Nebraska Child Care Immunization Laws
Each licensed child 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 children's immunization status annually, due on November 1st, to the Nebraska Immunization Program.
To view regulations, please refer to Title 173 of the Nebraska Administrative Code, Chapter 4.
Chapter 4: Immunization in Licensed Child Care Programs
What If You Don't Immunize Your Child?
Child Care Immunization Schedule
Parents or guardians must present an immunization record showing the child is protected by age-appropriate immunization against:
• Measles, mumps, rubella • Polio • Diphtheria, tetanus, pertussis • Haemophilus influenza type b (Hib) • Hepatitis B • Varicella (Chicken Pox) • Pneumococcal
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.
Exemptions to the vaccination requirement include:
If the child 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