Georgia
RULES OF DEPARTMENT OF HUMAN RESOURCES
PUBLIC HEALTH CHAPTER 290-5-4
IMMUNIZATION OF CHILDREN AS A PREREQUISITE
TO ADMISSION TO SCHOOLS AND OTHER FACILITIES
290-5-4-.02 Immunization Required. Amended.
(1) Except as otherwise provided by law or herein specified, immunization as specified by section 290-5-4-.03 of this chapter against the following named diseases, shall be required for entrance into any school or facility operating in the state:
(a) Diphtheria;
(b) Pertussis;
(c) Tetanus;
(d) Poliomyelitis;
(e) Measles;
(f) Rubella;
(g) Mumps;
(h) Haemophilus influenzae type B (Not required on or after 5th birthday);
(i) Hepatitis B;
(j) Varicella;
(k)Pneumococcal (Not required on or after 5th birthday);
(l) Hepatitis A.
(2) For any child attending any school or facility in the state of Georgia for the first time, a parent or guardian must submit a valid certificate of immunization. School or facility officials, for justified reasons, may allow a child to attend for up to 30 calendar days after first admittance without a valid certificate of immunization. Certificates of Immunization are to be issued in accord with the current Official Immunization Schedules. A certificate may be issued for a child who has not received all required immunizations with the conditions that the child is in the process of completing required immunizations and that immunizations are being scheduled with the shortest intervals recommended in the current Official Immunization Schedules. The certificate must be retained and monitored for currency by the school or facility while the child continues in attendance and must be made available for inspection during normal business hours by authorized health authority officials. When a child transfers to another school or facility, the certificate of immunization must be transferred. When a child ceases to attend without transfer, the certificate should be returned to the parent or guardian.
(3) A certificate for a child who is in the process of receiving all required vaccines must have a date of expiration that relates to the date the next required immunization is due or the date on which a medical exemption must be reviewed. A new certificate must then be obtained and submitted to the school or facility within 30 days after the expiration date. Children whose parents fail to renew said certificates within the time allotted shall not be permitted to continue in attendance.
(4) Effective July 1, 2007 for entrance into kindergarten and for new entrants into a
Georgia School, students must have a total of two (2) doses of measles vaccine,
two (2) doses of mumps vaccine, one (1) dose of rubella vaccine and a total of two
(2) doses of varicella (chickenpox) vaccine.
(5) Effective July 1, 2007 for entrance into grade six (6), students must have a total of
two (2) doses of measles vaccine, two (2) doses of mumps vaccine, one (1) dose of rubella vaccine and two (2) doses of varicella (chickenpox) vaccine.
(6) Effective July 1, 2007 children attending any childcare facility (including prekindergarten
programs) must show evidence of protection against pneumococcal
disease.
(7) Effective July 1, 2007 children born on or after January 1, 2006 who are attending childcare facilities (including pre-kindergarten programs) and schools must have proof of protection against hepatitis A disease (vaccination or serology).
(8)Requirements for hepatitis A, hepatitis B, measles, mumps, rubella and varicella vaccines may be waived with serologic proof of immunity. Requirements for varicella vaccine may be waived also with a healthcare provider diagnosis of varicella disease or healthcare provider verification of history of varicella disease.
290-5-4-.07 Epidemics. Amended.
When in the opinion of the Department of Human Resources or local Board of Health an
epidemic or the threat of an epidemic exists, said Department or Board shall immediately,
by the most expedient means notify the governing authorities of all schools and facilities
within the affected area. When the threat of epidemic exists, the health authority may
require immunization for those who object on the grounds of religious beliefs, or may
alternatively prohibit attendance at schools or facilities within the area by unimmunized
children.
See Also: Infants to age 6 mandates & immunizations started at age 7
Also see: daycare
University System of Georgia Immunization Form
Exemptions allowed are Medical and Religious:
Georgia law allows for two types of exemptions from the immunization requirements: medical and religious.
A medical exemption must be marked on the Certificate of Immunization and must be reviewed by a physician once a year. This is indicated by the “Date of Expiration.”
If there is a religious exemption, the parent /guardian must give the facility/school a signed and dated notarized statement or affidavit stating that immunizations are against their religious beliefs. This affidavit should be filed instead of the Certificate of Immunization. The affidavit does not expire.
TITLE 20. EDUCATION CHAPTER 2. ELEMENTARY AND SECONDARY EDUCATION
ARTICLE 16. STUDENTS PART 3. HEALTH
O.C.G.A. § 20-2-771. Immunization of students
d) If, after examination by the local board of health or any physician licensed under the laws of this state or of any other state having comparable laws governing the licensure of physicians, any child to whom this Code section applies is found to have any physical disability which may make vaccination undesirable, a certificate to that effect issued by the local board of health or such physician licensed under the laws of this or such other state may be accepted in lieu of a certificate of immunization and shall exempt the child from the requirement of obtaining a certificate of immunization until the disability is relieved.
(e) This Code section shall not apply to a child whose parent or legal guardian objects to immunization of the child on the grounds that the immunization conflicts with the religious beliefs of the parent or guardian; however, the immunization may be required in cases when such disease is in epidemic stages. For a child to be exempt from immunization on religious grounds, the parent or guardian must first furnish the responsible official of the school or facility an affidavit in which the parent or guardian swears or affirms that the immunization required conflicts with the religious beliefs of the parent or guardian.
(f) During an epidemic or a threatened epidemic of any disease preventable by an immunization required by the Department of Human Resources, children who have not been immunized may be excluded from the school or facility until (1) they are immunized against the disease, unless they present valid evidence of prior disease, or (2) the epidemic or threat no longer constitutes a significant public health danger.
(g) The requirement of a certificate of immunization shall become effective for all children entering or attending facilities on or after April 7, 1981. The certification requirement shall apply to all children entering or attending schools:
(1) On September 1, 1981, for all such children entering or attending kindergarten or the first, ninth, tenth, eleventh, or twelfth grades, or of the equivalent ages if grade divisions are not used;
(2) On September 1, 1982, for all such children entering or attending all grades, or of all ages if grade divisions are not used.
*must be notarized *they can not ask your religion
Hawaii
Daycare/Preschool/Head Start Vaccine Mandates:
Hawaii Administrative Rules Title 11 Department of Health
Chapter 157 Examination and Immunization
§11-157-3.05 Documentation of immunizations.
(a)Documentation of immunizations shall indicate the name of the practitioner responsible for administering or reviewing each immunization and bear the signature of a practitioner or a unique stamp of the practitioner or facility at which the practitioner practices.
(b) Documentation of immunizations shall include the complete date the vaccine was administered. A record with only the month and year of immunization may be accepted for school attendance if it can be determined that each vaccination complied with the minimum interval and age requirements.
(c) Documentation of serologic evidence of immunity may be substituted for a record of immunizations for certain diseases as specified in Exhibit B and Exhibit C. The documentation shall include a laboratory report and certification by a practitioner that the report provides evidence of
immunity to the named disease.
(d) Documentation of a history of varicella (chicken pox) signed by a practitioner as specified in Exhibit B may be substituted for a record of immunization with varicella vaccine.
(e) Documentation of immunizations and evidence of immunity shall be kept with the student’s health record. [Eff and comp 8/27/01] (Auth: HRS §§302A-1162, 321-9, 321-11, 325-13, 325-32) (Imp: HRS §§
302A-1154 through 302A-1156, 321-1, 321-9, 321-11, 325-13, 325-32,
325-33, 325-37)
§11-157-3.2 Tuberculosis examination requirements.
(a) Each student shall be examined for infection with tuberculosis by a practitioner or the department within the twelve months prior to first attending school in Hawaii, except as noted in subsection
(b). The tuberculosis examination requirements for attendance at post-secondary school are as provided in chapter 11-164.
(b) A student first attending school before twelve months of age shall obtain and present a certificate of TB examination prior to age fourteen months or be excluded from school until a certificate of TB examination is obtained and presented.
(c) A certificate of TB examination shall report the results of a Mantoux tuberculin test, including the dates of administration and reading and the transverse diameter of induration in millimeters, and shall bear the
signature or unique stamp of the practitioner, the facility at which the practitioner practices, or the department. If the transverse diameter is equal to or greater than 10 mm., the certificate shall also report the result of a chest x-ray, including the date and location the x-ray was obtained. If the reader of the x-ray or practitioner cannot determine that the student is free from communicable TB, then no certificate shall be issued and the case shall be immediately referred to the department of health.
(d) A person providing written documentation of a prior positive Mantoux tuberculin test result which includes the name of the practitioner or clinic administering the test, the dates of administration and reading and the diameter of induration in millimeters may have a certificate issued based on a chest x-ray without a repeat Mantoux tuberculin test, provided that the certificate shall contain the required information about the positive Mantoux tuberculin test.
(e) A person with a chest x-ray consistent with tuberculosis shall submit to further examination or treatment as deemed necessary by the department to exclude or treat a diagnosis of communicable tuberculosis
before issuance of a valid TB certificate.
(f) A certificate of TB examination issued within 12 months before first attendance at school in Hawaii shall not expire for purposes of school attendance and may be used for transfer or attendance at all schools in Hawaii.
(g) A certificate of TB examination is required for school attendance. Every school shall maintain a copy of each student’s certificate of TB examination while the student is enrolled, shall make that copy available for inspection by the department, and shall transmit a copy of the certificate together with the student’s health record to the school to which a student transfers. [Eff and comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§302A-1162, 321-9, 321-11, 325-13) (Imp: HRS §§302A-901, 302A-1154 through 302A-1163, 321-1, 321-11, 325-71 through 325-84)
Exemptions are Medical and Religious
§11-157-5 Exemptions.
(a) Medical exemptions from the requirements for specific immunizing agents shall be granted upon certification by a physician on the physician’s professional stationery that an immunization is medically contraindicated for a specific period of time. The original certificate shall be provided to the exempt person or parent or guardian. A copy of the certificate shall be maintained in the student’s school health record. Reports of such certificates shall be submitted to the department by each school.
(b) A religious exemption shall be granted to a student whose parent, custodian, guardian, or other person in loco parentis certifies that the person’s religious beliefs prohibit the practice of immunization. Requests for religious exemptions based on objections to specific immunizing agents will not be granted. Students who have reached the age of majority shall apply on their own behalf. The certification shall be retained in the student’s health record. Reports of such exemptions shall be submitted to the department by each school.
(c) If at any time, the director determines that there is the danger or presence of an outbreak or epidemic from any of the communicable diseases for which immunization is required under this chapter, the exemption from immunization against such disease shall not be recognized and inadequately immunized students shall be excluded from school until the director has determined that the presence or danger of the outbreak or epidemic no longer exists. [Eff 11/5/81; am and comp 6/17/93; am and comp 10/23/97; am and
comp 8/27/01] (Auth: HRS §§302A-1162, 321-9, 321-11(22), 325-13, 325-32) (Imp: HRS §§302A-1156, 302A-1157, 321-1, 321-9, 321-11, 325- 13, 325-32, 325-34, 325-35)
§11-157-6 REPEALED [R 10/23/97]
§11-157-6.1 Health examination requirements.
(a) Each student shall present a record of his or her physical examination by a practitioner as specified in subsection (b) before the student first attends school. The examination shall occur within 12 months before the date of first school attendance. The record shall be transferred to subsequent schools attended
by the student, and re-examination is not required.
(b) Results of the examination shall be reported to the school on a form or in a format approved by the department. The report of physical examination shall be signed by the practitioner performing the examination.
(c) The report of physical examination shall be kept with the student’s health record. [Eff and comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§302A-1162, 321-9, 321-11, 325-13, 325-32) (Imp: HRS
§§302A-901, 302A-1154 through 302A-1163, 321-1, 321-9, 321-11, 325-13, 325-32 through 325-38)
§11-157-6.2 Provisional attendance.
(a) A student who does not have evidence of all of the required immunizations or a report of physical
examination may attend school provisionally upon submitting written evidence from a practitioner or the department stating that the student is in the process of receiving required immunizations or physical examination. A physical examination is not required for post-secondary school attendance. An appointment notice from a practitioner’s office or the department shall be recognized as written evidence.
(b) If a preschool or K-12 student does not complete the required immunizations or examination within three months of the date of provisional entry, the school shall notify the parent by dated, written notice
of exclusion that the student will be excluded from the school beginning 30 calendar days after the date of the notice.
(c) Beginning on the school day 30 calendar days after the date of notice of exclusion, the student shall be prohibited from attending school unless and until complete documentation covering the required
immunizations and physical examination is provided to the school.
(d) If all of the required immunizations cannot be completed within three months due to the required minimum intervals between doses or other medical necessity, provisional attendance may be extended as long as evidence is provided that appointments have been made to complete the required immunizations. If a student whose provisional attendance period has been extended fails to keep a scheduled appointment, he or she shall be excluded from school until evidence that the required immunizations have been obtained is presented to the school.
(e) If a post-secondary school student does not complete the required immunizations within 45 days of the date of provisional entry, the school shall exclude the student from all school activities until documentation that the required immunizations have been obtained is provided to the school. [Eff and comp 10/23/97; am and comp 8/27/01] (Auth: HRS §§302A-1162, 321-9, 321-11, 325-13, 325-32) (Imp: HRS §§302A-1155 through 302A-1157, 302A-1159, 302A-1160, 302A-1162, 321-1, 321-9, 321-11, 325-13, 325-32, 325-35, 325-36)
5. Exemptions
a. A medical exemption may be granted by a U.S. licensed Medical Doctor (MD) or Doctor of
Osteopathy (DO) to specific vaccines.
1. A physician must state in writing that giving a specific vaccine or vaccines would endanger
the student’s life or health, and specify the reason based on valid medical contraindications.
2. The physician must state the length of time during which the vaccine would endanger the
student’s life or health.
3. The exemption certification must be signed by the physician on the physician’s printed
stationery.
b. A religious exemption shall be granted if the student’s parent or guardian signs a statement
certifying that the person’s religious beliefs prohibit the practice of immunization.
c. If the Director of Health determines that there is a danger of an outbreak from any of the
diseases for which immunization is required, no exemption shall be recognized and inadequately
immunized students shall be excluded from school until the Director has determined that the
outbreak is over.
d. A copy of each exemption must be kept in the student’s health record at school.
Exceptions to Immunization Requirements
*You must exempt all vaccines
*Religious exemption form can be obtained through the school.
Idaho
GENERAL LAWS TITLE 39. HEALTH AND SAFETY
CHAPTER 11. BASIC DAY CARE LICENSE
Idaho Code § 39-1118 (2007)
§ 39-1118. Immunization required
(1) Within fourteen (14) days of a child’s initial attendance at any licensed day care facility, the parent or guardian shall provide a statement to the operator of the day care facility regarding the child’s immunity to certain childhood diseases. This statement shall provide a certificate signed by a physician or a representative of a health district, that the child has received, or is in the process of receiving immunizations as specified by the board of health and welfare; or can effectively demonstrate, through verification in a form approved by the department of health and welfare, immunity gained through prior contraction of the disease.
Immunizations required and the manner and frequency of their administration shall be as prescribed by the state board of health and welfare and shall conform to recognized standard medical practices in the state. The state board of health and welfare shall promulgate appropriate rules and regulations for the enforcement of the required immunization program and specify reporting requirements of day care centers, pursuant to the provisions of chapter 52, title 67, Idaho Code.
(2) Any minor child whose parent or guardian has submitted to officials of a licensed day care facility a certificate signed by a physician licensed by the state board of medicine stating that the physical condition of the child is such that all or any of the required immunizations would endanger the life or health of the child shall be exempt from the provisions of this section. Any minor child whose parent or guardian has submitted a signed statement to officials of the day care facility stating their objections on religious or other grounds shall be exempt from the provisions of this section.
Daycare and School Age Vaccine Catch-Up Schedule
GENERAL LAWS TITLE 39. HEALTH AND SAFETY
CHAPTER 48. IMMUNIZATION
Idaho Code § 39-4801. Immunization required
Except as provided in section 39-4802, Idaho Code, any child in Idaho of school age may attend grades preschool and kindergarten through twelve of any public, private or parochial school operating in this state if otherwise eligible, provided that upon admission, the parent or guardian shall provide a statement to the school authorities regarding the child’s immunity to certain childhood diseases. This statement shall provide a certificate signed by a physician or his representative, that such child has received, or is in the process of receiving immunizations as specified by the board of health and welfare, or can effectively demonstrate, through verification in a form approved by the department of health and welfare, immunity gained through prior contraction of the disease.
Immunizations required and the manner and frequency of their administration shall be as prescribed by the state board of health and welfare and shall conform to recognized standard medical practices in the state. The state board of health and welfare, in cooperation with the state board of education and the Idaho school boards association, shall promulgate appropriate rules and regulations for the enforcement of the required immunization program and specify reporting requirements of schools, pursuant to the provisions of chapter 52, title 67, Idaho Code.
Exemptions allowed are Medical, Religious and Personal Beliefs
§ 39-4802. Exemptions
(1) Any minor child whose parent or guardian has submitted to school officials a certificate signed by a physician licensed by the state board of medicine stating that the physical condition of the child is such that all or any of the required immunizations would endanger the life or health of the child shall be exempt from the provisions of this chapter.
(2) Any minor child whose parent or guardian has submitted a signed statement to school officials stating their objections on religious or other grounds shall be exempt from the provisions of this chapter.
§ 39-4804. Notification to parent or guardian
Before an immunization is administered to any child in this state, the parent or guardian of the child shall be notified that:
(1) Immunizations are not mandatory and may be refused on religious or other grounds;
(2) Participation in the immunization registry is voluntary;
(3) The parent or guardian is entitled to an accurate explanation of the complications known to follow such immunization.
*selective vaccine exemptions allowed
Illinois
Daycare and School Age Mandates:
TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER i: MATERNAL AND CHILD HEALTH
PART 665 CHILD HEALTH EXAMINATION CODE
SECTION 665.240 BASIC IMMUNIZATION
Section 665.240 Basic Immunization
a) Diphtheria, Pertussis, Tetanus
1) Any child 2 years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) must show proof (see Section 665.250(b)) of having received 4 or more doses of Diphtheria, Tetanus, Pertussis (DTP or DTaP) vaccine. The first 3 doses in the series must have been received no less than 4 weeks (28 days) apart. The interval between the third and fourth or final dose must be at least 6 months.
2) Any child entering school, kindergarten or first grade, for the first time must show proof (see Section 665.250(b)) of having received 4 or more doses of Diphtheria, Tetanus, Pertussis (DTP or DTaP) vaccine with the last dose being a booster and having been received on or after the fourth birthday. The first 3 doses in the series must have been received no less than 4 weeks (28 days) apart. The interval between the third and fourth or final dose must be at least 6 months. Children 6 years of age and older may receive Tetanus, Diphtheria (Td) vaccine in lieu of DTP or DTaP vaccine. Pertussis vaccine is not medically recommended for children 7 years of age or older.
3) Any child entering school at a grade level not included in subsection (a)(1) or (2) of this Section must show proof (see Section 665.250(b)) of receiving 3 or more doses of DTP, DTaP, pediatric DT or adult Tetanus, Diphtheria (Td) with the last dose being a booster and having been received on or after the fourth birthday. The first 2 doses in the series must have been received no less than 4 weeks (28 days) apart. The interval between the second and third or final doses must be at least 6 months.
4) Receipt of pediatric Diphtheria Tetanus (DT) vaccine in lieu of DTP or DTaP is acceptable only if the pertussis component of the vaccine is medically containdicated. Documentation of the medical containdication must be verified as specified in Section 665.520.
5) If 10 years have elapsed since the last booster, an additional Td booster is required. Receipt of Tetanus Toxoid (T.T.) vaccine is not acceptable in fulfilling this requirement.
b) Polio
1) Any child 2 years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) must show proof (see Section 665.250(b)) of having received 3 or more doses of polio vaccine (defined as oral poliovirus vaccine (OPV) or inactivated poliovirus vaccine (IPV)). Doses in the series must have been received no less than 4 weeks (28 days) apart.
2) Any child entering school at any grade level, K-12, must show proof (see Section 665.250(b)) of having received 3 or more doses of polio vaccine (defined as oral poliovirus vaccine (OPV) or inactivated poliovirus vaccine (IPV)). A child who received any combination of IPV and OPV must show proof of having received at least 4 doses, with the last dose having been received on or after the fourth birthday. Doses in the series must have been received no less than 4 weeks (28 days) apart. A child who received IPV exclusively or OPV exclusively must show proof of having received at least 3 doses, with the last dose having been received on or after the fourth birthday. Doses in the series must have been received no less than 4 weeks (28 days) apart.
c) Measles
1) Any child 2 years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) must show proof (see Section 665.250(b)) of having received one dose of live measles virus vaccine on or after the first birthday, or other proof of immunity described in Section 665.250(c).
2) Children entering at any grade level, K-12, must show evidence of having received 2 doses of live measles virus vaccine, the first dose on or after the first birthday and the second dose no less than 4 weeks (28 days) after the first or other proof of immunity described in Section 665.250(c).
3) For students attending school programs where grade levels (K-12) are not assigned, including special education programs, proof of 2 doses of live measles virus vaccine as described in subsection (c)(2) of this Section shall be submitted prior to the school year in which the child reaches the ages of 5, 10, and 15.
d) Rubella
Any child 2 years of age or older entering a school program at any grade level, including nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district, must show proof (see Section 665.250(b)) of receiving at least one dose of rubella vaccine on or after the first birthday. Proof of disease is not acceptable unless laboratory evidence of rubella immunity is presented (see Section 665.250(d)).
e) Mumps
Any child 2 years of age or older entering a school program at any grade level, including nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district, must show proof (see Section 665.250(b)) of receiving at least one dose of mumps vaccine on or after the first birthday. Proof of disease, if verified by a physician licensed to practice medicine in all of its branches, or laboratory evidence of mumps immunity may be substituted for proof of vaccination (see Section 665.250(e)).
f) Haemophilus influenzae type b (Hib)
1) Any child 2 years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) must show proof of immunization that complies with the Hib vaccination schedule in Appendix B of this Part.
2) Children 24-59 months of age who have not received the primary series of Hib vaccine, according to the Hib vaccination schedule, must show proof of receiving one dose of Hib vaccine at 15 months of age or older.
3) Any child 5 years of age or older shall not be required to provide proof of immunization with Hib vaccine.
g) Hepatitis B
1) Any child 2 years of age or older entering a school program (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) must show proof (see Section 665.250(b)) of having received 3 doses of hepatitis B vaccine. The first 2 doses must have been received no less than 4 weeks (28 days) apart. The interval between the second and third dose must be at least 2 months. For children entering a school program for the first time on or after July 1, 2002, the interval between the first dose and the third dose must be at least 4 months. The third dose must have been administered on or after 6 months of age. Proof of prior or current infection, if verified by laboratory evidence, may be substituted for proof of vaccination (see Section 665.250(f)).
2) Children entering the fifth grade for the first time between July 1997 and June 30, 2002 must show evidence of having received 3 doses of hepatitis B vaccine. The first 2 doses must have been received no less than 4 weeks (28 days) apart. The interval between the second and third dose must be at least 2 months. Proof of prior or current infection, if verified by laboratory evidence, may be submitted for proof of vaccination (see Section 665.250(f)).
3) Children entering the fifth grade for the first time on or after July 1, 2002 must show evidence of having received 3 doses of hepatitis B vaccine, or other proof of immunity described in Section 665.250(f). The first 2 doses must have been received no less than 4 weeks (28 days) apart. The interval between the second and third dose must be at least 2 months. The interval between the first and third dose must be at least 4 months. Proof of prior or current infection, if verified by laboratory evidence, may be submitted for proof of vaccination (see Section 665.250(f)).
4) The third dose of hepatitis B vaccine is not required if it can be documented that the child received 2 doses of adult formulation Recombivax-HB vaccine (10 mcg) and was 11-15 years of age at the time of vaccine administration, and the interval between receipt of the 2 doses was at least 4 months.
h) Varicella
1) Any child 2 years of age or older entering a school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergrten child care programs offered or operated by a school or school district) for the first time on or after July 1, 2002, must show proof (see Section 665.250(b)) of having received one dose of varicella vaccine on or after the first birthday, proof of prior varicella disease as described in Section 665.250(g), or laboratory evidence of varicella immunity.
2) Children entering kindergarten for the first time on or after July 1, 2002, must show proof of having received at least one dose of varicella vaccine on or after the first birthday, proof of prior varicella disease as described in Section 665.250(g), or laboratory evidence of varicella immunity.
3) For students attending school programs where grade levels are not assigned, proof of having received at least one dose of varicella vaccine on or after the first birthday or other proof of immunity as described in subsection (h)(2) of this Section shall be submitted prior to the school year in which the child reaches the age of 5.
CHAPTER 105. SCHOOLS COMMON SCHOOLS
SCHOOL CODE ARTICLE 27. COURSES OF STUDY-SPECIAL INSTRUCTION
105 ILCS 5/27-8.1. Health examinations and immunizations
Sec. 27-8.1. Health examinations and immunizations.
(1) In compliance with rules and regulations which the Department of Public Health shall promulgate, and except as hereinafter provided, all children in Illinois shall have a health examination as follows: within one year prior to entering kindergarten or the first grade of any public, private, or parochial elementary school; upon entering the fifth and ninth grades of any public, private, or parochial school; prior to entrance into any public, private, or parochial nursery school; and, irrespective of grade, immediately prior to or upon entrance into any public, private, or parochial school or nursery school, each child shall present proof of having been examined in accordance with this Section and the rules and regulations promulgated hereunder.
A tuberculosis skin test screening shall be included as a required part of each health examination included under this Section if the child resides in an area designated by the Department of Public Health as having a high incidence of tuberculosis. Additional health examinations of pupils, including dental and vision examinations, may be required when deemed necessary by school authorities. Parents are encouraged to have their children undergo dental examinations at the same points in time required for health examinations.
