SC H4630

Requires coroners and medical examiners to include microscopic studies, toxicology tests, and immunization/medical record reviews in autopsies of infants and children who die suddenly and unexpectedly (SIDS, SUID, SDY cases)

Mandates documentation of any immunizations or emergency countermeasures given within 90 days before death and reporting to the national SUID and SDY Case Registry coordinated by the CDC and NIH

Extends similar autopsy and documentation requirements to sudden arrhythmic death syndrome (SADS) cases in individuals of any age, with registry reporting required for those under 20 years old

Establishes escalating penalties for failure to report within 30 days: $1,000 fine for first offense, $5,000 for second offense, and potential suspension or removal for repeated noncompliance by medical examiners

Declares that compliance with reporting requirements constitutes permissible disclosure under HIPAA and state medical privacy laws