Public Comments for 02/01/2022 Health, Welfare and Institutions
HB50 - Infant relinquishment laws; DSS to establish hotline to make information available to public.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

HB192 - Opioids; amends sunset provisions relating to prescriber requesting information about a patient.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

HB213 - Optometrists; allowed to perform laser surgery if certified by Board of Optometry.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

Last Name: Char, M.D. Locality: Ashburn

Would you want someone who is not trained to perform laser on your mother, father, daughter or relative's eyes? The risks are greater when these procedures are performed by non medical doctors. The level of training is significantly higher as medical physician. The qualifications for medical physicians/ophthalmologist include 4 years medical school and 4 years of residency training (total 8 years) versus an optometrist it's only 4 years. The risks and liability of the laser will be passed onto to medical doctor if complications arise from the procedure.

Last Name: Richards Organization: Virginia Osteopathic Medical Association, American Osteopathic Association, American Osteopathic Colleges of Ophthalmology and Otolaryngology – Head and Neck Surgery Locality: Richmond, VA

Comments Document

Letter of opposition to HB 213.

Last Name: Osman Locality: Fairfax

Please oppose optometric bill 1. Optometrists do not have the same Surgical mentors that have the same experience as ophthalmologists do. It is important to learn from the best to be the best 2. Optometrist cannot manage complications of lasers such as internal bleeding ( hyphema). Pressing on the eye is not enough. These patients have to be referred to a surgical ophthalmologist to perform a washout procedure in the operating room. The optometrist cannot manage their own complications. A doctor should only perform procedures when they can manage the complications. 3. Currently there is a cordial relationship in the community between optometrist who perform general eye exams and glasses and ophthalmologist who perform surgery and more complex care. This bill would propagate unhealthy competition. Optometrist would perform at the same as costs as ophthalmologists so the cost to medical care will not be reduced 4. Ophthalmologist spend up to 12 years after college getting trained. Optometrist only spend 4 to 5 years. The bill would deter doctors from going into medicine if they can perform surgery and save 7 years of training. An ophthalmologist is in their early 30s before they can operate this bill would allow an optometrist to be in their mid 20s to perform surgery 5. Prior poor outcomes and malpractice cases are not a good judge . As good doctor patient relationships can prevent a law suit but doesn’t protect a patient from harm. 6. Currently over 40 states have banned optometrist from performing surgery as it is not safe.. Virginia would be in the minority. There are plenty of ophthalmologist so access to care is not an issue 7. Finally new talented ophthalmologist would relocate to Maryland or DC where there is no optometric surgery. Virginia would loose talented ophthalmologists. Please oppose this bill.

Last Name: McAllister Organization: Northern Virginia Ophthalmology Associates Locality: Oakton

Dear Honored Delegates, In the few states that permit non-surgeon optometrists to operate on patients, the certification process includes a course that often has zero proctored cases on living human beings, and in one state, there is the potential for one proctored case. Although typically successful, these procedures carry the potential for ocular hypertension, glare, decreased vision, bleeding, dislocated lenses, floaters, retinal tears, retinal detachments and vision loss. In my career, I and my partners have seen patients with each of these complications. Is the state of Virginia best served by allowing non-surgeons who have had zero to one proctored cases on living individuals perform these surgeries on the public unsupervised? Is this legislation truly considering the safety and protection of our people by allowing a course with little to no actual supervised cases on living individuals? Would you want your mother to be the first case performed by someone who has never been supervised on a living person? The state of Virginia would never think to change the law regarding first time drivers to not include substantial numbers of proctored hours driving an actual car before releasing that person to drive in public. Even if the course to get a license required 200 hours of classes, getting behind the wheel in a supervised fashion is critical to safe driving. Similarly, safe surgery requires hundreds of hours or more of proctored cases and proctored management of post-operative complications before it is safe to operate unsupervised. I am stunned this legislative body is even considering putting the health of the public in the hands of those who have never been supervised performing these procedures without creating substantial requirements of proctored cases prior to certification to operate. To do anything else is simply irresponsible legislating. Thank you for your consideration.

