HB184 Alabama 2021 Session

Summary

Primary Sponsor

Paul W. LeeRepresentative

Republican

Session

Regular Session 2021

Title

Health, St. Bd. of, immunization registry, reports re immunization vaccines, review by providers, Sec. 22-11B-2 am'd.

Summary

HB184 would require health care providers to report vaccines to the state immunization registry and to review registry records before giving vaccines, with specific exemptions for influenza vaccines.

What This Bill Does

Providers must report vaccine data to the state immunization registry and review the registry before administering any vaccine, unless they have a bidirectional interface with the registry. If a bidirectional interface exists, the provider must review historical vaccination information through that interface before vaccination and must enter data for any vaccine administered into the registry, either via the interface or manually. Annual influenza vaccinations must be reported to the registry, but the review requirement does not apply to influenza vaccines; adults age 19 and over are exempt from the influenza-related review. The registry may disclose information as allowed by state law and HIPAA, and the bill does not require tracking or disclosure of personal identifying information for individuals who have not been vaccinated.

Who It Affects

• Health care providers (doctors, clinics, hospitals) who administer vaccines and must report to the registry and review registry records before vaccination.
• Patients who receive vaccines, whose vaccination data will be stored in the registry; influenza vaccine processes have specific exemptions for review and adult exemptions for the influenza-related provisions.

Key Provisions

• Creates or updates the immunization registry as the central collection of vaccine data from providers, insurers, and other sources including clinic records, billing data, vital records, and information controlled by the State Board of Health and the Alabama Medicaid Agency.
• Requires all providers to report vaccine information to the registry.
• Requires providers to review registry data before administering vaccines unless they have a bidirectional interface; if they have one, they must review historical data via it and enter new vaccine data into the registry either through the interface or manually.
• Annual influenza vaccinations must be reported to the registry; the review requirement does not apply to influenza vaccines, and adults age 19 and over are exempt from the influenza-related review.
• The registry may disclose vaccine information in accordance with state law and HIPAA; the act does not require tracking or disclosure of personal identifying information for individuals who have not received vaccinations.
• The act becomes effective immediately after it passes and is approved by the Governor.

AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Health