PA HB1078

Requires comprehensive eye health examinations by an ophthalmologist or optometrist for Pennsylvania school children upon admission to school, in 4th grade, in 8th grade, and prior to enrollment in Section 504 plans, Title I reading programs, or IEPs

Replaces the current requirement for vision screenings by primary care providers or trained screeners with mandatory certification from an ophthalmologist or optometrist before a child's first school admission

Defines "eye health examination" as an evaluation including vision history, external and internal ophthalmic examination, assessment of visual acuity, ocular alignment, motility, refraction, accommodation, and binocular vision

Allows school districts to institute their own eye health examination programs (with Secretary of Health approval) as an alternative to the standard examination requirements

Takes effect 60 days after enactment and explicitly states schools are not required to provide or pay for comprehensive eye health examinations or treatment for children who fail vision screenings