1 Health and Sanitation; Physical Examination of Pupils; Lead Testing Requirement. Amend RSA 200:32 to read as follows:

200:32 Physical Examination of Pupils. There shall be a complete physical examination by a licensed physician, physician assistant, or advanced practice registered nurse of each child prior to or upon first entry into the public school system and thereafter as often as deemed necessary by the local school authority. The result of the child's physical examination shall be presented to the local school officials on a form provided by the local school authorities. No physical examination shall be required of a child whose parent or guardian objects thereto in writing on the grounds that such physical examination is contrary to the child's religious tenets and teachings.

2 Child Day Care, Residential Care, and Child-Placing Agencies; Records; Lead Testing Required. Amend RSA 170-E:19 to read as follows:

170-E:19 Records. Every child day care agency shall keep and maintain such records as the department shall prescribe by rule pertaining to the admission, progress, health and discharge of children under the care of the child day care agency and shall report relative to such matters to the department whenever called for, upon forms prescribed by rule. All records regarding children and all facts learned about children and their relatives shall be kept confidential both by the child day care agency and by the department.

3 Effective Date. This act shall take effect January 1, 2023.

1 Health and Sanitation; Physical Examination of Pupils; Lead Testing Requirement. Amend RSA 200:32 to read as follows:

200:32 Physical Examination of Pupils. There shall be a complete physical examination by a licensed physician, physician assistant, or advanced practice registered nurse of each child prior to or upon first entry into the public school system and thereafter as often as deemed necessary by the local school authority. The result of the child's physical examination shall be presented to the local school officials on a form provided by the local school authorities. The form shall include at least one result of blood lead level testing required underRSA 130-A:5-a, RSA 130-A:5-b, or RSA 130-A:5-c, unless the child is exempted under RSA 130-A:5-c. If the child has not had a blood lead level test at the time of first entry to school, they shall be grated 6 months to remedy the deficiency. No physical examination shall be required of a child whose parent or guardian objects thereto in writing on the grounds that such physical examination is contrary to the child's religious tenets and teachings.

2 Child Day Care, Residential Care, and Child-Placing Agencies; Records; Lead Testing Required. Amend RSA 170-E:19 to read as follows:

170-E:19 Records. Every child day care agency shall keep and maintain such records as the department shall prescribe by rule pertaining to the admission, progress, health and discharge of children under the care of the child day care agency and shall report relative to such matters to the department whenever called for, upon forms prescribed by rule. Health forms shall include at least one result of blood lead level testing required underRSA 130-A:5-a, RSA 130-A:5-b, or RSA 130-A:5-c. At least one blood lead level test result shall be a requirement for entry in child day care facilities for children over age 9 months, unless the child is exempted under RSA 130-A:5-c. If the child has not had a blood level test at the time of admission, they shall be granted 6 months to remedy the deficiency. All records regarding children and all facts learned about children and their relatives shall be kept confidential both by the child day care agency and by the department.

3 Effective Date. This act shall take effect January 1, 2023.