Last Name: Jones Locality: Lorton

Comments Document

Please Oppose House Bill 213 Leslie S. Jones, MD Associate Professor and Chair Howard University College of Medicine (Writing as an individual not on behalf of Howard University)

Last Name: Tanchel Organization: MSNVA Locality: Fairfax, Vienna

Laser eye surgery is actual surgery on the eye. Like all surgery, it requires years of training - both didactic and in practice, with training supervision by medical doctors who are surgeons. Optometrists get none of this training during their time in optometry school. Furthermore, the Board of Optometry is not qualified to certify a physician to perform surgery, since the Board of Optometry has no surgical expertise. Optometrists are not trained to be surgeons during their schooling, unlike ophthalmologists who train for multiple years under the supervision of experienced surgeons. This bill is created to grant surgical privileges by legislation, rather than through education and years of surgical training. This is bad for patients and is simply a way to try to open a revenue stream for unqualified providers. This bill should NOT get out of committee - it is dangerous to the public.

Last Name: Addison Organization: Troutman Pepper Strategies on behalf of Virginia Ambulatory Surgery Association Locality: Richmond

Karin Addison/Troutman Pepper Strategies on behalf of the Virginia Ambulatory Surgery Association (VASA), please vote no to expanding optometry scope of practice without a thorough and impartial review by the Department of Health Professions. Ambulatory Surgical Centers (ASCs) are centers of excellence in the communities they serve. The mission of ophthalmic ASCs is to provide the highest quality care by highly trained ophthalmic surgeons (“eye surgeons”). Eye surgeons, optometrists, nurses and other health care professionals work together in a multi-disciplinary team within the ASC to ensure the best outcomes for patients. Patients are referred by optometrists in the community and eye surgeons within ASCs perform eye surgery using a number of modalities primarily with lasers. Patients are ensured their eye doctor is fully trained during a surgical residency to use state of the art equipment. ASCs are required by state and federal regulations to have important protections for patient safety including:  Infection control  Life Safety and emergency management  Nursing and anesthesia standards and personnel  Power backup The Department of Health Professions and individual licensing boards do not uniformly require comprehensive patient safety standards for office-based surgery settings. Certainly, health profession boards without proficiency in surgery oversight will be incapable of adequate regulation in this area. Continuity of eye care is extremely important, especially when treating glaucoma. VASA recommends that a glaucoma specialist trained in ophthalmology should be part of the patient care team to ensure a better prognosis and immediate care if surgery is needed. Glaucoma is a long-term disease that requires ongoing treatment. VASA members proudly provide access to ophthalmic care and surgery for the entire Commonwealth. Our members have demonstrated a commitment to underserved areas, recently opening ASCs in Wytheville and Martinsville. Thank you for your consideration.

Last Name: Ramey Locality: Roanoke County

Comments Document

Thank you for reviewing this comment. HB213 would expand the scope of optometric practice to include 3 intraocular laser surgeries. A similar bill was passed through the senate subcommittee last week. I was present at that hearing. A robust debate and responsible motion to put the topic to study at the board of health was aborted at the last minute with the following argument: optometrists asserted that over 100,000 of these laser surgeries have been performed by optometrists over the last 20 years in states like OK, KY, AK, LA resulting in no malpractice suits or complaints to the board of optometry. "If no malpractice cases or complaints were filed, it can't be that risky." A substitute motion to pass the bill was raised and votes were collected before we could refute the optometrists' assertion. I urge you to review the enclosed attachment for a comprehensive study performed by the Vermont Office of Professional Regulation in 2020. Please draw your attention to page 23, which directly addresses the "lack of malpractice cases." Not only did malpractice cases exist, but general malpractice cases against optometrists were significantly underreported by the OK Board of Optometry. Why would the optometric board underreport malpractice cases? The Board of Optometry has a vested interest in expanding the scope of optometric practice -- a clear conflict of interest to report adverse events. A pubmed search of peer-reviewed literature for "optometry patient safety" returns 235 results. "Ophthalmology patient safety" returns 2,338 results. Optometrists outnumber ophthalmologists 1.5:1 in the US, but optometrists produce only 10% of the data on patient safety. How is this different from the scope of practice debates around nurse practitioners, physician assistants, and even dentists performing surgeries? Unlike these health professionals, optometrists do not train under direct supervision for years, months, or even weeks to perform surgeries on living humans. Optometrists will not disclose curricular details of their weekend training certification programs or optometry school classes. The reality is that no single classroom experience or weekend training program can prepare anyone for surgery. The United States has evolved over 150 years to require multiple years of surgical residency for this exact reason. For a quick illustration of how experience and training can literally save a life, consider asking the optometrists and ophthalmologists in the House hearing how they would manage this scenario: A 68 year old male patient with narrow angle glaucoma experiences chest palpitations during his Laser Peripheral Iridotomy. What would you do next? Does Virginia want non-surgeons performing surgery? Does Virginia find it appropriate for non-surgeons who perform surgery to answer to a Board of Optometry, which is made of non-surgeons and has financial incentive to discourage safety reporting? Please oppose HB213. If you are not sure, then please least support a motion to put this bill to study with the health department. Please call me at 540-682-3734 with any questions. Thank you.

