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Record of Proceedings

Committee on Health Public Hearing on Three Health Bills – September 24, 2026

Council of the District of Columbia — Thursday, September 24, 2026
BodyWashington, District Of Columbia
SessionCouncil of the District of Columbia
DateThursday, September 24, 2026
StatusFILED
Video Record
0:00 / 3:23:26

Transcript — VerbatimClick a line to jump · ⧉ to share it
0:10

All right, good morning.

0:11

I'd like to call this public hearing for the Committee of Health to order.

0:14

Today is Thursday, September 24th, 2026.

0:18

The time is 10.05 a.m.

0:20

I'm at large councilmember Christina Henderson, Chair of the Committee on Health.

0:23

We are in room 412 of the John A.

0:27

Wilson building.

0:28

This is a hybrid hearing with public witnesses testifying virtually and in person and government witnesses testifying in person.

0:36

This hearing is to consider three permanent bills before the committee.

0:39

I'll describe each of the bills before we hear from our public witnesses.

0:44

Bill 26 606, the Vaccine Administration Protection Amendment Act of 2026, introduced at the request of the mayor, would ensure health care providers are not held liable for any injury caused by prescribing, dispensing, ordering, furnishing, or administering of immunizations required by law or recommended by leading medical and public health entities.

1:05

The bill also clarifies that such protections include the residual effects of vaccines or immunizing agents.

1:12

As federal vaccine protections continue to change, this legislation aims to secure vaccine access across the district by clearly outlining liability protections for providers.

1:23

The next two bills both aim to address some of the challenges related to the school health forms that the district requires families to submit for all school age children.

1:32

Currently, all students attending pre-K through 12th grade in public school, public charter school, private school, independent school in the district, must submit a certificate of health and a certificate of oral health completed and signed by a health provider to their school in order to attend.

1:49

This process for obtaining and submitting these forms is arcane and effective for protecting public health and unnecessary financial and logistical burden on families.

1:58

Caregivers often must pay a fee for their pediatrician or dentist to complete and print the form.

2:04

Then the caregiver is responsible for submitting the paper forms to the school.

2:09

In many cases, these forms are lost, and parents are asked to submit the forms multiple times.

2:15

At the end of the process, the health professional and the school health suite is then responsible for manually inputting the information on the form into a database.

2:24

Not surprisingly, many families do not complete this process, and there's no enforcement of such requirement, it seems.

2:41

Although I question the accuracy of these numbers, and we'll get into that why.

2:46

Families have to go through a similar process for dental forms, which the Office of the State Superintendent for Education, also known as Aussie, and DC Health require, even though they're not required by law.

2:59

For the past four years, the Committee on Health has pressed DC Health to modernize this process, but has seen very little progress.

3:06

In fiscal year 2024, DC Health started to transition to an electronic system, allowing health providers to submit certificates of health electronically through a secure provider portal, but this process stalled.

3:17

With DC Health Reporting challenges working with systems and their electronic health record vendors.

3:23

Bill 26-688, the Student Health Care Amendment Act of 2026 was introduced by the mayor in May of 2026 and seeks to largely codify the status quo for these forms.

3:34

The bill continues to require that families submit a paper copy of the Certificate of Health at the beginning of every single school year and adds the requirements for families to submit a certificate of oral health.

3:47

The bill does not make any other changes to the process for how forms are submitted or processed.

3:51

The mayor's bill includes provisions unrelated to the school health forms, including transferring the management of the undesignated epinephrine program from Aussie to DC Health, designating the Maryland Poison Center for the unit of the University of Maryland School of Pharmacy as the district's poison control center.

4:09

Finally, and it dissolves the Perinatal and Infant Health Advisory Committee, which was never established.

4:16

We were disappointed to see the outcome of DC Health's policy development, led to a bill that did not actually make any significant changes or reforms to the school health form process.

4:26

I therefore introduced a bill, Bill 26-725, the School Health Certificate Modernization Amendment Act of 2026 in July of 2026, along with Chairman Mendelssohn, Councilmembers Bonds, Alan Freuman, and Lewis George.

4:43

The bill would require the Department of Health to create a digital system for receiving certificates of health and oral health for students directly and for health care providers.

4:53

It would also prohibit health care providers from charging for the certificate of health or the certificate of oral health, which is important.

5:02

The bill also updates the health professional license and registration fees.

