State Vaccine Requirements for College Entry

9/1/2021

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College and university campuses are at higher risk for outbreaks of communicable diseases due to students attending classes or living in close quarters, increasingly geographically diverse student populations and a higher prevalence of certain diseases among younger populations. State governments and public health officials in 34 states and the District of Columbia have required the hepatitis B or meningococcal vaccines for college attendance.

State systems of higher education can also require proof of immunization against other diseases commonly covered by routine childhood vaccinations like measles, mumps, rubella, tetanus, diphtheria and pertussis. Some states allow for certain exemptions such as medical, religious or personal beliefs. No state legislature has required the COVID-19 vaccine for students in institutions of higher education, but some states have broadly prohibited the state government from requiring the vaccine, which may include institutions of higher education. The majority of states have left the decision on whether or not to require the vaccine to attend classes to individual colleges and universities. According to University Business, colleges and universities in at least 40 states are requiring the vaccine for students and faculty. The CDC issued guidance to help these institutions control the spread of COVID-19 on their campuses, regardless of their decision to require the vaccine or not.

State Meningitis Vaccine Requirements for Colleges and Universities
State Statute Requirements Exemptions

Colorado

Colorado Revised Statutes 23-5-128

Requires new students at any public or nonpublic postsecondary education institution in the state to receive a vaccination against meningococcal disease.

Requires the institution to provide information on meningitis to the student. Allows students to decline the vaccine after reviewing such material.

 

 

N/A

Connecticut

General Statutes of Connecticut 185b-10a-155b

Requires each student who resides in on-campus housing be vaccinated against meningitis and submit evidence of having received a meningococcal conjugate vaccine not more than five years before enrollment as a condition of such residence.

 

Provides for medical and religious exemptions.

District of Columbia

D.C. Immunization Law 3-20

Requires all students age 26 and under who are enrolled in a postsecondary school of higher education (community college or university) to submit proof of one meningococcal vaccine within the last five years for athletes and students living in university housing.

 

 

Provides for medical and religious exemptions.

 

Delaware

Delaware Code 16-5-509d

Requires students enrolling in a postsecondary educational institution to submit to the institution documentation confirming that, within the five years prior to the date of enrollment, the student received vaccination against meningococcal disease.

 

Allows students seeking an exemption from the requirements to submit a written request for exemption to the postsecondary educational institution.

Florida

Florida Statutes 48-1006-69

Requires individuals enrolled in a postsecondary educational institution who will be residing in on-campus housing to provide documentation of vaccinations against meningococcal meningitis and hepatitis B. Requires the institutions to provide information on the risks associated with meningococcal meningitis and hepatitis B. Allows students to decline the vaccine after reviewing such material.

 

N/A

Georgia

Georgia Code 31-12-3.2

 

Requires all students residing in campus housing to sign a document stating that they have received a vaccination against meningococcal disease or reviewed the information provided by the institution. Allows students to decline the vaccine after reviewing such material.

 

N/A

Hawaii

Hawaii Administrative Rules 11-157

Adds the meningitis vaccine as a requirement for college or university attendance.

Provides for medical and religious exemptions. Religious exemptions to specific immunizing agents will not be granted.

Illinois

Illinois Administrative Code 77-1k-694.100

Requires new admissions under the age of 22 to show proof of having at least one dose of meningococcal conjugate vaccine on or after 16 years of age.

 

 

Provides for medical (77-1k-694.200) and religious (77-1k-694.210) exemptions.

 

Indiana

Indiana Code 21-40-5-2

Prohibits state educational institutions from permitting a student to matriculate in a residential campus of a state educational institution unless the student provides documentation of certain vaccines, including meningitis.

Provides for medical (IC 21-40-5-4) and religious (IC 21-40-5-6) exemptions.

 

Kansas

Kansas Statutes 76-761a

Requires the meningitis vaccine for each college and university student.

 

Provides for “appropriate waiver procedures for those who refuse to take the vaccine.”

Louisiana

Louisiana Revised Statutes 17:170.1

Requires students to provide satisfactory evidence of current immunization against meningococcal disease as a condition of registration for courses at a public or nonpublic postsecondary education institution. Requires the institution to provide information on the risks of meningitis.

 

Provides for medical and religious exemptions. Requires review of information by individual seeking a religious exemption.

Maryland

Code of Maryland 18-102(c1)

States that an individual enrolled in an institution of higher education residing in on-campus housing shall be vaccinated against meningococcal disease. Requires state agency to provide materials on risks of disease. Allows students to decline the vaccine after reviewing such material.

 

N/A

Massachusetts

Massachusetts General Laws 12-76-15D

Prohibits newly enrolled full-time students attending a college, university or secondary school who will be living in a dormitory or comparable congregate living arrangement licensed or approved by the college, university or secondary school from  registering at the institution except upon presentation of a medical certificate that the student has been immunized against meningococcal disease.

 

Provides for medical and religious exemptions.

Missouri

Missouri Revisor of Statutes 174.335

Requires all college and university students receive the meningitis vaccine.

 

Provides for medical and religious exemptions.

Nevada

Nevada Administrative Code 441A.755

Requires college and university students receive immunization against Neisseria meningitidis. Authorized through Nevada Revised Statutes 441A.120.

 

 

 

Provides for medical and religious exemptions.

New Jersey

New Jersey Public Law c332

Requires students at institutions of higher education to receive immunization for meningitis in accordance with recommendations of the Advisory Committee on Immunization Practices.

 

Provides for medical and religious exemptions (New Jersey Administrative Code 8:57-6.8).

New York

New York State Public Health Law Section 2167

Requires the meningococcal vaccine for students entering an institution of higher education. Requires the institution to provide information on the benefits and risks of meningitis and availability of the meningitis vaccine. Allows students to decline the vaccine after reviewing such material.

