Iowa:
Iowa Code, Chapter 139a.8(6) and Iowa Administrative Code, 641-7.7(139) outline the immunization requirements for student attending school and licensed child care centers. Beginning with the 2017-2018 school year, a student entering the 7th grade is required to have one dose of meningococcal (A, C, W, Y) vaccine. A student entering the 12th grade is required to have two doses, or one dose if the first dose is received at sixteen years of age or older.
The Tdap vaccine is required for students in 7th grade and above.
While not addressed in the codes, per the certificate of immunization document, varicella disease must be certified by a physician, physician assistant, nurse, or certified medical assistant.
Reporting of vaccine preventable diseases is required by Iowa Administrative Code 641-1 and includes the same diseases as outlined in the proposed rule.
Michigan:
School and child care immunization requirements are set forth in MCL 333.9205, 333.9208, 333.9227, and 380.1177. Since the 2014-2015 school year, a student entering the 7th grade has been required to have one dose of meningococcal (A, C, W, Y) vaccine. There is no requirement for a second dose.
The Tdap vaccine is required for students at eleven years of age or older upon entry into the 7th grade or higher.
Michigan requires documentation of either history of varicella disease or current lab immunity.
MCL 333.5111(1)b contains the requirements for reporting communicable diseases and includes the same diseases as the proposed rule.
Minnesota:
Minnesota’s Administrative Rule Chapter 4604 outlines the school and child care immunization requirements. Since the 2014-2015 school year, a student entering the 7th grade has been required to have one dose of meningococcal vaccine (A, C, W, Y). A second dose is required at age sixteen years.
The Tdap vaccine is required for students entering the 7th grade.
Documentation of past varicella disease must include the signature of a provider and the date of the student’s varicella illness, the signature of a provider and a statement that a parent’s or legal guardian’s description of the varicella disease history is indicative of past varicella infection, or the signature of a provider or a representative of a public clinic, and must include laboratory evidence of the child’s varicella immunity. A provider is defined as a licensed physician, registered physician assistant, or advanced practice registered nurse.
Minnesota’s communicable disease rule and requirements are in Chapter 4605 and include the same vaccine preventable diseases as in the proposed rule.
Summary of factual data and analytical methodologies
The department relied on the following sources to draft the proposed rule:
A.
Heymann DL, ed. Control of Communicable Diseases Manual. 20th ed. Washington, DC: American Public Health Association, 2015. B.
Pickering LK, ed. Red Book: 2015 Report of the Committee on Infectious Diseases. 30th ed. Elk Grove Village, IL: American Academy of Pediatrics, 2015. C.
Centers for Disease Control and Prevention. Epidemiology and Prevention of Vaccine-Preventable Diseases. Hamborsky J, Kroger A, Wolfe S, eds. 13th ed. Washington D.C. Public Health Foundation, 2015.The department formed an Advisory Committee consisting of representatives from the Wisconsin Department of Public Instruction, Wisconsin Chapter of the American Academy of Pediatrics, Wisconsin Department of Health Services Medicaid Program, Wisconsin Association of Local Health Departments and Boards, Wisconsin Academy of Family Physicians, Wisconsin Association of School Nurses, Wisconsin Medical Society, and Pharmacy Society of Wisconsin. Proposed rule revision language was drafted based on the recommendations of this committee.
Analysis and supporting documents used to determine effect on small business
An economic impact analysis was completed and no economic impact on small business was found.
Effect on small business
No economic impact on small business was found.
Agency contact person
Stephanie Schauer
608-264-9884
Statement on quality of agency data
The data sources referenced and used to draft the rules and analyses are accurate, reliable, and objective and are discussed in the “Summary of factual data and analytical methodologies.”
Place where comments are to be submitted and deadline for submission
RULE TEXT
SECTION 1. DHS 144.01 (1) is repealed and recreated to read:
DHS 144.01 (1) Purpose and authority. This rule implements s. 252.04, Stats., which requires the department to carry out a statewide immunization program to eliminate, immunize, and protect against certain diseases specified in statute or by department rule. This chapter addresses immunization requirements for vaccine-preventable diseases, by students admitted into schools or children admitted into child care settings. SECTION 2. DHS 144.01 (2) is amended to read:
DHS 144.01 (2) Relationship to infant and preschool immunization schedules. The emphasis placed in this chapter on meeting minimum immunization requirements upon entry to Wisconsin schools at any grade level or to a day child care center complements efforts by the department to promote early immunization of infants and preschoolers according to accepted immunization schedules. Children immunized according to accepted immunization schedules will exceed the minimum requirements set forth herein for all ages and grades.
SECTION 3. DHS 144.02 is repealed and recreated to read:
DHS 144.02 Definitions.
DHS 144.02 (1) “Advanced practice nurse prescriber” has the meaning given in s. N. 8.02 (2).
DHS 144.02 (2) “Child care center" has the meaning given in s. 49.136 (1) (ad), Stats. DHS 144.02 (3) “Department" means the Wisconsin department of health services, unless otherwise specified.