5:06

DC Health's fee for licensed health professionals are out of step with jurisdictions and in some cases dampening the interest of new health professionals to work in the district.

5:15

For example, a level one dental assistant, which is an entry level license for many individuals.

5:22

Applicants must pay 190 for that license.

5:26

While in Maryland and Virginia, they charge $20 and $100 respectively.

5:32

On the other hand, veterinarians, full veterinarians only pay $215 for licensure, even though comparable advanced degree professionals pay a much higher fee, such as physicians who are paying $85, psychologists who are paying $321, and dentists who are paying $430.

5:56

I look forward to this conversation today.

6:00

As colleagues join, we'll certainly turn to them.

6:04

For the public who may be watching, there's quite a bit of security activity happening down by the Wilson building today, which is impeding the ability of some people to get into the building.

6:15

To be clear, it's a security situation that does not involve the building or local folks, et cetera.

6:23

We have a state visit by the president of China.

6:27

And we are incredibly close to all the action.

6:31

So I'm gonna turn to the public witnesses who we have here.

6:34

We'll go through the list.

6:35

Hopefully, by the time that will give some folks an opportunity to get through the security checkpoints and come in, and then we will go from there.

6:47

Okay.

6:48

All right.

6:48

So I'm gonna turn to the in-person list.

6:51

Oh wow.

6:54

It's been a while since we've done a hearing.

6:55

So hold on, let me give the guidelines.

6:57

Okay, so witnesses will have three minutes to testify.

7:00

Um you're welcome to submit longer written testimony for the record.

7:03

Uh please be conscientious of your time, and I'll give a nudge when your time expires to preserve sufficient amount of time for all public witnesses to speak today.

7:11

Um, for those who may be watching, this is part one of two for the committee on health.

Discussion Breakdown — Share of Meeting
Public Health█████████████████████████████████████████████65%
Public Education███████████16%
Procedural██████9%
Technology and Innovation████6%
Budget█2%
Public Benefits█1%
Public Engagement█1%
Summary of Proceedings

Committee on Health Public Hearing on Three Health Bills – September 24, 2026

On September 24, 2026, at 10:05 a.m., the Committee on Health, chaired by Councilmember Christina Henderson, held a hybrid public hearing in Room 412 of the John A. Wilson Building to consider three permanent bills: Bill 26-606 (Vaccine Administration Protection Amendment Act of 2026), Bill 26-688 (Student Health Care Amendment Act of 2026), and Bill 26-725 (School Health Certificate Modernization Amendment Act of 2026). The hearing included testimony from public witnesses and government officials from DC Health. No votes were taken; the record remains open until October 8, 2026.