 

N/A

 

North Dakota

North Dakota University System Policy 506.1

Requires newly admitted students to the North Dakota university system ages 21 and younger to provide documentation of immunity against meningococcal disease.

 

Provides for medical and religious exemptions.

Oklahoma

Oklahoma Statutes Title 70, Section 3243

Directs public or private postsecondary educational institutions to require the meningitis vaccine and provide detailed information on the risks associated with the disease, risks and benefits of vaccination and the availability of the vaccine to students who reside or plan to reside in on-campus student housing. Allows students to decline the vaccine after reviewing such material.

 

N/A

Pennsylvania

Pennsylvania 2002 Act 83

Directs institutions of higher education to prohibit a student from residing in a dormitory or housing unit unless the student has received a one-time vaccination against meningococcal disease.

 

Provides for medical and religious exemptions. Also provides for “other reasons” if the institution provides detailed information on the risks associated with meningococcal disease and the availability and the effectiveness of any vaccine.

Rhode Island

Rhode Island Code of Regulations 214-30-05-3.6.1

Requires students, upon entering any college or university, to furnish evidence of a range of vaccines, including the meningitis vaccine.

 

Provides for medical and religious exemptions (214-30-05-3.6.3).

 

Tennessee

Tennessee Code Annotated 49-7-124

Requires incoming students at any public institution of higher learning who live in on-campus housing to prove adequate immunization against meningococcal disease as recommended in the current Advisory Committee on Immunization Practices’ “Recommended Adult Immunization Schedule” published by the CDC.

 

Provides for medical and religious exemptions.

Texas

Texas Education Code 51.9192

Requires students to provide an official immunization record evidencing that the student has received a bacterial meningitis vaccination dose or booster during the previous five years.

 

Provides for medical, religious and personal belief exemptions.

Vermont

Vermont Department of Health, Immunization Rules

Requires the meningitis vaccine for all undergraduate students in the state. This requirement is for first year students living in dormitories who are younger than age 22. Only those vaccinated before their 16th birthday need a second dose before college entry.

 

Provides for medical and religious exemptions.

State Hepatitis B Vaccine Requirements for Colleges and Universities
State Statute Requirements Exemptions

California

California Health and Safety Code 120390.5

States that colleges and universities governed by the Trustees of the California State University and the Regents of the University of California shall require first-time enrollees at those institutions who are 18 years of age or younger to provide proof of full immunization against the hepatitis B virus prior to enrollment.

 

Provides for medical and personal belief exemptions.

District of Columbia

D.C. Immunization Law 3-20

Requires all students age 26 and under who are enrolled in a postsecondary school of higher education (community college or university) to submit proof of three doses of hepatitis B vaccines or a positive blood test for hepatitis B.

 

Provides for medical and religious exemptions.

Florida

Florida Statutes 48-1006-69

Requires individuals enrolled in a postsecondary educational institution who will be residing in on-campus housing to provide documentation of vaccinations against meningococcal meningitis and hepatitis B. Requires the institutions to provide information on the risks associated with meningococcal meningitis and hepatitis B. Allows students to decline the vaccine after reviewing such material.

 

N/A

Georgia

 

Georgia Board of Regents

 

Requires students 18 years or younger matriculating at the university system of Georgia be vaccinated against hepatitis B or the student to review the information provided by the institution. Allows students to decline the vaccine after reviewing such material.

N/A

Massachusetts

Massachusetts General Laws 12-76-15C

Requires part-time and full-time health sciences students to receive a series of vaccines, including the hepatitis B vaccine.

 

 

Provides for religious and medical exemptions.

 

New Jersey

New Jersey Statutes 18A:61D-9

Requires a new student enrolling in a program leading to an academic degree at a public or private institution of higher education in the state, who registers for 12 or more credit hours of course study per semester or term, to be vaccinated for hepatitis B within nine months of attendance as a condition of continued attendance at that institution.

 

 

 

Provides for religious and medical exemptions (NJ AC 8:57-6.9).

North Carolina

 

North Carolina Administrative Code 10A 41A .0401

 

Requires students entering the college and university system to receive the hepatitis B vaccine in accordance with the recommendations from the CDC Advisory Committee on Immunization Practices. Rulemaking authority derived from General Statutes 130A 152-157.

Provides for medical and religious exemptions

Ohio

Ohio Revised Code 3701.133

Requires students to disclose their vaccination status for hepatitis B, but vaccination is not a requirement.

 

 

N/A

Oklahoma

Oklahoma Statutes Title 70-3244 (Requires download of Title 70)

Requires a student in an institution within the Oklahoma State System of Higher Education or a private institution of higher learning located within this state and accredited pursuant to Section 4103 of Title 70 of the Oklahoma Statutes to provide written documentation of vaccination against hepatitis B.

 

Provides for medical, religious and moral exemptions.

Rhode Island

Rhode Island Code of Regulations 216-30-05-3.6

 

Requires each student, upon entering any college or university, to furnish evidence of having received the hepatitis B vaccine in accordance with the Advisory Committee on Immunization Practices recommendations.

 

Provides for medical and religious exemptions.

Vermont

Vermont Immunization Rules

Requires students provide documentation of three doses of the hepatitis B vaccine before entering college. Rulemaking authority derived from V.S.A 18-21-04 § 1123.

 

Provides for medical and religious exemptions.

Virginia

Code of Virginia 23.1-800

Requires each full-time student be vaccinated against meningococcal disease and hepatitis B prior to enrollment for the first time in any baccalaureate public institution of higher education.

 

Provides for medical and religious exemptions. Also allows for students to decline the required vaccine after viewing medical information on the risks of the disease.

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