*Provisions:
(5) If a child does not submit proof of having had either the health examination or the immunization as required, then the child shall be examined or receive the immunization, as the case may be, and present proof by October 15 of the current school year, or by an earlier date of the current school year established by a school district. To establish a date before October 15 of the current school year for the health examination or immunization as required, a school district must give notice of the requirements of this Section 60 days prior to the earlier established date. If for medical reasons one or more of the required immunizations must be given after October 15 of the current school year, or after an earlier established date of the current school year, then the child shall present, by October 15, or by the earlier established date, a schedule for the administration of the immunizations and a statement of the medical reasons causing the delay, both the schedule and the statement being issued by the physician, advanced practice nurse, physician assistant, registered nurse, or local health department that will be responsible for administration of the remaining required immunizations. If a child does not comply by October 15, or by the earlier established date of the current school year, with the requirements of this subsection, then the local school authority shall exclude that child from school until such time as the child presents proof of having had the health examination as required and presents proof of having received those required immunizations which are medically possible to receive immediately. During a child’s exclusion from school for noncompliance with this subsection, the child’s parents or legal guardian shall be considered in violation of Section 26-1 [105 ILCS 5/26-1 and subject to any penalty imposed by Section 26-10 [105 ILCS 5/26-10].
Exemptions are Medical and Religious:
CHAPTER 105. SCHOOLS COMMON SCHOOLS
SCHOOL CODE ARTICLE 27. COURSES OF STUDY-SPECIAL INSTRUCTION
105 ILCS 5/27-8.1. Health examinations and immunizations
Sec. 27-8.1. Health examinations and immunizations.
(8) Parents or legal guardians who object to health examinations or any part thereof, or to immunizations, on religious grounds shall not be required to submit their children or wards to the examinations or immunizations to which they so object if such parents or legal guardians present to the appropriate local school authority a signed statement of objection, detailing the grounds for the objection. If the physical condition of the child is such that any one or more of the immunizing agents should not be administered, the examining physician, advanced practice nurse, or physician assistant responsible for the performance of the health examination shall endorse that fact upon the health examination form. Exempting a child from the health examination does not exempt the child from participation in the program of physical education training provided in Sections 27-5 through 27-7 of this Code [105 ILCS 5/27-5 through 105 ILCS 5/27-7].
REGULATION CHAPTER 225. PROFESSIONS AND OCCUPATIONS
225 ILCS 10/: CHILD CARE ACT OF 1969
225 ILCS 10/7 (2006)
(h) Any standards involving physical examinations, immunization, or medical treatment shall include appropriate exemptions for children whose parents object thereto on the grounds that they conflict with the tenets and practices of a recognized church or religious organization, of which the parent is an adherent or member, and for children who should not be subjected to immunization for clinical reasons.
TITLE 77: PUBLIC HEALTH CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER k: COMMUNICABLE DISEASE CONTROL AND IMMUNIZATIONS
PART 695 IMMUNIZATION CODE
SECTION 695.30 EXCEPTIONS (Source: Amended at 20 Ill. Reg. 11962, effective August 15, 1996)
Section 695.30 Exceptions
a) The provisions of this Act shall not apply if:
1) The parent or guardian of the child objects thereto on the grounds that the administration of immunizing agents conflicts with his or her religious tenets or practices, or
2) A physician licensed to practice medicine in all its branches states in writing that the physical condition of the child is such that the administration of one or more of the required immunizing agents is medically contraindicated.
b) If a religious objection is made, a written and signed statement from the parent or legal guardian detailing such objections must be presented to the child care facility or local school authority. The religious objection statement shall be considered valid if:
1) The parent or guardian of a child entering a child care facility objects to the immunization(s) on the grounds that they conflict with the tenets and practices of a recognized church or religious organization of which the parent is an adherent or member; or
2) The objection by the parent or guardian of a child entering school (including programs under the kindergarten level) sets forth the specific religious belief which conflicts with the immunization(s). The religious objection may be personal and need not be directed by the tenets of an established religious organization.
c) It is not the intent of this Part that any child whose parents comply with the intent of this Act should be excluded from a child care facility or school. A child or student shall be considered to be in compliance with the law if there is evidence of the intent to comply. Such evidence may be a signed statement from the physician that he has begun, or will begin, the necessary immunization procedures, or the parent’s or guardian’s written consent for the child’s participation in a school or other community immunization program.
College:
EDUCATION CHAPTER 110. HIGHER EDUCATION
110 ILCS/20: COLLEGE STUDENT IMMUNIZATION ACT
Sec. 3. Exceptions.
(a) The provisions of this Act shall not apply to: (1) persons enrolled in a post-secondary educational institution on or before the effective date of this Act; (2) persons enrolled less than half-time during a term or semester; or (3) persons whose instruction solely involves research, field work or study outside of a classroom environment.
(b) No proof of immunization shall be required if a physician licensed to practice medicine in all of its branches certifies that any immunization required by the Department is medically contraindicated.
(c) No proof of immunization shall be required if the person or his or her parent or guardian presents a signed statement that he or she objects to immunizations on religious grounds.
(d) The certificate of medical exemption or statement of religious objection required by this Section shall be presented to the post-secondary educational institution. (Source: P.A. 85-1315; 86-1406.)
Indiana
Daycare Vaccine Mandates:
Preschool and School Age Vaccine Mandates:
See Also: Question and Answer and Minimal Requirements
TITLE 20. EDUCATION ARTICLE 34. STUDENT HEALTH AND SAFETY MEASURES
CHAPTER 4. IMMUNIZATIONS
IC 20-34-4-3 Notification; provision of information to parents
Sec. 3. (a) Each school shall notify each parent of a student who enrolls in the school of the requirement that the student must be immunized and that the immunization is required for the student’s continued enrollment, attendance, or residence at the school unless:
(1) the parent or student provides the appropriate documentation of
immunity;
(2) for chicken pox, the parent or student provides a written signed statement that the student has indicated a history of chicken pox; or
(3) IC 20-34-3-2 or IC 20-34-3-3 applies.
(b) A school that enrolls grade 6 female students shall provide each parent of a female student who is entering grade 6 with information prescribed by the state department of health under subsection (c) concerning the link between cervical cancer and the human papillomavirus (HPV) infection and that an immunization against the human papillomavirus (HPV) infection is available.
(c) The state department of health shall provide a school described in subsection (b) with the information concerning cervical cancer and the human papillomavirus (HPV) infection required in subsection (b). The information must include the following:
(1) The latest scientific information on the immunization against the human papillomavirus (HPV) infection and the immunization’s effectiveness against causes of cervical cancer.
(2) That a pap smear is still critical for the detection of precancerous changes in the cervix to allow for treatment before cervical cancer develops.
(3) Information concerning the means in which the human papillomavirus (HPV) infection is contracted.
(4) A statement that any questions or concerns concerning immunizing the child against human papillomavirus (HPV) could be answered by contacting a health care provider.
IC 20-34-4-5 (2007) IC 20-34-4-5
Statement of immunization history; waiver; rules
Sec. 5. (a) Each school shall require the parent of a student who has enrolled in the school to furnish not later than the first day of school a written statement of the student’s immunization, accompanied by the physician’s certificates or other documentation, unless a written statement of this nature is on file with the school.
(b) The statement must show, except for a student to whom IC 20-34-3-2 or IC 20-34-3-3 applies, that the student has been immunized as required under section 2 of this chapter. The statement must include the student’s date of birth and the date of each immunization.
(c) A student may not be permitted to attend school beyond the first day of school without furnishing the written statement, unless:
(1) the school gives the parent of the student a waiver; or
(2) the local health department or a physician determines that the student’s immunization schedule has been delayed due to extreme circumstances and that the required immunizations will not be completed before the first day of school.
The waiver referred to in subdivision (1) may not be granted for a period that exceeds twenty (20) days. If subdivision (2) applies, the parent of the student shall furnish the written statement and a schedule, approved by a physician or the local health department, for the completion of the remainder of the immunizations.
(d) The state department of health may commence an action against a school under IC 4-21.5-3-6 or IC 4-21.5-4 for the issuance of an order of compliance for failure to enforce this section.
(e) Neither a religious objection under IC 20-34-3-2 nor an exception for the student’s health under IC 20-34-3-3 relieves a parent from the reporting requirements under this section.
(f) The state department of health shall adopt rules under IC 4-22-2 to implement this section.
TITLE 12. HUMAN SERVICES ARTICLE 17.2 DAY CARE REGULATION
CHAPTER 3.5 ELIGIBILITY OF CHILD CARE PROVIDER TO RECEIVE REIMBURSEMENT
THROUGH VOUCHER PROGRAM
IC 12-17.2-3.5-11.1 Immunizations
Sec. 11.1. (a) After December 31, 2002, a provider shall maintain and annually update documentation provided by the physician of each child who is cared for in a facility where the provider operates a child care program that the child has received complete age appropriate immunizations, including:
(1) conjugated pneumococcal vaccine; and
(2) varicella vaccine or a demonstrated immunity to varicella. The state department of health shall determine for each age level the immunizations that constitute complete age appropriate immunizations.
(b) A provider meets the requirement of subsection (a) if:
(1) a child’s parent:
(A) objects to immunizations for religious reasons; and
(B) provides documentation of the parent’s objection;
(2) the child’s physician provides documentation of a medical reason the child should not be immunized; or
(3) the child’s physician provides documentation that the child is currently in the process of receiving complete age appropriate immunizations; and the provider maintains and annually updates the documentation provided by the parent or physician under this subsection.
TITLE 12. HUMAN SERVICES ARTICLE 17.2. DAY CARE REGULATION
CHAPTER 6. REGULATION OF CHILD CARE MINISTRIES
IC 12-17.2-6-11 Immunization of children
Sec. 11. (a) The parent or guardian of a child shall, when the child is enrolled in a child care ministry, provide the child care ministry with proof that the child has received the required immunizations against the following:
(1) Diphtheria.
(2) Whooping cough.
(3) Tetanus.
(4) Measles.
(5) Rubella.
(6) Poliomyelitis.
(7) Mumps.
(b) A child enrolled in a child care ministry may not be required to undergo an immunization required under this section if the parents object for religious reasons. The objection must be:
(1) made in writing;
(2) signed by the child’s parent or guardian; and
(3) delivered to the child care ministry.
(c) If a physician certifies that a particular immunization required by this section is or may be detrimental to the child’s health, the requirements of this section for that particular immunization are inapplicable to that child until the immunization is found to be no longer detrimental to the child’s health.
Exemptions for Medical and Religious:
TITLE 20. EDUCATION ARTICLE 34. STUDENT HEALTH AND SAFETY MEASURES
CHAPTER 3. HEALTH AND SAFETY MEASURES
IC 20-34-3-2 Religious objections
Sec. 2. (a) Except as otherwise provided, a student may not be required to undergo any testing, examination, immunization, or treatment required under this chapter or IC 20-34-4 when the child’s parent objects on religious grounds. A religious objection does not exempt a child from any testing, examination, immunization, or treatment required under this chapter or IC 20-34-4 unless the objection is:
(1) made in writing;
(2) signed by the child’s parent; and
(3) delivered to the child’s teacher or to the individual who might order a test, an exam, an immunization, or a treatment absent the objection.
(b) A teacher may not be compelled to undergo any testing, examination, or treatment under this chapter or IC 20-34-4 if the teacher objects on religious grounds. A religious objection does not exempt an objecting individual from any testing, examination, or treatment required under this chapter or IC 20-34-4 unless the objection is:
(1) made in writing;
(2) signed by the objecting individual; and
(3) delivered to the principal of the school in which the objecting individual teaches.
§ 20-34-3-3 Exception for student’s health
Sec. 3. If a physician certifies that a particular immunization required by this chapter or IC 20-34-4 is or may be detrimental to a student’s health, the requirements of this chapter or IC 20-34-4 for that particular immunization is inapplicable for the student until the immunization is found no longer detrimental to the student’s health.
College:
TITLE 21. HIGHER EDUCATION ARTICLE 40. STATE EDUCATIONAL INSTITUTIONS: ADMISSION STANDARDS
CHAPTER 5. IMMUNIZATION REQUIREMENTS AT STATE EDUCATIONAL INSTITUTIONS
IC 21-40-5-6 Religious objections
Sec. 6. (a) Except as otherwise provided, a student may not be required to undergo testing, examination, immunization, or treatment required under this chapter when the student objects on religious grounds.
(b) A religious objection does not exempt a student from testing, examination, immunization, or treatment required under this chapter unless the request for an exemption is:
(1) made in writing;
(2) signed by the student; and
(3) delivered to the individual who might order a test, an examination, an immunization, or a treatment absent the religious objection.
IC 21-40-5-4
Exemption from immunization
Sec. 4. An exemption relieving a student from the requirements of section 3 of this chapter may be accepted by the state educational institution as part of the documentation of exemption for the following reasons:
(1) If a health care provider makes a written statement indicating the nature and probable duration of a medical condition or circumstances that contraindicate an immunization, identifying the specific vaccine that could be detrimental to the student’s health.
(2) If pregnancy or suspected pregnancy is certified in a written statement from a health care provider.
(3) If a health care provider provides written documentation that the student is in the course of completing an approved schedule of all necessary doses of the vaccines required for the diseases listed in section 2 of this chapter.
If the student’s medical condition or circumstances subsequently permit immunization, the exemptions granted by this section terminate and the student shall obtain the immunizations from which the student has been exempted. As added by P.L.2-2007, SEC.281.
Iowa
Daycare and School Age Vaccine Mandates:
TITLE IV PUBLIC HEALTH. SUBTITLE 2. HEALTH-RELATED ACTIVITIES.
CHAPTER 139A. COMMUNICABLE AND INFECTIOUS DISEASES AND POISONINGS
SUBCHAPTER I. GENERAL PROVISIONS
Iowa Code 139A.8 Immunization of children.
1. A parent or legal guardian shall assure that the person’s minor children residing in the state are adequately immunized against diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, and varicella, according to recommendations provided by the department subject to the provisions of subsections 3 and 4.
2. a. A person shall not be enrolled in any licensed childcare center or elementary or secondary school in Iowa without evidence of adequate immunizations against diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella and varicella.
b. Evidence of adequate immunization against haemophilus influenza B shall be required prior to enrollment in any licensed childcare center.
c. Evidence of hepatitis type B immunization shall be required of a child born on or after July 1, 1994, prior to enrollment in school in kindergarten or in a grade.
d. Immunizations shall be provided according to recommendations provided by the department subject to the provisions of subsections 3 and 4.
3. Subject to the provision of subsection 4, the state board of health may modify or delete any of the immunizations in subsection 2.
4. Immunization is not required for a person’s enrollment in any elementary or secondary school or licensed child care center if either of the following applies:
a. The applicant, or if the applicant is a minor, the applicant’s parent or legal guardian, submits to the admitting official a statement signed by a physician, advanced registered nurse practitioner, or physician assistant who is licensed by the state board of medical examiners, board of nursing or board of physican examiners that, the immunizations required would be injurious to the health and well-being of the applicant or any member of the applicant’s family.
b. The applicant, or if the applicant is a minor, the applicant’s parent or legal guardian, submits an affidavit signed by the applicant, or if the applicant is a minor, the applicant’s parent or legal guardian, stating that the immunization conflicts with the tenets and practices of a recognized religious denomination of which the applicant is an adherent or member.
The exemptions under this subsection do not apply in times of emergency or epidemic as determined by the state board of health and as declared by the director of public health.
5. A person may be provisionally enrolled in an elementary or secondary school or licensed child care center if the person has begun the required immunizations and if the person continues to receive the necessary immunizations as rapidly as is medically feasible. The department shall adopt rules relating to the provisional admission of persons to an elementary or secondary school or licensed childcare center.
Iowa Code § 139A.26 Meningococcal disease vaccination information for postsecondary students.
1. Each institution of higher education that has an on-campus residence hall or dormitory shall provide vaccination information on meningococcal disease to each student enrolled in the institution. The vaccination information shall be contained on student health forms provided to each student by the institution, which forms shall include space for the student to indicate whether or not the student has received the vaccination against meningococcal disease. The vaccination information about meningococcal disease shall include any recommendations issued by the national centers for disease control and prevention regarding the disease. Vaccination information obtained under this section that is in the possession of an institution of higher education pursuant to this section shall not be considered a public record. Data obtained under this section shall be submitted annually to the department in a manner prescribed by the department and such that no individual person can be identified.
2. This section shall not be construed to require any institution of higher education to provide the vaccination against meningococcal disease to students.
3. This section shall not apply if the national centers for disease control and prevention no longer recommend the meningococcal disease vaccine.
4. This section does not create a private right of action.
PUBLIC HEALTH DEPARTMENT. CHAPTER 7. IMMUNIZATION AND IMMUNIZATION EDUCATION: PERSONS ATTENDING ELEMENTARY OR SECONDARY SCHOOLS, LICENSED CHILD CARE CENTERS OR INSTITUTIONS OF HIGHER EDUCATION
641-7.2(139A) Persons included.
The immunization requirements specified elsewhere in these rules apply to all persons enrolled or attempting to enroll in a licensed child care center or a public or nonpublic elementary or secondary school in Iowa including those who are provided competent private instruction
Iowa Immunization Certificate Form
Exemptions allowed are Medical and Religious
PUBLIC HEALTH DEPARTMENT. CHAPTER 7. IMMUNIZATION AND IMMUNIZATION EDUCATION: PERSONS ATTENDING ELEMENTARY OR SECONDARY SCHOOLS, LICENSED CHILD CARE CENTERS OR INSTITUTIONS OF HIGHER EDUCATION
641-7.3(139A) Persons excluded.
Exclusions to these rules are permitted on an individual basis for medical and religious reasons. Applicants approved for medical or religious exemptions shall submit to the admitting official a valid Iowa department of public health certificate of immunization exemption.
7.3(1) A medical exemption may be granted to an applicant when, in the opinion of a physician, nurse practitioner, or physician assistant, the required immunizations would be injurious to the health and well-being of the applicant or any member of the applicant’s family or household. A medical exemption may apply to a specific vaccine(s) or all required immunizations. A certificate of immunization exemption for medical reasons is valid only when signed by a physician, nurse practitioner, or physician assistant. If, in the opinion of the physician, nurse practitioner, or physician assistant issuing the medical exemption, the exemption should be terminated or reviewed at a future date, an expiration date shall be recorded on the certificate of immunization exemption.
7.3(2) A religious exemption may be granted to an applicant if immunization conflicts with a genuine and sincere religious belief. A certificate of immunization exemption for religious reasons shall be signed by the applicant or, if the applicant is a minor, by the parent or guardian or legally authorized representative and shall attest that immunization conflicts with a genuine and sincere religious belief and that the belief is in fact religious, and not based merely on philosophical, scientific, moral, personal, or medical opposition to immunizations. The certificate of immunization exemption for religious reasons is valid only when notarized. Religious exemptions shall become null and void during times of emergency as determined by the state board of health and declared by the director of public health.
Medical and Religious Exemption Form
PUBLIC HEALTH DEPARTMENT. CHAPTER 7. IMMUNIZATION AND IMMUNIZATION EDUCATION: PERSONS ATTENDING ELEMENTARY OR SECONDARY SCHOOLS, LICENSED CHILD CARE CENTERS OR INSTITUTIONS OF HIGHER EDUCATION
641-7.7(139A) Provisional enrollment.
7.7(1) Applicants who have begun but not completed the required immunizations may be granted provisional enrollment. To qualify for provisional enrollment, applicants shall have received at least one dose of each of the required vaccines or be a transfer student from another school system. A transfer student is an applicant seeking enrollment from one United States elementary or secondary school into another. Applicants shall submit a valid Iowa department of public health provisional certificate of immunization to the admitting official of the school or licensed child care center in which the applicant wishes to be provisionally enrolled. To be valid, the provisional certificate shall be signed by a physician, a physician assistant, a nurse, or a certified medical assistant directed to sign by a supervising physician, physician assistant, or nurse practitioner. Persons validating the provisional certificate of immunization are not held responsible for the accuracy of the information used to validate the provisional certificate of immunization if the information is from sources other than their own records or personal knowledge.
a. Any person wishing to be provisionally enrolled who does not have a valid Iowa department of public health provisional certificate of immunization to submit to the admitting official shall be referred to a physician, a physician assistant, a nurse, or a certified medical assistant directed by a supervising physician, physician assistant, or nurse practitioner to obtain a valid certificate.
b. Reserved.
7.7(2) The amount of time allowed for provisional enrollment shall be as soon as medically feasible but shall not exceed 60 calendar days. The period of provisional enrollment shall begin on the date the provisional certificate is signed. The person signing the provisional certificate shall assign an expiration date to the certificate and shall indicate the remaining immunizations required to qualify for a certificate of immunization.
7.7(3) The applicant or parent or guardian shall ensure that the applicant receive the necessary immunizations during the provisional enrollment period and shall submit a certificate of immunization to the admitting official by the end of the provisional enrollment period.
7.7(4) If the applicant has not submitted a certificate of immunization by 10 calendar days prior to the expiration of the provisional enrollment, the admitting official shall notify the applicant, or if the applicant is a minor, the minor’s parents or guardian, in writing of the impending expiration of provisional enrollment and invite the applicant and parents or guardian for a conference to discuss the rules regarding provisional enrollment.
7.7(5) If at the end of the provisional enrollment period the applicant or parent or guardian has not submitted a certificate of immunization, the admitting official shall immediately exclude the applicant from the benefits, activities, and opportunities of the school or licensed child care center until the applicant or parent or guardian submits a valid certificate of immunization.
7.7(6) If at the end of the provisional enrollment period the applicant has not completed the required immunizations due to minimum interval requirements, the provisional enrollment may be extended if the applicant or parent or guardian submits another Iowa department of public health provisional certificate of immunization.
Kansas
Daycare and School Age Vaccine Mandates
K.S.A. § 72-5209. Health tests and inoculations; certification of completion required, alternatives; duties of school boards.
(a) In each school year, every pupil enrolling or enrolled in any school for the first time in this state, and each child enrolling or enrolled for the first time in a preschool or day care program operated by a school, and such other pupils as may be designated by the secretary, prior to admission to and attendance at school, shall present to the appropriate school board certification from a physician or local health department that the pupil has received such tests and inoculations as are deemed necessary by the secretary by such means as are approved by the secretary. Pupils who have not completed the required inoculations may enroll or remain enrolled while completing the required inoculations if a physician or local health department certifies that the pupil has received the most recent appropriate inoculations in all required series. Failure to timely complete all required series shall be deemed non-compliance.
(b) As an alternative to the certification required under subsection (a), a pupil shall present:
(1) An annual written statement signed by a licensed physician stating the physical condition of the child to be such that the tests or inoculations would seriously endanger the life or health of the child, or
(2) a written statement signed by one parent or guardian that the child is an adherent of a religious denomination whose religious teachings are opposed to such tests or inoculations.
(c) On or before May 15 of each school year, the school board of every school affected by this act shall notify the parents or guardians of all known pupils who are enrolled or who will be enrolling in the school of the provisions this act and any policy regarding the implementation of the provisions of this act adopted by the school board.
(d) If a pupil transfers from one school to another, the school from which the pupil transfers shall forward with the pupil’s transcript the certification or statement showing evidence of compliance with the requirements of this act to the school to which the pupil transfers.
*Update: Students in sixth through ninth grades will need three doses of hepatitis B vaccine that previously were required only for pupils in kindergarten through fifth grade. All students will be required to have those vaccinations for the 2010-11 school year.
Kindergartners will need two doses of the varicella, or chickenpox, vaccine, one more than is currently required. And students in grades six through nine will have to have at least one dose of the vaccine, which previously was required only through fifth grade.
All students will have to get two doses of chickenpox vaccine in 2010-11.
Exemptions allowed are Medical and Religious
Daycare: Medical and Religious Exemption Form
School Age: Medical Exemption Form
School Age Religious Form-None. Religious objection can be written, signed, and given to the appropriate school official.
CHAPTER 65. PUBLIC HEALTH. ARTICLE 5. MATERNITY AND CHILD CARE FACILITIES
K.S.A. § 65-508. Equipment, supplies, accommodations; immunizations.
(d) Each child cared for in a child care facility, including children of the person maintaining the facility, shall be required to have current such immunizations as the secretary of health and environment considers necessary. The person maintaining a child care facility shall maintain a record of each child’s immunizations and shall provide to the secretary of health and environment such information relating thereto, in accordance with rules and regulations of the secretary, but the person maintaining a child care facility shall not have such person’s license revoked solely for the failure to have or to maintain the immunization records required by this subsection.
(e) The immunization requirement of subsection (d) shall not apply if one of the following is obtained:
(1) Certification from a licensed physician stating that the physical condition of the child is such that immunization would endanger the child’s life or health; or
(2) a written statement signed by a parent or guardian that the parent or guardian is an adherent of a religious denomination whose teachings are opposed to immunizations.
K.S.A. § 65-519. Certificate of registration; conditions; application for; immunizations; renewal; fees.
(c) (1) Each child cared for in a family day care home, including children of the person maintaining the home, shall be required to have current such immunizations as the secretary of health and environment considers necessary. The person maintaining a family day care home shall maintain a record of each child’s immunizations, and shall provide to the secretary of health and environment such information relating thereto, in accordance with rules and regulations of the secretary, but the person maintaining a family day care home shall not have such person’s certificate of registration revoked solely for the failure to have or to maintain the immunization records required by this subsection.
(2) The immunization requirement of subsection (c)(1) shall not apply if one of the following is obtained:
(A) Certification from a licensed physician stating that the physical condition of the child is such that immunization would endanger the child’s life or health; or
(B) a written statement signed by a parent or guardian that the parent or guardian is an adherent of a religious denomination whose teachings are opposed to immunizations.
K.S.A. § 65-531. Immunization information and records; disclosure.
On and after July 1, 1996: (a) Except as provided further, information and records which pertain to the immunization status of persons against childhood diseases as required by K.S.A. 65-508 and 65-519, and amendments thereto, may be disclosed and exchanged without a parent or guardian’s written release authorizing such disclosure, to the following, who need to know such information to assure compliance with state statutes or to achieve age appropriate immunization status for children:
(1) Employees of public agencies or departments;
(2) health records staff of child care facilities and family day care homes, including, but not limited to, facilities licensed by the secretary of health and environment;
(3) persons other than public employees who are entrusted with the regular care of those under the care and custody of a state agency including, but not limited to, operators of day care facilities, group homes, residential care facilities and adoptive or foster homes; and
(4) health care professionals.
