Health: local health departments; report regarding immunization levels and exemptions; require local health officer to submit to local governing entity. Amends sec. 9209 of 1978 PA 368 (MCL 333.9209).

HB 5350 requires local health departments to annually report school immunization rates and exemption data to local governing bodies (like city councils). Starting June 1, 2028, health officers must submit detailed, de-identified reports showing overall vaccination levels, medical and non-medical exemption percentages, and list schools with over 5% exemptions along with plans to reduce them. This directly affects schools, health departments, and local governments by increasing transparency around vaccination coverage. The bill amends existing law to strengthen accountability for immunization compliance without changing exemption rules themselves.