Nebraska Day Care Immunization Laws
Each licensed day care program in Nebraska is required to keep the immunization
history of each child enrolled in its program on file (Neb. Rev. Stat. §§ 71-1913.01 through 71-1913.03). In addition, licensed programs are required to report information
on student’s immunization status annually to the Nebraska Immunization Program.
For complete information, please refer to Title 173 of the Nebraska Administrative
Code, Chapter 4.
Parents or guardians must present an immunization record showing the child is
protected by age-appropriate immunization against:
• Measles, mumps, rubella
• Diphtheria, tetanus, pertussis
• Haemophilus influenza type b (Hib)
• Hepatitis B
• Varicella (Chicken Pox)
While there are exemptions to the immunization requirements, child care providers and parents need to be aware that unvaccinated children are not the only ones at risk for contracting disease. When parents choose not to immunize, their decision affects every other child in that child care facility as well as their own child.
Child care facilities usually care for children of different ages and the younger children must rely on the older children to be immunized because some immunizations, like measles and chickenpox, cannot be given until a child is one year old. Other immunizations require multiple doses before a child builds up full immunity, and some children are not able to be vaccinated. These vulnerable children depend upon “herd immunity” for protection. It is up to the day care provider to decide whether to accept an unimmunized child into their facility.
What if You Don't Immunize Your Child?
Exemptions to the vaccination requirement include:
- A certification by a physician, certified nurse practitioner, or physician assistant that immunization is not appropriate for a stated medical reason.
- An affidavit signed by a legally authorized representative stating that the immunization conflicts with the tenets and practices of a recognized religious denomination of which the student is a member.
- A written statement that the parent or guardian does not wish to have the child immunized and the reasons why.
If the student has not had the varicella (chickenpox) vaccine but has had the varicella (chickenpox) disease then a statement signed by a licensed medical physician, parent, or guardian must be submitted verifying the name of the student and the year in which he/she had the disease.
Documentation of Varicella Disease
The above documents must be presented to the day care provider within 30 days of enrollment and must be updated periodically. In addition, licensed programs are required to report information on student’s immunization status annually to the Nebraska Immunization Program.
To facilitate reporting, the Immunization Program sends an immunization reporting packet to each licensed program. The information sent to licensees can be found below: