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‘‘(B) 
The 
schedule 
specified 
in 
this
subparagraph is the schedule that, for purposes
of paragraph (1), is established (and periodi-
cally reviewed and as appropriate revised) by
the advisory committee specified in subsection
(a)(2)(B).
‘‘(c) GENERALLY APPLICABLE RULES OF CONSTRUC-
TION.—This section does not supersede any State law or
requirements with respect to receiving immunizations (in-
cluding any such law relating to religious exemptions or
other exemptions under such State laws).
‘‘(d) ISSUANCE OF LIST AND SCHEDULES.— Not later
than 180 days after the date of the enactment of this section,
the Secretary shall establish the initial list required in sub-
section (a) and the schedule required in subsection (b).
‘‘Part B—State Registry System for Immunization
Information
‘‘SEC. 2145. PURPOSE.
‘‘It is the purpose of this part to authorize the Sec-
retary, in consultation with State public health officials,
to establish State registry systems to monitor the immuni-
zation status of all children.
‘‘SEC. 2146. GRANTS FOR IMMUNIZATION REGISTRIES.
‘‘(a) IN GENERAL.—For the purpose described in sec-
tion 2145, the Secretary, acting through the Director of the
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Centers for Disease Control and Prevention, shall make an
allotment each fiscal year for each State in an amount de-
termined in accordance with section 2151. The Secretary
shall make a grant to the State of the allotment made for
the State for the fiscal year if the State submits to the Sec-
retary an application in accordance with section 2150 on
behalf of the chief executive officer of such State.
‘‘(b) DESIGN OF STATE REGISTRIES.—To carry out
the purpose described in section 2145, a State registry es-
tablished under this part shall be designed to—
‘‘(1) provide accurate and up to date surveil-
lance data regarding immunization rates at the State
and local levels;
‘‘(2) assist in identifying localities with inad-
equate immunization rates to target for necessary re-
medial assistance;
‘‘(3) assist in the effective administration and
management of immunization programs at State and
local levels by providing data to guide immunization
program efforts;
‘‘(4) assist the State in providing and receiving
information on the immunization status of children
who move across geographic boundaries that are cov-
ered by different State or local registries; and
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‘‘(5) facilitate the linkage of vaccine dosage in-
formation to adverse events reported to the Centers for
Disease Control and Prevention under section 2125(b)
and disease outbreak patterns, for the purpose of mon-
itoring vaccine safety and effectiveness.
‘‘(c) ELIGIBLE USE OF FUNDS.—The Secretary may
make a grant under subsection (a) only if the State agrees
to expend the grant for the purpose of—
‘‘(1) collecting the data described in section 2147;
‘‘(2) operating registries to maintain the data
(and establishing such registries, in the case of a
State that is not operating such a registry);
‘‘(3) utilizing the data to monitor the extent to
which children have received immunizations in ac-
cordance with the schedule established under section
2141;
‘‘(4) notifying parents, as appropriate, if chil-
dren have not received immunizations in accordance
with such schedule;
‘‘(5) coordinating and exchanging information
with other State registries to allow the monitoring of
the immunization status of children changing State of
residence; and
‘‘(6) such other activities as the Secretary may
authorize with respect to achieving the objectives es-
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tablished by the Secretary for the year 2000 for the
immunization status of children in the United States.
‘‘(d) RE QUIREMENT REGARDING STATE LAW.—
‘‘(1) IN GENERAL.—The Secretary may make a
grant under subsection (a) only if the State in-
volved—
‘‘(A) provides assurances satisfactory to the
Secretary that, not later than October 1, 1996,
the State will be operating a registry in accord-
ance with this part, including having in effect
such laws and regulations as may be necessary
to so operate such a registry;
‘‘(B) agrees that, prior to such date, the
State will make such efforts to operate a registry
in accordance with this part as may be author-
ized in the law and regulations of the State; and
‘‘(C) has in effect such laws and regulations
as may be necessary to ensure the following safe-
guards for the rights of parents:
‘‘(i) An exemption for the parent, upon
the request of the parent, from the require-
ments established by the State, pursuant to
this part, for the collection of data described
in subsections (b) and (c) of section 2147, or
the collection of any other data regarding