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<baltimore-city-law heading="Subtitle 5 – Immunizations">
  <container prefix="Part" num="I" heading="Purpose and Need">
    <section prefix="§" num="4-501" heading="In general.">
      <text>Immunizations are a proven preventive measure in reducing the morbidity and mortality associated with childhood communicable diseases.  Accordingly, to safeguard the public health and welfare, the City needs to attain and sustain an immunization coverage rate of at least 90% for age-appropriate vaccinations among infants and preschool children residing in the City.</text>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §215A(a)</annotation>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="4-502" reserved="true" />
  </container>
  <container prefix="Part" num="II" heading="Immunization Required">
    <section prefix="§" num="4-503" heading="Parental responsibility.">
      <text>Except as specified in &lt;cite data-path="|health|§4-506"&gt;§ 4-506 {“Exceptions”} of this subtitle&lt;/cite&gt;, every parent and guardian must provide for the timely and appropriate immunization of their minor children against all immunization-preventable childhood diseases, as specified by rule or regulation that the  Commissioner adopts under &lt;cite data-path="|health|§2-106"&gt;§ 2-106 {“Rules and regulations”} of this article&lt;/cite&gt;.</text>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §199</annotation>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Text Conformed 03/10/21</annotation>
      <annotation type="Editor's Notes">Text conformed to include express cross-reference to § 2-106.  Cf. Editor’s Note to that section.</annotation>
    </section>
    <section prefix="§" num="4-504" heading="Scope of enforcement.">
      <text>In enforcing this Part II, each child who is not properly immunized as required is considered a separate offense.</text>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="4-505" heading="Rules and regulations.">
      <text>In adopting rules and regulations under this Part II, the Commissioner must consider the recommendations of the Advisory Committee on Immunization Practices.</text>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="4-506" heading="Exceptions.">
      <text>This Part II does not apply:</text>
      <para num="(1)">to any child whose parent or guardian, in accordance with the rules and regulations of the State Secretary of Health and Mental Hygiene, objects to immunization on the ground that it conflicts with the parent’s or guardian’s bona fide religious beliefs and practices; or</para>
      <para num="(2)">if, because of a child’s medical condition, the administration of an immunizing agent could precipitate a medical emergency.</para>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§§" num="4-507 to 4-508" reserved="true" />
  </container>
  <container prefix="Part" num="III" heading="Pediatric Registry">
    <section prefix="§" num="4-509" heading="Commissioner to establish registry.">
      <text>The Commissioner of Health is directed to adopt rules and regulations under &lt;cite data-path="|health|§2-106"&gt;§ 2-106 {“Rules and regulations”} of this article&lt;/cite&gt; to implement a registry of immunization history for children residing in the City.</text>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §215A(b)</annotation>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Text Conformed 03/10/21</annotation>
      <annotation type="Editor's Notes">Text conformed to include express cross-reference to § 2-106.  Cf. Editor’s Note to that section.</annotation>
    </section>
    <section prefix="§" num="4-510" heading="Reports by health care providers.">
      <para num="(a)" heading="Duty to report.">Each pediatric, family, and general health care provider must report to the Commissioner whenever that provider administers an immunizing agent to any child who is less than 5 years old and resides in the City.</para>
      <para num="(b)" heading="When to report.">The report must be made within 14 days after administering the immunizing agent.</para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §215B</annotation>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="4-511" heading="Civil penalties: $1,000.">
      <para num="(a)" heading="Fine.">Any health care provider who violates any provision of this Part III or of a rule or regulation adopted under it is subject to a civil penalty of not more than $1,000 for each violation.</para>
      <para num="(b)" heading="Withholding assistance; records audit.">In addition to imposing a fine, the court may:<para num="(1)">issue an order for withholding publicly distributed vaccines or pediatric primary care funding or both vaccines and funding; and</para>
        <para num="(2)">order the Department to conduct a medical records audit of the health care provider, the cost of the audit to be paid by the health care provider.</para>
      </para>
      <para num="(c)" heading="Subtitle 9 inapplicable.">Subtitle 9 {“Penalties”} of this title does not apply to violations of this Part III.</para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §215C</annotation>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Ord. 00-020</annotation>
    </section>
  </container>
</baltimore-city-law>