Public Comments & Testimony

  • Sarah Buckley (parent, Parents United for School Health) supported both bills, noting that only 28% of students had a universal health certificate (UHC) on file in FY2025 and 13% in FY2026. She emphasized the need for an automated digital system, prohibition of provider fees, and inclusion of alternative epinephrine devices (e.g., nasal spray).
  • Robin Resch (parent, nurse, Parents United for School Health) supported both bills, citing that only 8,497 out of more than 84,000 students (10%) submitted a UHC this school year. She stressed the importance of digital submission and standardized emergency medication policies.
  • Justin Palmer (DC Hospital Association) supported B26-725’s digital system and fee prohibition but expressed concerns about the proposed tiered licensing fee structure, recommending adjustments to keep DC competitive with Maryland and Virginia.
  • Dr. George (pediatrician, DC AAP) strongly supported B26-606, noting rising vaccine exemptions and coverage gaps (e.g., MMR coverage 10 percentage points lower in private schools than public). He argued the bill protects providers administering evidence-based vaccines.
  • Rachel Johnston (DC Charter School Alliance) supported B26-725’s digital system and fee prohibition but recommended annual affirmation of health information and preserving standalone epinephrine training.
  • Anika Collins (school nurse, private school) opposed B26-725, arguing that a centralized digital system could create safety gaps and liability issues if data is inaccessible or inaccurate. She called for an opt-out pathway for schools with existing secure systems.
  • Chris Gamble (Children’s Law Center) testified on licensing fee provisions, advocating for a fee structure based on actual board costs rather than educational attainment, and recommended universal licensure recognition and periodic reviews.
  • Kristen Yokum (Paul Public Charter School) supported the digital system but highlighted implementation challenges: 54% of school days without a nurse, delayed access to DC Health’s DOSIS system, and need for simple epinephrine training.
  • Martita Fleming (Washington Latin Public Charter School) supported digital submission to reduce data entry burden on nurses and preserve annual health certificate requirements.
  • Dr. Clint Peebles (Medical Society of DC) supported B26-725’s goals but urged caution on blanket fee prohibition, suggesting distinctions for complex forms. He opposed using education alone to set licensing fees and supported lower fees overall.
  • Chris Alvia (Capital City Public Charter School) supported the digital system but urged separate digital tracks for lead and dental forms, preserving annual updates, and maintaining standalone epinephrine training.
  • Kurt Gallagher (DC Dental Society) supported tiered licensing fees and digital submission but strongly opposed prohibiting fees for completing oral health forms, citing administrative burden.
  • Pat Stamper (educator) shared a personal story about an anaphylaxis emergency without a nurse present, advocating for more school nurses and simplified epinephrine training.
  • Dr. Jessica Rubin (pediatric dentist) opposed the fee prohibition, explaining that completing forms requires significant staff time (e.g., 40-50 patients/day). She suggested a reasonable cap instead of a ban.
  • Maria Luisa Marquez (Clinica del Pueblo) supported B26-606, noting that falling MMR vaccination rates (92% average, below herd immunity) and regional measles cases make provider protection urgent.
  • Dr. Charlie Coulter (pediatric dentist) supported tiered licensing fees and digital submission but strongly opposed the fee ban, estimating 50-100 form requests per day in summer, costing $5,000/month in staff time.
  • Dr. Takisha Preston (dentist) supported the digital system only if integrated with existing EHRs, and opposed the fee ban. She noted that 100% of her patients request forms, and she questioned the reported 16% compliance rate.

Discussion Items

  • Vaccine Administration Protection (B26-606): Councilmember Henderson asked about current protections, adverse event tracking, and the rationale for the bill given federal changes. DC Health’s Sarah Beckwith explained that federal vaccine injury compensation is at risk, and states like California and New York have passed similar laws. The bill protects providers and employers from liability for vaccines recommended by designated medical organizations.
  • School Health Certificate Modernization (B26-725): Discussion centered on the low compliance rates (10% UHC, 16% oral health), the burden on families and providers, and the need for a digital submission system. Councilmember Henderson challenged DC Health’s data, noting that private and charter schools may not be reporting. Multiple witnesses described fragmented processes: paper forms, manual data entry into multiple systems (Aspen, SHIMS, DOSIS, ICP). DC Health proposed a two-prong digital solution: EHR integration and a provider portal.
  • Student Health Care Amendment (B26-688): The bill transfers the undesignated epinephrine program from OSSE to DC Health, designates the Maryland Poison Center, and dissolves the never-established Perinatal and Infant Health Advisory Committee. Witnesses raised concerns about requiring lead testing before the digital system is operational and about enforcing annual health forms.
  • Licensing Fees: Councilmember Henderson pressed DC Health on the stalled audit of health professional fees, noting egregious disparities (e.g., dental assistant $190 in DC vs. $20 in Maryland). DC Health’s Sarah Beckwith stated they are working with West Virginia University on a study and propose a tiered fee structure based on regional average income, not education. Councilmember Henderson expressed frustration with the pace of reform.
  • School Health Suite Staffing: Vacancy rates remain high (18% overall, 25% of RN positions). DC Health reported 7 RNs in onboarding, but acknowledged turnover after implementing a cluster model. The councilmember noted that private schools have better staffing and digital systems.

Key Outcomes

  • No votes were taken on any of the three bills.
  • The hearing record will remain open until 5:00 p.m. on Thursday, October 8, 2026, for written testimony.
  • Councilmember Henderson indicated that further conversations are needed on the digital system, fee prohibition, and annual vs. key-grade submission of health forms.
  • DC Health committed to developing a digital UHC system but did not provide a timeline; they will continue provider and school engagement.
  • The committee will hold a separate roundtable on certified nurse aide training challenges later in the day.

