HF 3775
Introduction - 94th Legislature (2025 - 2026)
Posted on 03/05/2026 04:49 p.m.
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A bill for an act
relating to health; modifying requirements for exemption from immunizations for
conscientiously held beliefs; requiring the commissioner of health to develop an
immunizations education module; appropriating money; amending Minnesota
Statutes 2024, section 121A.15, subdivisions 3, 9, by adding subdivisions.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2024, section 121A.15, subdivision 3, is amended to read:
Subd. 3.
Exemptions from immunizations.
(a) If a person is at least seven years old
and has not been immunized against pertussis, the person must not be required to be
immunized against pertussis.
(b) If a person is at least 18 years old and has not completed a series of immunizations
against poliomyelitis, the person must not be required to be immunized against poliomyelitis.
(c) If a statement, signed by a physician, is submitted to the administrator or other person
having general control and supervision of the school or child care facility stating that an
immunization is contraindicated for medical reasons or that laboratory confirmation of the
presence of adequate immunity exists, the immunization specified in the statement need
not be required.
(d) If a deleted text begin notarizeddeleted text end statementnew text begin ,new text end signed by the minor child's parent or guardian or by the
emancipated person new text begin and signed by the provider of the child or emancipated person verifying
compliance with the requirements in subdivision 3c, new text end is submitted to the administrator or
other person having general control and supervision of the school or child care facility
stating that the person has not been immunized as prescribed in subdivision 1 because of
the conscientiously held beliefs of the parent or guardian of the minor child or of the
emancipated person, the immunizations specified in the statement shall not be required.
new text begin The signature of the minor child's parent or guardian or of the emancipated person on this
statement must be notarized. new text end This statement must also be forwarded to the commissioner
of the Department of Health. This paragraph does not applynew text begin :
new text end
new text begin (1)new text end to a child enrolling or enrolled in a child care center or family child care program
that adopts a policy under subdivision 3bnew text begin ; or
new text end
new text begin (2) in the circumstances specified in subdivision 3e, paragraphs (a) and (b)new text end .
(e) If the person is under 15 months, the person is not required to be immunized against
measles, rubella, or mumps.
(f) If a person is at least five years old and has not been immunized against haemophilus
influenzae type b, the person is not required to be immunized against haemophilus influenzae
type b.
(g) If a person who is not a Minnesota resident enrolls in a Minnesota school online
learning course or program that delivers instruction to the person only by computer and
does not provide any teacher or instructor contact time or require classroom attendance, the
person is not subject to the immunization, statement, and other requirements of this section.
Sec. 2.
Minnesota Statutes 2024, section 121A.15, is amended by adding a subdivision to
read:
new text begin Subd. 3c. new text end
new text begin Educational consultation with provider. new text end
new text begin
(a) A parent or guardian of a minor
child, or an emancipated person, seeking an exemption from an immunization under
subdivision 3, paragraph (d), must complete an educational consultation with the child's or
emancipated person's provider. In the educational consultation, the provider must:
new text end
new text begin
(1) review with the minor child's parent or guardian or with the emancipated person
information about the risks and benefits of immunizations that is consistent with information
on immunizations provided by the commissioner of health or by an organization
recommended by the commissioner of health; and
new text end
new text begin
(2) verify that the minor child's parent or guardian or the emancipated person reviewed
the immunizations education module made available by the commissioner of health according
to subdivision 3d.
new text end
new text begin
(b) Upon completion of the educational consultation under paragraph (a), the provider
must sign the statement of exemption under subdivision 3, paragraph (d), if so requested
by the minor child's parent or guardian or by the emancipated person.
new text end
Sec. 3.
Minnesota Statutes 2024, section 121A.15, is amended by adding a subdivision to
read:
new text begin Subd. 3d. new text end
new text begin Immunizations education module. new text end
new text begin
The commissioner of health must develop
and make available an immunizations education module on the risks and benefits of
immunizations. The commissioner must determine the content, delivery format, and length
of the education module.
new text end
Sec. 4.