Last Name: Robin Organization: American Glaucoma Society Locality: Baltimore, Maryland

Comments Document

Opposition to HB 213 - laser surgery by optometrists for treatment of glaucoma Summary points: We feel this would jeopardize the safety of your constituents and result in unnecessary billing and surgical procedures which would be grossly cost inefficient. Allowing optometrists to perform laser surgery for glaucoma could create larger inequities in care adversely affecting the elderly and minorities. These procedures require years of training and practicing, on real humans to be able to perform correctly and safely. Please see the attached letter for details and supporting information. Thank you.

HB235 - Hospitals; protocols for patients receiving rehabilitation services.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

Last Name: Chandler Locality: Hanover

In regards to HB241, I can personally attest to the need for patients to have access to complex medical equipment when transferring to skilled nursing facilities. I work in inpatient rehab and am appalled that patients have their one means of independence (complex power wheelchairs) taken away just because they require extended care at a long term facility. This must be passed and changed.

HB242 - Professional counselors, licensed; added to list of providers who can disclose or recommend records.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

HB264 - Public health emergency; out-of-state licenses, deemed licensure.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

HB318 - Peer Recovery Support Fund; established.
Last Name: Neil Organization: City of Portsmouth Locality: Hampton

The City of Portsmouth is in support of this bill. Thank you.

Last Name: Mitchell Organization: The McShin Foundation Locality: Richmond

Please support HB318. As a peer in recovery I use my lived experience to connect with the next person coming into recovery. I am alumni and Outreach Director with The McShin Foundation and a state organizer with The Virginia Recovery Advocacy Project. This legislation would fill a critical gap in care for uninsured individuals who need immediate recovery support services. Often the difference between same-day access to recovery support or waiting even one day can mean death or other harmful consequences. This legislation re-affirms and clarifies the intent of the original legislation apportioning the tax revenue from cannabis sales to help individuals with a substance use disorder.

Last Name: Shinholser Organization: McShin Locality: Mechanicsville

We fully support this bill, much needed and valued

Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

HB555 - Health care providers; transfer of patient records in conjunction with closure, etc.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

HB598 - Registered surgical technologist; criteria for registration.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

HB604 - Nursing, Board of; power and duty to prescribe minimum standards, etc., for educational programs.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

HB915 - Immunizations; required vaccinations for children, regulations.
Last Name: Guretse Locality: Roanoke County

