SF 4416
1st Engrossment - 94th Legislature (2025 - 2026)
Posted on 03/19/2026 09:42 a.m.
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A bill for an act
relating to health; changing immunization provisions; amending Minnesota Statutes
2024, sections 121A.15, subdivisions 9, 12; 135A.14, subdivision 7; repealing
Minnesota Rules, part 4604.0200, subpart 2a.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2024, section 121A.15, subdivision 9, is amended to read:
Subd. 9.
Definitions.
As used in this section the following terms have the meanings
given them.
(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 grades kindergarten through 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.
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(f) "Medically acceptable standards" means the immunization schedule as determined
by the commissioner of health and published in the State Register and on the department
of health's website. The commissioner's determination shall be based upon evidenced-based
medical science and must consider and assess the specific recommendations of the Centers
for Disease Control and Prevention Advisory Committee on Immunization Practices, the
American Academy of Pediatrics, and the American Academy of Family Physicians. The
determination under this paragraph is exempt from the rulemaking requirements of chapter
14.
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new text begin EFFECTIVE DATE. new text end
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This section is effective the day following final enactment.
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Sec. 2.
Minnesota Statutes 2024, section 121A.15, subdivision 12, is amended to read:
Subd. 12.
Modifications to schedule.
(a) The commissioner of health may adopt
modifications to the immunization requirements of this section. A proposed modification
made under this subdivision must deleted text begin be part ofdeleted text end new text begin take into considerationnew text end the current immunization
recommendations of each of the following organizations: the United States Public Health
Service's Advisory Committee on Immunization Practices, the American Academy of Family
Physicians, and the American Academy of Pediatrics. In proposing a modification to the
immunization schedule, the commissioner must:
(1) consult with (i) the commissioner of education; the commissioner of children, youth,
and families; the chancellor of the Minnesota State Colleges and Universities; and the
president of the University of Minnesota; and (ii) the Minnesota Natural Health Coalition,
Vaccine Awareness Minnesota, Biological Education for Autism Treatment (BEAT), the
Minnesota Academy of Family Physicians, the American Academy of Pediatrics-Minnesota
Chapter, and the Minnesota Nurses Association; and
(2) consider the following criteria: the epidemiology of the disease, the morbidity and
mortality rates for the disease, the safety and efficacy of the vaccine, the cost of a vaccination
program, the cost of enforcing vaccination requirements, and a cost-benefit analysis of the
vaccination.
(b) Before a proposed modification may be adopted, the commissioner must notify the
chairs of the house of representatives and senate committees with jurisdiction over health
policy issues. If the chairs of the relevant standing committees determine a public hearing
regarding the proposed modifications is in order, the hearing must be scheduled within 60
days of receiving notice from the commissioner. If a hearing is scheduled, the commissioner
may not adopt any proposed modifications until after the hearing is held.
(c) The commissioner shall comply with the requirements of chapter 14 regarding the
adoption of any proposed modifications to the immunization schedule.
(d) In addition to the publication requirements of chapter 14, the commissioner of health
must inform all immunization providers of any adopted modifications to the immunization
schedule in a timely manner.
Sec. 3.
Minnesota Statutes 2024, section 135A.14, subdivision 7, is amended to read:
Subd. 7.
Modifications to schedule.
(a) The commissioner of health may adopt
modifications to the immunization requirements of this section. A proposed modification
made under this subdivision must deleted text begin be part ofdeleted text end new text begin take into considerationnew text end the current immunization
recommendations of each of the following organizations: the United States Public Health
Service's Advisory Committee on Immunization Practices, the American Academy of Family
Physicians, and the American Academy of Pediatrics. In proposing a modification to the
immunization schedule, the commissioner must:
(1) consult with the commissioner of education; the commissioner of human services;
the chancellor of the Minnesota State Colleges and Universities; and the president of the
University of Minnesota; and
(2) consider the following criteria: the epidemiology of the disease, the morbidity and
mortality rates for the disease, the safety and efficacy of the vaccine, the cost of a vaccination
program, the cost of enforcing vaccination requirements, and a cost-benefit analysis of the
vaccination.
(b) Before a proposed modification may be adopted, the commissioner must notify the
chairs of the house of representatives and senate committees with jurisdiction over health
policy issues. If the chairs of the relevant standing committees determine a public hearing
regarding the proposed modifications is in order, the hearing must be scheduled within 60
days of receiving notice from the commissioner. If a hearing is scheduled, the commissioner
may not adopt any proposed modifications until after the hearing is held.
(c) The commissioner shall comply with the requirements of chapter 14 regarding the
adoption of any proposed modifications to the immunization schedule.
(d) In addition to the publication requirements of chapter 14, the commissioner of health
must inform all immunization providers of any adopted modifications to the immunization
schedule in a timely manner.
Sec. 4. new text begin REPEALER.
new text end
new text begin
Minnesota Rules, part 4604.0200, subpart 2a,
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new text begin
is repealed.
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APPENDIX
Repealed Minnesota Rule: S4416-1
4604.0200 DEFINITIONS.
Subp. 2a.
Medically acceptable standards.
"Medically acceptable standards" means immunization recommendations promulgated by the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices.