Sec. 1. 20-A MRSA §6353, sub-§3, as enacted by PL 1983, c. 661, §8, is amended to read:

3. Disease. "Disease" means diptheria, measles, mumps, pertussis, poliomyelitis, rubella and tetanus those conditions that may be preventable by immunizing agent, as specified by rule.

Sec. 2. 20-A MRSA §6355, as enacted by PL 1983, c. 661, §8, is amended to read:

§6355. Enrollment in school

No A superintendent may not permit any child to be enrolled in or to attend school without a certificate of immunization for each disease or other acceptable evidence of required immunization or immunity against the disease, except as follows.

1. Written assurance. The parent provides a written assurance the child will be immunized within 90 days by private effort or provides, where applicable, a written consent to the child's immunization by a health officer, physician, nurse or other authorized person in public or private employ.

2. Medical exemption. The parent or the child provides a physician's written statement that immunization against one or more of the diseases may be medically inadvisable.

3. Philosophical or religious exemption. The parent states in writing a sincere religious belief which that is contrary to the immunization requirement of this subchapter or an opposition to the immunization for moral, philosophical or other personal reasons.

Sec. 3. 20-A MRSA §6358, sub-§1, as enacted by PL 1983, c. 661, §8, is amended to read:

1. Rules authorized. The commissioner and the Director of the Bureau of Health, Department of Human Services, shall jointly issue rules necessary for the effective implementation of this subchapter, including, but not limited to, rules specifying those diseases for which immunization is required and establishing immunization requirements for each disease, school record keeping and reporting requirements or guidelines and procedures for the exclusion of nonimmunized children from school.

Sec. 4. 20-A MRSA §6359, sub-§1, śC, as amended by PL 1991, c. 146, §1, is further amended to read: