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Bill

Bill

S 1956

Requires the estimated cost of mandated expenditures and appropriations within the body of the bill

2025 Regular Session Introduced by Jim Tedisco

Automatic enrollment in NJIIS for vaccine recipients unless a written opt-out; preserves opt-out generally, but allows temporary blocking of disenrollment during emergencies.

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Bill Summary · S 1956

Summary — S.1956 (amends P.L.2004, c.138)

Title (from text): An Act concerning vaccinations — amends New Jersey immunization registry law

Note on sources: The provided documents include multiple, partly inconsistent docket excerpts. The principal legislative text and committee report below concern an amendment to New Jersey’s immunization registry statute (C.26:4‑134) to expand automatic enrollment in the New Jersey Immunization Information System (NJIIS). Where dates or docket entries conflict, this summary focuses on the bill language and the committee statement/report.

Purpose / intent

To increase participation and completeness of the New Jersey Immunization Information System (NJIIS) by requiring automatic enrollment of persons who receive a vaccine but are not already in the registry, while preserving a written opt‑out right and providing limited authority during public‑health emergencies to temporarily restrict disenrollment.

Key provisions

  • Automatic enrollment on vaccination: Any person not currently enrolled in NJIIS will be enrolled when they are administered an immunization, unless the person (or parent/legal guardian for minors under 18) provides a written request to opt out.
  • Existing rules retained/clarified:
    • Newborns born on or after January 1, 1998 are enrolled at birth unless a written opt‑out is submitted.
    • Residents born before January 1, 1998 may enroll at their written request.
  • Emergency authority: During a declared public‑health emergency, state of emergency, outbreak, or immediate threat of an outbreak (as declared by the Commissioner of Health), the Commissioner may deny an individual’s request to disenroll or not participate for one or more vaccines for a specified period to enable tracking of vaccination uptake.
  • Access limits: Registry access is limited to health care providers, schools, colleges, licensed child care centers, public agencies, and private organizations as the Commissioner may regulate. Registrants (or guardians) may access and correct their records.
  • Uses defined: Registry data may be used to ensure timely immunizations, notify of overdue/upcoming immunizations, and identify persons needing immediate immunization during outbreaks.
  • Insurer access: Health insurers may obtain information only about their covered persons (and summary statistics); such data cannot be used or disclosed for other purposes beyond specified care, quality, outreach, and monitoring functions.
  • Protections: Health care providers may not be discriminated against for a patient’s choice not to participate; authorized users may only access records for persons under their care or jurisdiction; registry reports cannot be used punitively against providers.
  • Rulemaking and operations: Commissioner, with the Public Health Council, must adopt implementing regulations (submission methods, notice procedures at birth, correction/removal procedures, access limits, insurer procedures, and dissemination of statistics).
  • Effective date: The act is written to take effect immediately on enactment.

Who is affected

  • Residents of New Jersey receiving vaccines (including newborns and minors via guardians).
  • Parents and legal guardians (opt‑out and access rights).
  • Health care providers and birth hospitals (reporting/enrollment duties).
  • Schools, colleges, licensed child care centers, public agencies, and regulated private organizations (authorized access).
  • Health insurers (limited access to covered persons’ records and summary statistics).
  • Department of Health and Commissioner (rulemaking and emergency authorities).

Potential impact and considerations

  • Public‑health benefit: Likely to increase completeness of vaccination records in NJIIS, aiding outbreak response, coverage monitoring, and immunization outreach.
  • Administrative effects: Additional reporting/enrollment duties for providers and hospitals; rulemaking needed to define reporting options and processes for opt‑out, correction, and access.
  • Privacy and civil‑liberties considerations: Although an opt‑out is preserved in normal times, the Commissioner may temporarily block disenrollment during emergencies — a point likely to draw public scrutiny and require clear regulatory safeguards and communications.
  • Insurer use limits: The bill explicitly restricts insurer uses of registry data to care, quality, outreach, and monitoring.

Procedural status (from provided materials)

  • Reported favorably by the New Jersey Senate Health, Human Services and Senior Citizens Committee (committee statement dated May 19, 2025).
  • The statutory amendment text indicates immediate effect upon enactment.

Compiled from official sources — confirm details with the bill’s official record.

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