I urge our delegates and members of the committee to support HB915. Many people came out to oppose HB1090 multiple times in early 2020 before the govt shut everything down, including myself, driving several hours on multiple occasions to Richmond to testify and make our voices heard to the General Assembly members that the people opposed HB1090. One trip to give committee testimony, we were shut down and only a few people got to speak at the end of a long day there with small children. I had signed up to talk only to be denied. I'd hoped to share my experience as a former Pharmaceutical clinical research employee who knew about safety studies and who has had family members injured by vaccines. I'm sure anyone who served as a Delegate or Senator in Virginia then remembers the time we lined the halls to oppose that bill...there must have been around 1,000 people that came out with signs. It was wrong to take the legislative process and people's voices out of the process and simply hand such important decisions as what goes into a children's bodies over to the CDC, FDA, and ACIP. We have all seen the mishandling, lies, and lack of concern for true science and proper safety studies in the new experimental products that were rushed to market without adequate testing. Despite alarming safety signals and over 1 million AEs reported to VAERS from these products, despite heart problems, blood clots and deaths, these products have sailed through, even being given to children. The CDC, FDA or ACIP can not be trusted to make decisions for what is best for children, especially after 2020. Those people are not elected and accountable to the people. As disillusioned as most of us are by those who are supposed to be serving the people, after what's gone on the past 2 years, we need to at least be able to voice concerns and know that some of our General Assembly members listen and support us when they vote. All people are created equal and have certain unalienable rights endowed by our Creator and protected by the Constitution of Virginia and of the united States, and bodily autonomy is a fundamental right. If we have no say in what goes into (or on) our bodies, we really have no rights. Our founders knew the importance of these natural or God-given rights that no government has authority to remove, yet we've seen over the last 2 years how some of those who were elected to serve the people have abused their positions. Dr. Benjamin Rush, physician, medical professor, an early surgeon general to all Continental armies, and signer of the Declaration of Independence said, "Unless we put medical freedom into the Constitution, the time will come when medicine will organize into an undercover dictatorship to restrict the art of healing to one class of Men and deny equal privileges to others; the Constitution of the Republic should make a Special privilege for medical freedoms as well as religious freedom." We need to right these wrongs and assure that they are not repeated. It's past time for all who hold office, elected to speak on behalf of the people and protect their rights, remember the sworn oath to uphold and defend the Constitution against all enemies, foreign or domestic. Support bills like HB915 and others that are being put forth to repeal bad laws or further protect the rights of individuals to decide what medical interventions they are comfortable with and what is best for their precious children.

Last Name: Scheibe Locality: Fredericksburg

Having my mother-in-law die in a nursing home and being a hospice volunteer with patients in a nursing home I have seen the need for proper staffing by nursing staff and their assistants. These are low paying jobs that have a large turnover for just a small wage increase. It has been a dumping place for our fragile loved one that families can no longer take care of at home. We need regulations that provide adequate staffing levels to give residents a minimum standard of care. Regular inspections should be a requirement.

Last Name: Estinto Organization: none Locality: Leesburg

HB 22, AMEND: Establishes a right to be free from medical mandates, with exceptions. HB 22 does nothing to address the problematic emergency health powers available to Virginia health authorities. HB 27, SUPPORT: Prohibits discrimination by state governmental entities based on COVID-19 vaccination status and prohibits school mandates (including college mandates). HB 512, SUPPORT: Prohibits COVID-19 vaccine mandates and discrimination based on COVID-19 vaccination status. HB 512 could be improved if it would also prohibit discrimination based on COVID-19 vaccination status in places of public accommodation. HB 519, SUPPORT: HB 915, SUPPORT: Repeals 2020 state adoption of federally recommended vaccine schedule for schools HB 915 will restore the process that was in place before 2020. Any new vaccines added for school will be in accordance with the State Board of Health Regulations for the Immunization of School Children. The State Board of Health would have to go through the Administrative Process Act and changes could not go into effect until after the next regular session of the General Assembly following the date the regulation is published. Section 2.2-4014 of the Administrative Process Act provides for legislative review of proposed and final regulations. HB 915 allows the people to have input if the board considers adding a new vaccine and will restore the opportunity for Virginia Citizens to be heard in person and through their elected officials. HB 962, AMEND: Requires health care providers to report vaccine adverse events to the Virginia Department of Health. HB 962 Does nothing to address that these reactions are not being reported in the first place, A more helpful approach would be to amend the bill to require providers report reactions to VAERS and put some teeth in the bill tying penalties for not reporting to existing penalties in Virginia Statute, and then the data will be useful. In the present form, this bill could help by potentially highlighting discrepancies between VAERS and what would be reported to the state, however with no penalties it is unlikely this data would be accurate or useful.

