House File 696 - Introduced HOUSE FILE BY STAED Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act requiring certification of the performance of an eye 2 examination, and submission of the results of such 3 examination, when a child enrolls in kindergarten. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 2700HH 82 6 ak/es/88 PAG LIN 1 1 Section 1. NEW SECTION. 135.39D EYE EXAMINATIONS. 1 2 1. By January 1 after the start of the school year that a 1 3 child enrolls in kindergarten, the parent or guardian of the 1 4 child shall present to program or school health personnel 1 5 certification that the child within the previous twelve months 1 6 has undergone an eye examination, and the results of the 1 7 examination. 1 8 2. Students enrolling in kindergarten shall be required to 1 9 undergo a comprehensive eye examination, performed by a 1 10 licensed ophthalmologist or optometrist. The comprehensive 1 11 eye examination shall include measurement of visual acuity; 1 12 ocular alignment and motility; depth perception; stereopsis; 1 13 fusion; slit lamp; examination of the anterior segment and 1 14 pupils; cycloplegic refraction and dilated fundus components; 1 15 and testing for amblyopia and strabismus. An ophthalmologist 1 16 or optometrist conducting an eye examination of a child shall 1 17 provide written certification and results of the examination 1 18 to a parent or guardian of the child. The report shall 1 19 include but not be limited to the following: 1 20 a. The date of the report. 1 21 b. The name, address, and date of birth of the child. 1 22 c. The name of the child's program or school. 1 23 d. The type of eye examination performed. 1 24 e. A summary of significant findings, including diagnoses, 1 25 medication used, duration of action of medications, treatment, 1 26 prognosis, and whether or not a return visit is recommended, 1 27 and if so, when. 1 28 f. Recommended educational adjustments for the child, if 1 29 any, which may include preferential seating in the classroom, 1 30 eyeglasses for full=time or part=time use in school, sight= 1 31 saving eyeglasses, and additional recommendations. 1 32 3. A child shall not be prohibited from attending 1 33 kindergarten based upon the failure of a parent or guardian to 1 34 furnish a report of the child's eye examination. A parent or 1 35 guardian who fails to furnish the required report shall be 2 1 notified in writing of the eye examination requirements. 2 2 4. The department, in coordination with the director of 2 3 the department of education, shall adopt rules regarding the 2 4 requirements of this section. The department shall submit a 2 5 report to the general assembly by January 1, annually, 2 6 regarding the results of the eye examinations. The first such 2 7 report, to be submitted by January 1, 2008, shall include an 2 8 assessment by the department of whether a source of financial 2 9 assistance to assist parents and guardians would increase 2 10 compliance with the required examinations. 2 11 EXPLANATION 2 12 This bill provides for certification of the performance of 2 13 an eye examination by a parent or guardian the year that a 2 14 child enrolls in kindergarten. 2 15 The bill provides that by January 1 after the start of the 2 16 school year for a child enrolling in kindergarten, the child's 2 17 parent or guardian shall present to school health personnel 2 18 certification that the child has undergone an eye examination 2 19 within the prior year, and the results of the examination. 2 20 The child shall be required to undergo a comprehensive eye 2 21 examination performed by an ophthalmologist or optometrist 2 22 consisting of specified examination components. The bill 2 23 states that an ophthalmologist or optometrist shall provide a 2 24 written certification and the results of the examination to a 2 25 parent or guardian of the child. Included in the report, in 2 26 addition to identifying information, shall be a summary of 2 27 significant findings, including diagnoses, medication used, 2 28 duration of action of medications, treatment, prognosis, 2 29 whether or not a return visit is recommended, and any 2 30 recommended educational adjustments for the child. 2 31 The bill states that a child shall not be prohibited from 2 32 attending school because of the failure of a parent or 2 33 guardian to furnish a report of a child's eye examination, and 2 34 that a parent or guardian who fails to furnish the required 2 35 report shall be notified in writing of the eye examination 3 1 requirements. 3 2 The bill provides that the department, in coordination with 3 3 the director of the department of education, shall adopt rules 3 4 regarding the bill's provisions, and that the director of 3 5 public health shall submit a report to the general assembly by 3 6 January 1, annually, regarding the results of the eye 3 7 examinations. The bill adds that the first such report, to be 3 8 submitted by January 1, 2008, shall include an assessment by 3 9 the department of whether a source of financial assistance for 3 10 parents and guardians would increase compliance with the 3 11 required eye examinations. 3 12 LSB 2700HH 82 3 13 ak:nh/es/88