chapter 246-105 wac march 13, 2019...immunization guidelines, in temporary conditional status for...
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Chapter 246-105 WACMarch 13, 2019
•Fully immunized or has proof of immunity.Complete
•Have an exemption form completed and signed by a provider for medical, personal/philosophical, or religious reasons;
Exempt
•Not fully immunized according to national immunization guidelines, in temporary conditional status for missing required immunization, and do not have an exemption.
Out-of-compliance
•Lacking immunization against one or more of the required vaccine-preventable diseases.Conditional
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(1) The attendance of every child at every public and private school in the state and licensed day care center shall be conditioned upon the presentation before or on each child's first day of attendance at a particular school or center, of proof of either (a) full immunization, (b) the initiation of and compliance with a schedule of immunization, as required by rules of the state board of health, or (c) a certificate of exemption as provided for in RCW 28A.210.090. The attendance at the school or the day care center during any subsequent school year of a child who has initiated a schedule of immunization shall be conditioned upon the presentation of proof of compliance with the schedule on the child's first day of attendance during the subsequent school year.
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March – June◦ Follow up with TAC members◦ Refine rule language◦ Stakeholder work
June - August◦ Board Briefing ◦ Finalize CR-102 and Significant Analysis◦ Formal public comment
August◦ Hearing and Adoption
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Michelle WeatherlySenior Policy Analyst
Washington State Department of Health PO Box 47843, Olympia, WA 98504-7843
OFFICE: [email protected]
Alexandra Montaño, MPHHealth Policy Advisor
Washington State Board of Health PO Box 47990, Olympia, WA 98504-7990
OFFICE: [email protected]
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WAC 246-105-020◦ (6) "Conditional" means a type of temporary
immunization status where a child is not immunized against one or more of the vaccine-preventable diseases required by this chapter for full immunization. A child in this status is allowed to attend a school or child care center provided the child makes satisfactory progress toward full immunization.
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WAC 246-105-020◦ (17) "Satisfactory progress" for purposes of conditional status
or an expired temporary medical exemption means the start or continuance towards full immunization status through the receipt of missing immunizations in a manner consistent with the national immunization guidelines described in WAC 246-105-040 and within the following time frames: (a) Any missing immunizations must be received within
thirty days after the first day of attendance or after a temporary medical exemption is no longer valid, unless receipt within such time is inconsistent with the guidelines.
(b) When the immunizations are part of a series with recommended intervals between doses, each additional missing immunization must be received no later than thirty days past the recommended date of administration of the next dose as established by the guidelines.
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Prior to 2009: Proof of full immunization before
or on the first day of attendance was required.
2009: The Board amended the definition of conditional status.
2016: The Board received a petition for rulemaking
to change its rule to require students to be fully immunized before
school entry.
•Complete: 85.7%•Conditional: 1.6%•Exempt: 4.7%•Out-of-Compliance: 8%
Kindergarten
•Complete: 79.3%•Conditional: 0.7%•Exempt: 4.6%•Out-of-Compliance: 14.1%
6th grade
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McKinney-Vento Act (Sec. 725; USC 11432)◦ Applies to homeless students.◦ Requires immediate enrollment.◦ Placed in conditional status if lacking
immunizations/records.◦ Homeless students can not be excluded.
Interstate Military Compact◦ Applies to the enrollment of military children.◦ Allows 30 calendar days from the date of
enrollment to comply.
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2 States
•No conditional status except McKinney-Vento (MV), Military Compact (MC), or exceptional circumstance.
25 States
•In-process of completing the immunization series.
•Some exceptions.•Many states require documentation of at least one dose of each required vaccine to start school.
9 States
•In-process, doses not required but may require documentation of an appointment
14 States
•Allow conditional status in some form. The time allowed is variable from 7 to 30 days.
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Idaho (Idaho Code § 39-4801)◦ Except as provided in section 39-4802, Idaho Code, any child in
Idaho of school age may attend grades preschool and kindergarten through twelve (12) of any public, private or parochial school operating in this state if otherwise eligible, provided that upon admission, the parent or guardian shall provide an immunization record to the school authorities regarding the child's immunity to certain childhood diseases. This record, signed by a physician or his representative or another licensed health care professional, shall verify that such child has received, or is in the process of receiving immunizations as specified by the state 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.
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