STATE OF NEW YORK
________________________________________________________________________
3860
2025-2026 Regular Sessions
IN ASSEMBLY
January 30, 2025
___________
Introduced by M. of A. WILLIAMS -- read once and referred to the Commit-
tee on Education
AN ACT to amend the education law, in relation to a standardized form
for medical exemption from required immunizations
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The education law is amended by adding a new section 3205-b
2 to read as follows:
3 § 3205-b. Medical immunization exemption. 1. The school in which a
4 student is attending or will attend shall accept a medical immunization
5 exemption request form containing the information pursuant to subdivi-
6 sion two of this section. The department or any other state agency,
7 board or commission shall not require any other condition or requirement
8 for the medical exemption to immunization or immunizations provided for
9 in this section for school admission.
10 2. The form accepted by the school shall contain the following infor-
11 mation:
12 (a) Name(s) of parent, parents or guardian;
13 (b) Name of child;
14 (c) Student's birthdate;
15 (d) Student's residential address;
16 (e) School name and district;
17 (f) The medical reason, diagnosis and/or condition of which deems
18 immunization detrimental to the student's health; and
19 (g) The signature of a licensed physician, physician's assistant or
20 nurse practitioner, their medical license number and practice affil-
21 iation declaring: I hereby certify that immunization against (poliomyel-
22 itis, mumps, measles, diptheria, rubella, varicella, Haemophilus
23 influenzae type b (Hib), pertussis, tetanus, pneumococcal disease,
24 influenza, meningococcal disease and hepatitis B) may be detrimental to
25 the child's health. The date and signature of the physician, nurse prac-
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD02758-01-5
A. 3860 2
1 titioner or physician's assistant shall appear here. This certification,
2 once provided to the student's school, shall serve as an exemption to
3 section 2164 of the public health law.
4 § 2. This act shall take effect on the thirtieth day after it shall
5 have become a law.
