Committee backs vitamin K education bill after removing midwife and form requirements

The House Health and Human Services Committee voted unanimously to advance a revised version of Senate Bill 170, a measure that would standardize education for parents about newborn vitamin K administration while preserving parental choice.

Senator Plumb, the bill sponsor, said the measure responds to rising refusal rates and aims to ensure families receive consistent, evidence-based information: "I wanted it to be clear that there was an opt out process," the sponsor said in explaining the bill’s evolution. The sponsor and health staff emphasized the proposal is intended as an education requirement rather than a mandate to administer vitamin K.

Clinical witnesses described cases in which newborns experienced vitamin K deficiency bleeding after families declined the shot. Hannah Sherfinsky of the Utah Chapter of the American Academy of Pediatrics told the committee that infants who do not receive vitamin K are “80 times more likely to experience these bleedings,” and that of those who bleed about one in five die and up to half of survivors may have lifelong disabilities. Multiple neonatologists and pediatric residents recounted encounters with preventable intracranial hemorrhages.

Opponents urged care in statutory wording. Melissa Anderson of Healthy Roots Foundation said the bill risks asymmetric disclosure if it emphasizes the harms of declining vitamin K without equally listing risks of the injection and reasonable alternatives. Committee members and the sponsor responded by drafting and adopting substitute language (Substitute 4) and House Amendment 1 to remove the unlicensed direct‑entry midwife requirement and to eliminate a mandated refusal form, while retaining a requirement that parents receive a balanced explanation of risks and benefits. The sponsor said parents may decline the dose and that no form would be mandated.

Representative Ward moved the bill forward with a favorable recommendation; the committee approved SB170 sub 4 as amended by unanimous voice vote. Sponsors and public-health staff said the Department of Health and Human Services can provide standardized materials for providers and midwives to use if the bill becomes law.