(b) Notwithstanding K.S.A. 60-427 and amendments thereto or any other Kansas statute which provides for privileged information between a patient and a health care provider, there shall be no privilege preventing the furnishing of information and records as authorized by this section by any health care provider.
(c) Information and records which pertain to the immunization status of persons against childhood diseases as required by K.S.A. 65-508 and 65-519, and amendments thereto, whose parent or guardian has submitted a written statement of religious objection to immunization as provided in K.S.A. 65-508 or 65-519, and amendments thereto, may not be disclosed or exchanged without a parent or guardian’s written release authorizing such disclosure.
* Your religious statement can be challenged due to the way the law is written “…adherent of a religious denomination whose teachings are opposed to immunizations.”
*Contact a coalition for more information on how to proceed as it can be considered unconstitutional.
Kentucky
Daycare and School Age Vaccine mandates:
Immunization Certificate for Daycare and School Age
TITLE XIII. EDUCATION. CHAPTER 158. CONDUCT OF SCHOOLS — SPECIAL PROGRAMS. CONDUCT OF SCHOOLS
KRS § 158.035. Certificate of immunization
Except as provided in KRS 214.036, no child shall be eligible to enroll as a student in any public or private elementary or secondary school without first presenting a certificate from a medical or osteopathic physician licensed in any state. The certificate shall state that the child has been immunized against diphtheria, tetanus, poliomyelitis, rubeola, and rubella in accordance with the provisions of this section and KRS 214.010, 214.020, 214.032 to 214.036, and 214.990 and the regulations of the secretary for health and family services. The governing body of private and public schools shall enforce the provisions of this section.
TITLE XVIII. PUBLIC HEALTH. CHAPTER 214. DISEASES. GENERAL PROVISIONS
KRS § 214.034. Immunization of children — Testing and treatment of children for tuberculosis — Requirement for reception and retention of current immunization certificate by schools and child-care facilities. Except as otherwise provided in KRS 214.036:
(1) All parents, guardians, and other persons having care, custody, or control of any child shall have the child immunized against diphtheria, tetanus, poliomyelitis, pertussis, measles, rubella, mumps, hepatitis B, and haemophilis influenzae disease in accordance with testing and immunization schedules established by regulations of the Cabinet for Health and Family Services. Additional immunizations may be required by theCabinet for Health and Family Services through the promulgation of an administrative regulation pursuant to KRS Chapter 13A if recommended by the United States Public Health Service or the American Academy of Pediatrics. All parents, guardians, and other persons having care, custody, or control of any child shall also have any child found to be infected with tuberculosis examined and treated according to administrative regulations of theCabinet for Health and Family Services promulgated under KRS Chapter 13A. The persons shall also have booster immunizations administered to the child in accordance with the regulations of the Cabinet for Health and Family Services.
(2) A local health department may, with the approval of the Department of Public Health, require all first-time enrollees in a public or private school within the health department’s jurisdiction to be tested for tuberculosis prior to entering school. Following the first year of school, upon an epidemiological determination made by the state or local health officer in accordance with administrative regulations promulgated by theCabinet for Health and Family Services, all parents, guardians, and other persons having care, custody, or control of any child shall have the child tested for tuberculosis, and shall have any child found to be infected with tuberculosis examined and treated according to administrative regulations of the Cabinet for Health and Family Services. Nothing in this section shall be construed to require the testing for tuberculosis of any child whose parent or guardian is opposed to such testing, and who objects by a written sworn statement to the testing for tuberculosis of the child on religious grounds. However, in a suspected case of tuberculosis, a local health department may require testing of this child.
(3) All public or private primary or secondary schools, and preschool programs shall require a current immunization certificate for any child enrolled as a regular attendee, as provided by administrative regulation of the Cabinet for Health and Family Services, promulgated under KRS Chapter 13A, to be on file within two (2) weeks of the child’s attendance.
(4) All public or private primary schools shall require a current immunization certificate for hepatitis B for any child enrolled as a regular attendee in the sixth grade, as provided by administrative regulation of the Cabinet for Health and Family Services, promulgated under KRS Chapter 13A, to be on file within two (2) weeks of the child’s attendance. This provision shall sunset following the 2008-2009 school year unless otherwise authorized by the General Assembly.
(5) For each child cared for in a day-care center, certified family child-care home, or any other licensed facility which cares for children, a current immunization certificate, as provided by administrative regulation of the Cabinet for Health and Family Services, promulgated under KRS Chapter 13A, shall be on file in the center, home, or facility within thirty (30) days of entrance into the program or admission to the facility.
(6) Any forms relating to exemption from immunization requirements shall be available at public or private primary or secondary schools, preschool programs, day-care centers, certified family child-care homes, or other licensed facilities which care for children.
KRS § 214.036 Exceptions to testing or immunization requirement
Nothing contained in KRS 158.035, 214.010, 214.020, 214.032 to 214.036, and 214.990 shall be construed to require the testing for tuberculosis or the immunization of any child at a time when, in the written opinion of his attending physician, such testing or immunization would be injurious to the child’s health. Nor shall KRS 158.035, 214.010, 214.020, 214.032 to 214.036, and 214.990 be construed to require the immunization of any child whose parents are opposed to medical immunization against disease, and who object by a written sworn statement to the immunization of such child on religious grounds. Provided, however, that in the event of an epidemic in a given area, the Cabinet for Health and Family Services may, in an emergency regulation, require the immunization of all persons within the area of the epidemic, against the disease responsible for such epidemic.
Exemptions allowed are Medical and Religious
*selective vaccines to exempt are allowable
TITLE 902. CABINET FOR HEALTH AND FAMILY SERVICES. DEPARTMENT FOR PUBLIC HEALTH. CHAPTER 2. COMMUNICABLE DISEASES
902 KAR 2:060. Section 3. Exceptions and Exemptions to the Immunization Schedules.
(1) If the first two (2) doses of Hib vaccine required in Section 2(2) of this administrative regulation were meningococcal group B outer membrane protein vaccines, the third dose may be omitted.
(2) If a dose of Hib vaccine has been administered to a child who is at least fifteen (15) and less than sixty (60) months of age, the child shall:
(a) Not be required to receive further doses of Hib; and
(b) Be considered to have received the doses required by this administrative regulation.
(3) A child with a contraindication to pertussis vaccine may be given DT in lieu of DTP or DTaP required in Section 2 of this administrative regulation.
(4) If the fourth dose of DT, DTP, or DTaP was administered on or after the fourth birthday, the fifth dose shall not be required.
(5) If the third dose of IPV or OPV was administered on or after the fourth birthday, the fourth dose shall not be required.
(6) A child with a medical contraindication to receiving a vaccine may obtain, from his attending physician, a “Certificate of Medical Exemption” from the requirements of Section 2 of this administrative regulation, in compliance with KRS 214.036.
(7) A physician, local health department, or medical facility administering immunizations, shall, upon receipt of a written sworn statement from the parent or guardian of a child, issue a “Certificate of Religious Exemption” from the requirements of Section 2 of this administrative regulation, in compliance with KRS 214.036.
(8) (a) A provisional immunization certificate shall be issued for an otherwise-qualified child:
1. Who has not yet reached the required minimum age; or
2. For whom the time interval between doses has not elapsed.
(b) A provisional immunization certificate shall:
1. Permit a child to attend a day care center, certified family child care home, other licensed facility which cares for children, preschool program, primary or secondary school until he or she reaches the appropriate age, or upon passage of the time interval between required doses;
2. Expire fourteen (14) days from the date the next dose is required to be given; and
3. Not be valid for more than one (1) year.
Louisiana
Daycare and School Age vaccine Mandates
REVISED STATUTES.TITLE 17. EDUCATION.CHAPTER 1. GENERAL SCHOOL LAW
PART III. PUBLIC SCHOOLS AND SCHOOL CHILDREN
SUBPART A. GENERAL PROVISIONS La. R.S. 17:170
Immunization of persons entering schools, kindergartens, colleges, proprietary or vocational schools, and day care centers for the first time
A.
(1) All persons entering any school within the state for the first time, including elementary and secondary schools, kindergartens, colleges, universities, proprietary schools, vocational schools, and licensed day care centers, at the time of registration or entry shall present satisfactory evidence of immunity to or immunization against vaccine-preventable diseases according to a schedule approved by the office of public health, Department of Health and Hospitals, or shall present evidence of an immunization program in progress.
(2) The schedule shall include but not be limited to measles, mumps, rubella, diphtheria, tetanus, whooping cough, poliomyelitis, and haemophilus influenzae Type B invasive infections.
(3) The schedule may provide specific requirements based on age, grade in school, or type of school. At its own discretion and with the approval of the office of public health, an educational institution or licensed day care center may require immunizations or proof of immunity more extensive than required by the schedule approved by the office of public health.
B. A person transferring from another school system in or out of the state shall submit either a certificate of immunization or a letter from his personal physician or a public health clinic indicating immunizations against the diseases in the schedule approved by the office of public health in accordance with Subsection A of this Section having been performed, or a statement that such immunizations are in progress.
