Senate File 2171 - Introduced SENATE FILE 2171 BY GUTH , CARLIN , and SCHULTZ A BILL FOR An Act relating to the administration of the hepatitis B 1 vaccine to newborns. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5627XS (6) 88 pf/rh

S.F. 2171 Section 1. NEW SECTION . 135.131A Hepatitis B vaccine for 1 newborns —— consent required. 2 1. For the purposes of this section, unless the context 3 otherwise requires: 4 a. “Birth center” means birth center as defined in section 5 135.61. 6 b. “Birthing hospital” means a private or public hospital 7 licensed pursuant to chapter 135B that has a licensed obstetric 8 unit or is licensed to provide obstetric services. 9 2. A birthing hospital or birth center shall comply with all 10 of the following regarding the administration of the hepatitis 11 B vaccine to a newborn: 12 a. The staff of the birthing hospital or birth center shall 13 offer to a pregnant woman at the time of the woman’s admission 14 to the birthing hospital or birth center administration of 15 the vaccine to the woman’s newborn. The pregnant woman shall 16 be provided with educational materials regarding the vaccine 17 to help the pregnant woman make an informed decision. The 18 educational materials shall include but are not limited to 19 information that the hepatitis B vaccine is not mandatory 20 at birth, information regarding the vaccine’s safety and 21 the possible side effects and adverse events related to the 22 vaccine, and information regarding how to identify an adverse 23 reaction and how to report an adverse reaction to the vaccine 24 adverse event reporting system co-managed by the centers for 25 disease control and prevention of the United States department 26 of health and human services and the United States food and 27 drug administration. 28 b. Following the offer to administer the vaccine, the staff 29 shall receive a written refusal or consent from the pregnant 30 woman. A copy of the written refusal or consent shall be 31 retained in the newborn’s medical record. 32 c. If written consent is obtained, the vaccine shall be 33 administered in accordance with the recommendations of the 34 centers for disease control and prevention of the United States 35 -1- LSB 5627XS (6) 88 pf/rh 1/ 3

S.F. 2171 department of health and human services. 1 3. If a newborn is delivered in a location other than a 2 birthing hospital or a birth center, the physician or other 3 health care professional who undertakes the care of the newborn 4 shall comply with the requirements of subsection 2. 5 EXPLANATION 6 The inclusion of this explanation does not constitute agreement with 7 the explanation’s substance by the members of the general assembly. 8 This bill relates to the administration of the hepatitis B 9 vaccine to newborns. 10 The bill requires a birthing hospital or birth center, 11 as defined in the bill, to comply with specific requirements 12 regarding the administration of the hepatitis B vaccine to a 13 newborn. The bill requires that the staff of the birthing 14 hospital or birth center shall offer to the pregnant woman 15 at the time of admission administration of the vaccine to 16 the woman’s newborn, and shall provide the pregnant woman 17 with educational materials regarding the vaccine to help the 18 pregnant woman make an informed decision. The educational 19 materials shall include but are not limited to information that 20 the vaccine is not mandatory at birth, information regarding 21 the vaccine’s safety and the possible side effects and adverse 22 events related to the vaccine, and information regarding how to 23 identify an adverse event and report the adverse event to the 24 national adverse event reporting system. 25 Following the offer to administer the vaccine, the staff 26 shall receive a written refusal or consent from the pregnant 27 woman, and shall retain a copy of the written refusal or 28 consent in the newborn’s medical record. 29 If written consent is obtained, the vaccine shall be 30 administered in accordance with the recommendations of the 31 centers for disease control and prevention of the United States 32 department of health and human services. 33 If a newborn is delivered in a location other than a birthing 34 hospital or a birth center, the physician or other health care 35 -2- LSB 5627XS (6) 88 pf/rh 2/ 3

S.F. 2171 professional who undertakes the care of the newborn shall 1 comply with the requirements of the bill. 2 -3- LSB 5627XS (6) 88 pf/rh 3/ 3