Meeting Transcript

All right, good morning. I'd like to call this public hearing for the Committee of Health to order. Today is Thursday, September 24th, 2026. The time is 10.05 a.m. I'm at large councilmember Christina Henderson, Chair of the Committee on Health. We are in room 412 of the John A. Wilson building. This is a hybrid hearing with public witnesses testifying virtually and in person and government witnesses testifying in person. This hearing is to consider three permanent bills before the committee. I'll describe each of the bills before we hear from our public witnesses. Bill 26 606, the Vaccine Administration Protection Amendment Act of 2026, introduced at the request of the mayor, would ensure health care providers are not held liable for any injury caused by prescribing, dispensing, ordering, furnishing, or administering of immunizations required by law or recommended by leading medical and public health entities. The bill also clarifies that such protections include the residual effects of vaccines or immunizing agents. As federal vaccine protections continue to change, this legislation aims to secure vaccine access across the district by clearly outlining liability protections for providers. The next two bills both aim to address some of the challenges related to the school health forms that the district requires families to submit for all school age children. Currently, all students attending pre-K through 12th grade in public school, public charter school, private school, independent school in the district, must submit a certificate of health and a certificate of oral health completed and signed by a health provider to their school in order to attend. This process for obtaining and submitting these forms is arcane and effective for protecting public health and unnecessary financial and logistical burden on families. Caregivers often must pay a fee for their pediatrician or dentist to complete and print the form. Then the caregiver is responsible for submitting the paper forms to the school. In many cases, these forms are lost, and parents are asked to submit the forms multiple times. At the end of the process, the health professional and the school health suite is then responsible for manually inputting the information on the form into a database. Not surprisingly, many families do not complete this process, and there's no enforcement of such requirement, it seems. Although I question the accuracy of these numbers, and we'll get into that why. Families have to go through a similar process for dental forms, which the Office of the State Superintendent for Education, also known as Aussie, and DC Health require, even though they're not required by law. For the past four years, the Committee on Health has pressed DC Health to modernize this process, but has seen very little progress. In fiscal year 2024, DC Health started to transition to an electronic system, allowing health providers to submit certificates of health electronically through a secure provider portal, but this process stalled. With DC Health Reporting challenges working with systems and their electronic health record vendors. Bill 26-688, the Student Health Care Amendment Act of 2026 was introduced by the mayor in May of 2026 and seeks to largely codify the status quo for these forms. The bill continues to require that families submit a paper copy of the Certificate of Health at the beginning of every single school year and adds the requirements for families to submit a certificate of oral health. The bill does not make any other changes to the process for how forms are submitted or processed. The mayor's bill includes provisions unrelated to the school health forms, including transferring the management of the undesignated epinephrine program from Aussie to DC Health, designating the Maryland Poison Center for the unit of the University of Maryland School of Pharmacy as the district's poison control center. Finally, and it dissolves the Perinatal and Infant Health Advisory Committee, which was never established. We were disappointed to see the outcome of DC Health's policy development, led to a bill that did not actually make any significant changes or reforms to the school health form process. I therefore introduced a bill, Bill 26-725, the School Health Certificate Modernization Amendment Act of 2026 in July of 2026, along with Chairman Mendelssohn, Councilmembers Bonds, Alan Freuman, and Lewis George. The bill would require the Department of Health to create a digital system for receiving certificates of health and oral health for students directly and for health care providers. It would also prohibit health care providers from charging for the certificate of health or the certificate of oral health, which is important. The bill also updates the health professional license and registration fees. DC Health's fee for licensed health professionals are out of step with jurisdictions and in some cases dampening the interest of new health professionals to work in the district. For example, a level one dental assistant, which is an entry level license for many individuals. Applicants must pay 190 for that license. While in Maryland and Virginia, they charge $20 and $100 respectively. On the other hand, veterinarians, full veterinarians only pay $215 for licensure, even though comparable advanced degree professionals pay a much higher fee, such as physicians who are paying $85, psychologists who are paying $321, and dentists who are paying $430. I look forward to this conversation today. As colleagues join, we'll certainly turn to them. For the public who may be watching, there's quite a bit of security activity happening down by the Wilson building today, which is impeding the ability of some people to get into the building. To be clear, it's a security situation that does not involve the building or local folks, et cetera. We have a state visit by the president of China. And we are incredibly close to all the action. So I'm gonna turn to the public witnesses who we have here. We'll go through the list. Hopefully, by the time that will give some folks an opportunity to get through the security checkpoints and come in, and then we will go from there.

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