C. If booster immunizations for the diseases enumerated in the schedule approved by the office of public health are advised by that office, such booster immunizations shall be administered before the person enters a school system within the state.
D. Chief administrators of all elementary and secondary schools, kindergartens, colleges, universities, proprietary schools, vocational schools, and licensed day care centers within this state shall be responsible for checking students’ records to see that the provisions of this Section are enforced.
E. No person seeking to enter any school or facility enumerated in Subsection A of this Section shall be required to comply with the provisions of this Section if the student or his parent or guardian submits either a written statement from a physician stating that the procedure is contraindicated for medical reasons, or a written dissent from the student or his parent or guardian is presented.
F. In the event of an outbreak of a vaccine-preventable disease at the location of an educational institution or facility enumerated in Subsection A of this Section, the administrators of that institution or facility are empowered, upon the recommendation of the office of public health, to exclude from attendance un-immunized students and clients until the appropriate disease incubation period has expired or the un-immunized person presents evidence of immunization.
Immunization requirements for students entering a school of higher learning
In accordance with Louisiana Revised Statutes 17:170 (as mandated by Act 10147 of 1990) effective January 1, 1991, intitutions of Higher Learning must require proof of immunization for enrollment. All Schools of Higher Learning are required to maintain a record of the following for each student.
(1) Requirement for effective measles first dose.
a. Given in 1968 or later; live vaccine without gamma globulin.
b. Given on or after the 1st birthday.
(2) Requirement for effective 2nd dose of measles.
a. Given after 1968; live vaccine without gamma globulin.
b. Given at any age as long as the first dose is given on or after 12 months of age, and the second dose given at least one month after the first dose.
c. Required for all enterers born in 1957 or later.
(3) Summary: Documentation of two doses of live measles containing vaccine; or documentation of prior physician-diagnosed measles disease; or laboratory evidence of measles immunity prior to entry for all students born in 1957 or after.
Mumps and Rubella
Proof of Mumps and Rubella immunization required for all new enterers.
(1) Documentation of Rubella Vaccine and Mumps Vaccine having been given.
(2) Documentation of immunity by a serologic test.
Tetanus and Diptheria (Td), or Tetanus Toxoid Reduced Diphtheria Acellular Pertussis Vaccine (Tdap).
Td or Tdap will be required for all individuals who have never been given a primary series, or who have not received a booster dose in the previous ten (10) years.
Meningococcal Vaccine
Proof of Meningococcal immunization is required for all college freshmen in accordance to Act 251 and 711 effective August 15, 2006.
§170.1. Immunizations of persons registering for courses at postsecondary education institutions requirements; exceptions
A.
(1) Except as provided in Subsection C of this Section, for the Fall 2006 semester, quarter, or comparable academic period, a person shall provide satisfactory evidence of current immunization against meningococcal disease as a condition of registration for courses at a public or nonpublic postsecondary education institution.
(2) Except as provided in Subsection C of this Section, effective for the Spring 2007 semester, quarter, or comparable academic period and thereafter, a person entering a public or nonpublic postsecondary education institution for the first time shall provide satisfactory evidence of current immunization against meningococcal disease as a condition of his initial registration for courses at such institution.
(3) Except as provided in Subsection C of this Section, effective for the Spring 2007 semester, quarter, or comparable academic period and thereafter, a person returning to a public or nonpublic postsecondary education institution who was not registered for courses at such institution during the Fall 2006 semester, quarter, or comparable academic period and therefore was not subject to the requirement of Paragraph (1) of this Subsection shall provide satisfactory evidence of current immunization against meningococcal disease as a condition of his initial registration for courses upon returning to such institution.
B. Every public and nonpublic postsecondary education institution shall provide detailed information on the risks associated with meningococcal disease and the availability, effectiveness, and known contraindications of any required or recommended vaccine against meningococcal disease to each person who has been admitted to such institution or to the person’s parent, tutor, or legal guardian if the person is a minor.
C. The provisions of Subsection A of this Section shall not apply to the following persons:
(1) Any person who is eighteen years of age or older and who signs a waiver provided by the postsecondary education institution stating that the person has received and reviewed the information provided pursuant to Subsection B of this Section and has chosen not to be vaccinated against meningococcal disease for religious or other personal reasons.
(2) Any person who is a minor and whose parent, tutor, or legal guardian signs a waiver stating that the person has received and reviewed the information provided pursuant to Subsection B of this Section and has chosen for the student not to be vaccinated against meningococcal disease for religious or other personal reasons.
(3) Any person who has submitted a written statement from a physician stating that the procedure is contraindicated for medical reasons or, if a minor, any person whose parent, tutor, or legal guardian has submitted such a statement.
(4) Any person whose course registration is limited to correspondence courses, on-line courses, or any other courses that do not require meeting physically on campus at the postsecondary education institution for any reason or at any time. If such person subsequently registers for courses that meet physically on campus, such person shall be required to provide satisfactory evidence of current immunization against meningococcal disease as a condition of registration for such courses at such institution pursuant to Subsection A of this Section.
(5) Any person who is unable to comply with the provisions of Subsection A of this Section due to a shortage in the supply of available vaccinations against meningococcal disease.
D. Nothing in this Section shall be construed to require any public or nonpublic postsecondary education institution to provide or pay for vaccinations against meningococcal disease.
E. No person shall have a cause of action for damages for injury, loss, or death against the state or any agency, official, or employee thereof or against any postsecondary education institution, its governing authority, or any official or employee thereof for failure to provide the information required by Subsection B of this Section or for any act or omission in
complying with the provisions of this Section.
F.
(1) The provisions of this Section shall be implemented according to rules promulgated by the secretary of the Department of Health and Hospitals including an implementation schedule which shall be based on ensuring a sufficient availability of the required vaccine.
(2) The secretary shall establish a priority of cohorts of students who shall be required to be vaccinated in order to minimize the possibility of an outbreak of meningococcal disease. Such priority shall be established in consultation with the Board of Regents.
(3) The first priority cohorts shall be first-time freshmen and students living in on-campus residential facilities. Such students shall be required to present satisfactory evidence of current vaccination beginning with registration for the Fall 2006 semester, quarter, or comparable academic period as provided in this Section unless the secretary determines that an insufficient supply of vaccine is available. The time by which immunization shall be required for these students in the event of such an insufficient supply and for other cohorts of students to present such evidence to register for classes shall be provided in such schedule.
(4) The secretary of the Department of Health and Hospitals shall provide such rules, including the implementation schedule, to the Board of Regents by not later than August 1, 2006. The Board of Regents shall notify each postsecondary management board and, through such management boards, the chief executive officer of each postsecondary education institution of the requirements of this Section and the rules and schedule for their implementation as provided by this Section.
Exemptions allowed are Medical, Religious and Philosophical
REVISED STATUTES.TITLE 17. EDUCATION.CHAPTER 1. GENERAL SCHOOL LAW
PART III. PUBLIC SCHOOLS AND SCHOOL CHILDREN
SUBPART A. GENERAL PROVISIONS La. R.S. 17:170.
Immunization of persons entering schools, kindergartens, colleges, proprietary or vocational schools, and day care centers for the first time
E. No person seeking to enter any school or facility enumerated in Subsection A of this Section shall be required to comply with the provisions of this Section if the student or his parent or guardian submits either a written statement from a physician stating that the procedure is contraindicated for medical reasons, or a written dissent from the student or his parent or guardian is presented.
La. R.S. 40:
§ 31.16 Parental consent; parental responsibility for immunization; exemptions
A. (1) Nothing in this Part shall be construed to restrict the registry from providing tracking and recall information to the parent or guardian that provides the consent for the child to be entered into an immunization registry.
(2) General consent for treatment and release of information to other providers or to the office of public health shall be considered parental consent for sharing historical, current, and future immunization information. In addition, each immunization provider shall comply with at least one of the following requirements:
(a) Place a poster in the patient registration area notifying parents that the site is participating in the state immunization registry and that childhood data is being shared with the registry.
(b) Provide each parent a brochure supplied by the office of public health describing the purposes of the registry and notifying parents that they can prohibit data sharing by notifying the health care provider not to submit their child’s immunization information.
(3) In the event of a public health emergency as declared by the state health officer, including a natural disaster, bioterrorist attack, epidemic, or other event affecting the public health, the requirement to obtain consent for placement on a registry shall be waived for mass immunizations performed in response to such declaration.
B. The immunization record of a child shall be purged from the registry at any time that the child’s custodial parent or legal guardian requests, in writing, that the immunization record be purged from the registry.
C. Nothing in this Part shall be construed to mitigate the responsibility of a parent or guardian to have a child of that parent or guardian properly immunized.
D. Nothing in this Part shall be construed to require immunization or tracking of any child otherwise exempt from immunization requirements for medical or religious reasons.
*No state form for exemption. *Example of a Personal Belief Exemption.
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