the Department states it would be unlikely to continue with its current vendor, and would instead contract for the development of a new registry at an anticipated cost of $42 million over four years of development. The Department determined this cost by identifying 40 core functions and capabilities that the new system would need to satisfy, and assuming each would require 7,000 staff hours for development at an hourly cost of $150. (7,000 hours * $150 * 40 core functions = $42 million.) The Department assumes that this cost will be spread out evenly over the four-year development period, at an annual cost of $10.5 million. The Department further assumes annual maintenance and operation costs of $3 million once the new database has been fully developed. Finally, the Department assumes a one-time cost of $34,000 to develop and distribute printed materials to patients and providers, to inform patients of their options under the proposed law. The cost would be incurred regardless of whether a new IIS database is needed.
AGENCIES CONTACTED:
Department of Health and Human Services