Last Name: Carr Organization: Self Locality: Gainesville

As a patient recovering from three different joint replacement surgeries and serious back surgery I spent weeks in three different nursing homes and experienced neglect, abuse and injury. I was served hot dogs for lunch, dinner and lunch the next day while on a doctor prescribed low sodium diet. I had to beg for prescribed pain meds administered by unqualified “nurses” who did not know my name or the name of the meds they were giving me. Nurses aides cleaned bedpans in sinks where I brushed my teeth and no one on staff spoke English. I nearly fell off a broken shower chair and waited at least 20 minutes for someone to answer my emergency call bell in the shower. You must require a better level of care for vulnerable patients. We are an aging population and our needs for qualified nurses, doctors and nutritionist will only grow and most of us grow old. Please care enough to pass protective legislation. All of my nursing home stays were in Springfield and Warrenton Virginia. So many “call bells” went unanswered . So many unqualified, abusive people were expected to provide care to the most vulnerable and elderly patients. The aides who injured me did not seek to hurt me, they were not trained on how to assist handicapped patients. They were not trained in how to properly maintain a healthy and clean environment. There were no standards of care or standards of facilities mandated by law. It falls to you to enact these basic standards under the law or greed for profit will continue to cause neglect, suffering, injury and death. Protect the most vulnerable citizens of Virginia who are depending on you.

Last Name: Childers Locality: Blacksburg

Dear members of Health, Welfare, and Institutions Subcommittee #3 , I am writing to convey my support for HB 915. Thank you. HB 915, SUPPORT: Repeals 2020 state adoption of federally recommended vaccine schedule for schools • HB 915 would remove the section of current law, 32.1-46(C), passed in 2020 by HB 1090, that requires vaccines mandated for school be in accordance with the Immunization Schedule developed and published by the Centers for Disease Control and Prevention (CDC), Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP). • HB 915 will restore the process that was in place before 2020. Any new vaccines added for school will be in accordance with the State Board of Health Regulations for the Immunization of School Children. • The State Board of Health would have to go through the Administrative Process Act and changes could not go into effect until after the next regular session of the General Assembly following the date the regulation is published. Section 2.2-4014 of the Administrative Process Act provides for legislative review of proposed and final regulations. • NVIC does not support vaccine mandates, but the current law needs to be repealed and at the very least, restored to the original procedure in Virginia in which citizens were successful in securing an opt out for HPV, and keeping other vaccines off the schedule like meningitis and Hepatitis A. • HB 915 allows the people to have input if the board considers adding a new vaccine and will restore the opportunity for Virginia Citizens to be heard in person and through their elected officials.

Last Name: Nicholls Locality: Chesapeake

Please move to report HB22, HB27, HB512, HB514, HB519, HB915, HB962, HB1038 HB1323. All these bills resolve discrimination and follow the medical science that is out there, from not just the USA but all over the world.

Last Name: Thompson Locality: Lovettsville

Dear Honorable Virginia Delegates, My name is Steve Thompson. I am a Virginia resident and an active voter. I am writing you today to urge you to vote YES on House Bills 22, 27, 156, 512, 514, 783, 915, 962, 1038, and 1323. Medical Freedom and bodily autonomy are foundational and critical parts of our freedom as Virginian and American citizens. I find it angering, dismaying, and personally offensive that any government would attempt to force me or my family to undergo a medical procedure that we do not trust and do not disagree with. “Forced vaccination” is frankly something that belongs in Communist China, Nazi Germany, or Soviet Russia. It has NO place in Virginia or America. I strongly urge you to vote YES on House Bills 22, 27, 156, 512, 514, 783, 915, 962, 1038, and 1323. Sincerely, Stephen Donald Thompson

Last Name: Meadows Locality: Henry

Please look after our seniors. They all deserve respect and the best care. Just remember one day you may have to go to a nursing home, don't you want to be cared for?

Last Name: Shapiro Locality: NORFOLK

As a disabled senior citizen, I feel that nursing homes are at best a "warehouse for the elderly", and at worst, a place for exploitation and abuse. Seniors deserve to live with dignity, until their time comes to die.

Last Name: Abel Organization: Of the residents in all Nursing Homes in Virginia Locality: Spotsylvania

I pray that all of you voting will vote for the safety of the residents and staff in all the homes. Please set a higher wage for workers so the turnover will not be so high. Please put in place laws that will protect the residents. They all need your votes for positive change and protection.

Last Name: Gallup Locality: Charlottesville

I support HB 015. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption, which is rampant and steadily trampling on the human and Constitutional rights of We the People.