Minnesota Statutes 2024, section 121A.15, is amended by adding a subdivision to
read:
new text begin Subd. 3e. new text end
new text begin Disease outbreak. new text end
new text begin
(a) In the event of an outbreak in this state of a disease for
which immunization is required under this section or Minnesota Rules, chapter 4604, the
commissioner of health may issue a written determination that:
new text end
new text begin
(1) an outbreak of such a disease is taking place in this state;
new text end
new text begin
(2) the disease is likely to be transmitted to children and adults in schools, child care
facilities, or both; and
new text end
new text begin
(3) the disease has the potential to cause death or serious injury to children or adults
exposed in schools or child care facilities or to others who may become infected through
contact with these children or adults.
new text end
new text begin
(b) Upon issuance of the determination in paragraph (a), an elementary or secondary
school or child care facility may exclude a minor child or emancipated person who submitted
a statement of exemption under subdivision 3, paragraph (d), for the disease specified in
the commissioner's determination. For a minor child or emancipated person subject to
exclusion under this paragraph to attend or return to an elementary or secondary school or
child care facility, the minor child's parent or guardian or the emancipated person must
submit to the administrator or person having general control and supervision of the school
or child care facility:
new text end
new text begin
(1) documentation that the minor child or emancipated person has been immunized
against the disease specified in the commissioner's determination consistent with medically
acceptable standards; or
new text end
new text begin
(2) a statement of exemption under subdivision 3, paragraph (a), (c), (e), or (f), for the
disease specified in the commissioner's determination.
new text end
new text begin
(c) The commissioner must issue a written determination when the commissioner finds
that the disease outbreak for which a determination was issued under paragraph (a) no longer
meets one or more of the conditions listed in paragraph (a). A determination issued under
this paragraph terminates an elementary or secondary school's or child care facility's exclusion
authority under paragraph (b).
new text end
Sec. 5.
Minnesota Statutes 2024, section 121A.15, subdivision 9, is amended to read:
Subd. 9.
Definitions.
deleted text begin As used indeleted text end new text begin For purposes ofnew text end this sectionnew text begin ,new text end the following terms have
the meanings given deleted text begin themdeleted text end .
(a) "Elementary or secondary school" includes any public school as defined in section
120A.05, subdivisions 9, 11, 13, and 17, or nonpublic school, church, or religious
organization, or home school in which a child is provided instruction in compliance with
sections 120A.22 and 120A.24.
(b) "Person enrolled in any elementary or secondary school" means a person born after
1956 and enrolled in deleted text begin gradesdeleted text end kindergarten through new text begin grade new text end 12, and a child with a disability
receiving special instruction and services as required in sections 125A.03 to 125A.24 and
125A.65, excluding a child being provided services at the home or bedside of the child or
in other states.
(c) "Child care facility" includes those child care programs subject to licensure under
chapter 142B, and Minnesota Rules, chapters 9502 and 9503.
(d) "Family child care" means child care for no more than ten children at one time of
which no more than six are under school age. The licensed capacity must include all children
of any caregiver when the children are present in the residence.
(e) "Group family child care" means child care for no more than 14 children at any one
time. The total number of children includes all children of any caregiver when the children
are present in the residence.
new text begin
(f) "Medically acceptable standards" means immunization recommendations of the
American Academy of Pediatrics.
new text end
new text begin
(g) "Provider" means a licensed physician, a licensed physician assistant, or an advanced
practice registered nurse as defined in section 148.171, subdivision 3.
new text end
Sec. 6. new text begin APPROPRIATION.
new text end
new text begin
$....... in fiscal year 2027 is appropriated from the general fund to the commissioner of
health to develop and make available an immunizations education module according to
Minnesota Statutes, section 121A.15, subdivision 3d. This is a onetime appropriation.
new text end