This bill proposes the repeal of all statutory immunization requirements for children in New Hampshire, including the elimination of religious and medical exemptions, recordkeeping mandates for schools and childcare agencies, and related rulemaking. The new legal language inserted into the bill emphasizes that the Department of Health and Human Services may only recommend vaccinations for public, private, or daycare enrollment, and these recommendations will be advisory rather than mandatory. Furthermore, the bill explicitly states that no person can be compelled to receive an immunization under any circumstances, effectively removing any prerequisites for school or childcare enrollment related to vaccinations.

In addition to repealing existing immunization requirements, the bill also deletes specific provisions related to exemptions, recordkeeping, and attendance during outbreaks of communicable diseases. The fiscal impact of this legislation is significant, with estimated reductions in revenue from vaccine purchases projected to be $6.8 million in FY 2027, $7.3 million in FY 2028, and $7.8 million in FY 2029. However, the Department of Health and Human Services anticipates increased costs associated with potential outbreaks due to the lack of mandated vaccinations, which may require additional personnel and resources for public health response efforts.

Statutes affected:
Introduced: 141-C:20-a, 141-C:1-a
HB1811 text: 141-C:20-a, 141-C:1-a