Last Name: Calvert Locality: Rockville

I am strongly in SUPPORT of HB 915. It is of great importance that the state of Virginia give the control and power back to its own citizens to decide what immunization requirements are appropriate for our children. Please repeal the current law & restore VA citizens’ rights to have input should the health board consider adding a new vaccine. The citizens of our great state deserve to be heard through our elected officials, rather than fall victim in a situation of poor guidance by unelected bureaucrats. Restore the power to the people.

Last Name: Calvert Locality: Rockville

It is of great importance that the state of Virginia give the control and power back to its own citizens to decide what immunization requirements are appropriate for our children. Please repeal the current law & restore VA citizens’ rights to have input should the health board consider adding a new vaccine. The citizens of our great state deserve to be heard through our elected officials, rather than fall victim in a situation of poor guidance by unelected bureaucrats. Restore the power to the people.

Last Name: Thessen Locality: Rockville, VA

Vote YES! So glad Delegate Orrock is bringing this bill. Vote YES for HB915 and put control of our vaccination schedule back into the hands of Virginians! This bill will repeal the law passed in 2020 that removed all Virginians from decision making in the vaccine schedule - even removing our legislature from the process. HB1090 was a huge mistake for VA. Decisions regarding vaccinations of VA school children rest squarely in VA... within the state. Handing these decisions to other agencies where Virginians have no vote or influence was a terrible idea. Never has it been more clear that the CDC and ACIP counsels are captured agencies who do not have Virginian children's best interests in mind. Decisions regarding requirements of VA schools rest with the Virginia Legislature and Health Department, not with federal agencies. A RESOUNDING YES from this VA PARENT.

Last Name: Hofford Organization: Virginia Academy of Family Physicians Locality: Roanoke

Dear Delegates of Health Welfare and Insurance Committee: 1) The current law removes politics from the vaccine scheduling discussion by ascribing to an evidence-based benchmark. 2) The proposed bill could result in delays in scheduling necessary vaccines. 3) The proposed bill could disrupt access to vaccinations through the Vaccines for Children program and local health departments. Several years ago, the General Assembly modified the school vaccine regulations so ACIP/CDC recommendations could be modified based on the science and take the politics out to protect our citizens. In the past, each time a new immunization recommendation came out it consumed a large amount of time of General Assembly. I assume this proposed change is due from the advent of new COVID vaccines. Over the last two years, I have cared for around two hundred patients after they have been discharged from Roanoke Memorial or Lewis Gale Hospital Hospitals after being admitted for COVID pneumonia and complications. Many recovered without too many problems. Many ended up with long COVID syndrome lasting for months. Several ended up with permanent disabilities such as an eighteen-year-old with a large heart attack and now has heart failure, twenty-one-year-old with a stroke, law enforcement officers with permanent lung damage. Several of these patients lost spouses. In caring for adults including teachers who have had COVID pneumonia, many of these patients have lost spouses. Their children lost a parent. Children who have lost a parent, grandparent, or teacher due to COVID is traumatic. We are seeing children with depression, post-traumatic stress disorder, increased suicidal ideation and attempts, abnormal behavior disorders and maladaptive grieving. Having lost my father when I was eleven years old, I can relate to what these children go through. Recent study shows that children who have had COVID infection, even if mild, are likely to have “brain fog” for months which is similar in many ways to attention deficit disorder lasting for months and interferes with their learning in school. When I chair a committee for DMAS we were seeing up to 11% of school age children with attention deficit disorder. The last thing we need is a teacher needing more children in their classroom with inattention. Masking, social distancing, vaccination, infection control measures, and better school ventilation systems help in reducing COVID infections. Recent Commercial and Medicaid data show there is a correlation of children who were infected with COVID appear to have a higher risk of developing Diabetes Mellitus Type I (insulin requiring) Reducing the spread of COVID benefits parents, grandparents, teachers, children, and society is important. One of the major roles of government is to protect our citizens. Sincerely yours, Roger A. Hofford, M.D. FAAFP, CPE Roanoke, VA

Last Name: Bratton Locality: Roanoke

I am writing in support of HB915 to prevent further corruption in our state and the detrimental effects unelected bureaucrats create for our children.

Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

Last Name: Davis Locality: Reston

Please support HB 915 preventing unelected bureaucrats from establishing the school mandated immunizations in Virginia. Only allow VDH to make a recommendation to the legislative body on additions to the childhood requirements for school. There must always be a freedom of choice and consideration for natural immunity and medical exceptions. Thank you for your time. Sincerely a Concerned Citizen Donna Davis Reston, VA 20191

Last Name: Stewart Locality: Haymarket

I support HB915. Please pass.

Last Name: Tamara Dreier Locality: Midlothian

Mandates of medical procedures, especially those that carry risk, have no place in a free society. Please support HB915. Thank you.

Last Name: Stewart Locality: Haymarket

I support HB915! Vaccine decisions should be in the hands of VA legislature.

Last Name: Evans Locality: Mineral

Vote yes and support HB915. This gives parents a voice in the process of adding vaccines to the mandatory schedule. Our elected officials can be held accountable if we disagree with decisions made. Parents need to be heard and with a vaccine injured grandson I know that we should only be adding necessary vaccines to the schedule. There is risk associated with all vaccines as I have witnessed in my own family. Our process worked well in VA prior to the change in 2020.

Last Name: Johnson Locality: Fairfax

Greetings, Please support HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This bill establishes an additional safeguard from regulatory capture/corruption. VDH should make recommendations to the legislative body on any additions to the childhood requirements for school. PLEASE SUPPORT THIS BILL. Thank you, Katherine Johnson Fairfax, Virginia

Last Name: Mullin Locality: Louisa County

My husband and I support HB915. It is critical to restore the process that we had in VA prior to 2020. Parents need to have a voice in the process of what vaccines will be added to the VA schedule and be able to meet with their elected officials to voice opinions. When this process is in place parents have the ability to be part of the decision making process, which is critical. Vote yes to pass HB915.

Last Name: Darling Locality: Raphine

Please vote yes to HB 915. The decision to vaccinate a child should only and always lie in the hands of the parent (s) or guardian (s) of that child, in consultation with their family doctor. At the very least, immunization requirements should never, under any circumstances, lie in the hands of UNELECTED bureaucrats. This allows for zero accountability, as bureaucrats cannot be elected out of office. This is unacceptable, and unconstitutional. Please continue to work diligently to place the power back into the hands of the people, as our founders always intended. Thank you.

Last Name: Carter Locality: Lynchburg

I support this bill!

Last Name: Ruhe Organization: Self Locality: Fairfax county

I support HB915. I feel it keeps our elected officials accountable. And it helps to roll back the worst parts of bill 1090! Please support HB915!

Last Name: Sanchez Locality: Daleville

Support HB 915 which will roll back the worst parts of HB1090 and create accountability for our elected officials! I am OPPOSED to all mandates, and HB 915 is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. It also provides an additional safeguard from regulatory capture/corruption. Please support HB 915!!

Last Name: Bowman Locality: Hanover

I am in complete support of HB915.

Last Name: Amanda Bicknell Locality: Alexandria

I support HB915 and the rollback of 1090. Freedom! freedom and Liberties for ALL! We will be heard and we will reclaim our freedom, under God!

Last Name: Vernier Locality: Augusta County

As a service-connected, vaccine injured disabled veteran and single mother of young children, I stand in full support of HB915. Accountability is paramount concerning health care decisions for our children.

HB921 - Controlled substances; prescriber may establish practitioner-patient relationship.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

Last Name: Pawlak Organization: Oxford Locality: Winchester

I am really wanting you all not to pass this bill because Oxford House gives me a place to live at a price I can afford on disability it gives me stability Oxford House I would be homeless and if the bill does pass that means I rent would go up and I would be homeless again and I am doing very well I enjoy living in the Oxford House we have meetings once a week for our house and we have committee meetings and everything So please do not pass this bill I in begging you

HB939 - Public health emergency; Comm. of Health to authorize administration, etc., of necessary drugs, etc.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

HB1001 - Death certificates; State Registrar to amend certificates after receiving corrected information.
Last Name: Neale Locality: Rochelle, Madison County

I respectfully urge you to SUPPORT HB 915. This bill is essential to prevent unelected bureaucrats from establishing the school mandated immunizations in Virginia. This establishes an additional safeguard from regulatory capture/corruption. Thank you.

End of Comments