TRENTON, N.J. — The New Jersey Senate Health, Human Services and Senior Citizens Committee on Monday approved legislation that would make enrollment in the state’s immunization registry automatic for anyone receiving a vaccine, unless they actively opt out in writing.

Senate Bill 1956 expands the state’s New Jersey Immunization Information System (NJIIS), a centralized database tracking individual vaccination histories. Under current law, individuals born after Jan. 1, 1998, are automatically enrolled unless their parent or guardian submits a written opt-out request. Those born prior to that date must enroll voluntarily.

The proposed legislation would change that framework by requiring automatic enrollment of all individuals not already in the registry at the time of vaccine administration.

Opt-out remains available through a written request, except under certain emergency circumstances.

During a declared public health emergency, state of emergency, or outbreak of a communicable disease, the bill authorizes the Commissioner of Health to temporarily deny requests to opt out of the registry.

That power would apply “for one or more vaccines for a specified period of time” to help track vaccine uptake during critical health periods.

“This bill requires automatic registration with the New Jersey Immunization Information System upon the administration of a vaccine,” the committee statement reads, “unless the person or the person’s parent or legal guardian… provides a written request not to participate.”

Public health oversight expanded

The bill was pre-filed for introduction in the 2024–2025 legislative session and was amended following technical review. The Senate committee vote now moves the measure forward in the legislative process.

Supporters argue the bill will enhance the state’s ability to monitor vaccination rates and improve emergency responsiveness. Critics of similar measures have previously raised concerns about privacy and consent regarding personal medical information.

The legislation does not mandate vaccinations but focuses on recordkeeping. All vaccination providers would be required to ensure individuals are enrolled unless proper documentation is provided to opt out.

The Department of Health would retain authority over how the system is managed during emergencies, including the discretion to enforce temporary enrollment requirements.

The New Jersey bill follows a broader trend among U.S. states updating immunization tracking laws after the COVID-19 pandemic.

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