Senate File 2271 - Introduced SENATE FILE 2271 BY ALONS A BILL FOR An Act relating to the availability to the public of certain 1 deceased individuals’ anonymized biographical information 2 and immunization record data. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 5953XS (7) 90 pf/ko

S.F. 2271 Section 1. NEW SECTION . 135.39F Publicly available 1 anonymized biographical information and immunization record data 2 —— certain deceased individuals. 3 1. For each individual for whom a death certificate is filed 4 in the state pursuant to section 144.26 on or after January 1, 5 2020, the department shall do all of the following: 6 a. Create, and assign an individual identifier to, a 7 report for each individual that includes all of the following 8 biographical information collected from the individual’s death 9 certificate: 10 (1) The individual’s year of birth. 11 (2) The individual’s year of death. 12 (3) The individual’s biological sex. 13 (4) The individual’s ethnicity. 14 (5) The cause of death of the individual using international 15 classification of diseases codes. 16 b. (1) Search the immunization registry information system 17 to collect the following immunization data for all available 18 vaccinations for each individual for whom a report is created 19 under paragraph “a” using the following criteria: 20 (a) If the individual is under eighteen years of age, the 21 entire immunization record data set of the individual. 22 (b) If the individual is eighteen years of age or older, 23 the immunization record data set for the twenty-four months 24 immediately preceding the individual’s death. 25 (2) Create a report, and assign the same individual 26 identifier to, the individual’s immunization data collected 27 under this paragraph “b” as is assigned to the individual’s 28 biographical information collected under paragraph “a” . 29 2. Following the collection of the information and data, 30 and the creation of the reports under subsection 1, paragraphs 31 “a” and “b” , the department shall make both anonymized reports 32 available to the public in a digital, downloadable format such 33 as a comma-separate text file. 34 3. The department shall not reproduce, release, or disclose 35 -1- LSB 5953XS (7) 90 pf/ko 1/ 3

S.F. 2271 the information compiled under this section for any purpose 1 other than for the purposes of this section. 2 4. Beginning July 1, 2024, and thereafter, the department 3 shall comply with this section for each death certificate filed 4 in the state pursuant to section 144.26 within ninety days of 5 the filing of the death certificate. 6 5. For the purposes of this section, “immunization record 7 data set” includes but is not limited to all of the following 8 data elements: 9 a. The vaccination administration date, expressed in the 10 number of days immediately preceding the date of death of the 11 individual. 12 b. The vaccination product name. 13 c. The vaccination dose amount. 14 d. The vaccination dose volume. 15 e. The vaccination dose volume units. 16 f. The vaccination expiration date. 17 g. The vaccination lot number. 18 h. The vaccination route of administration. 19 i. The vaccination site of administration. 20 EXPLANATION 21 The inclusion of this explanation does not constitute agreement with 22 the explanation’s substance by the members of the general assembly. 23 This bill relates to the public availability of anonymized 24 biographical information and immunization record data of 25 certain deceased individuals. 26 The bill requires the department of health and human 27 services (HHS), for each individual for whom a death 28 certificate is filed in the state pursuant to Code section 29 144.26 on or after January 1, 2020, to first create, and assign 30 an individual identifier to, a report for each individual 31 that includes biographical information collected from the 32 individual’s death certificate including the individual’s year 33 of birth, year of death, biological sex, ethnicity, and cause 34 of death using international classification of diseases codes. 35 -2- LSB 5953XS (7) 90 pf/ko 2/ 3

S.F. 2271 HHS is then required to search the immunization registry 1 information system to collect immunization data for all 2 available vaccinations for each deceased individual. If the 3 deceased individual is under 18 years of age, HHS shall collect 4 the entire immunization record data set of the individual. 5 If the deceased individual is 18 years of age or older, HHS 6 shall collect the immunization record data set for the 24 7 months immediately preceding the individual’s date of death. 8 Following collection of the immunization data, HHS shall create 9 a report and assign the same individual identifier to the 10 individual’s collected immunization data as assigned to the 11 individual’s collected biographical information. 12 Following the collection of the biographical information 13 and immunization data and the creation of the reports, HHS 14 shall make both anonymized reports available to the public in 15 a digital, downloadable format, such as a comma-separate text 16 file. 17 HHS shall not reproduce, release, or disclose the 18 information compiled under the bill for any purpose other than 19 for the purposes of the bill. 20 Beginning July 1, 2024, and thereafter, HHS shall comply 21 with the bill for each death certificate filed in the state 22 within 90 days of the filing of the death certificate. 23 The bill defines “immunization record data set” for the 24 purposes of the bill. 25 -3- LSB 5953XS (7) 90 pf/ko 3/ 3