Appendices - Pneumococcal Vaccination Laws for State Long-Term Care Facilities

At a glance

Vaccine regulations for patients and healthcare workers vary across the nation. Access charts of comparative information on long-term care facilities' pneumococcal vaccine laws by facility, patient, requirement, and exemption type.

Appendix 1: Pneumococcal Vaccination Laws for Healthcare Workers (HCWs) in Long-Term Care (LTC) Facilities

Facility Type

LTC Facility Type
State Citation LTC Facility Type
All LTC facilities Nursing facility
KY KRS § 209.552;209.550;* 216.510* X
902 Ky. Admin. Regs. 2:065 X
NY McKinney's Public Health Law § 2192, § 2194, § 2195, § 2191* X78
PA 35 P.S. § 632.3, §632.6, § 632.2*, § 632.4 X
RI Gen. Laws 1956, § 23-17.19-3, § 23-17.19-2*, § 23-17.19-6 X
UT U.A.C. R432-40, R432-40-3* X
DC 22-B DCMR § 3222, § 299*, § 298* X

Healthcare Worker Type

HCW Type
State Citation HCW Type
All employees 65+ years Staff at risk
KY KRS § 209.552;209.550;* 216.510* X
902 Ky. Admin. Regs. 2:065 X
NY McKinney's Public Health Law § 2192, § 2194, § 2195, § 2191* X77
PA 35 P.S. § 632.3, §632.6, § 632.2*, § 632.4 X
RI Gen. Laws 1956, § 23-17.19-3, § 23-17.19-2*, § 23-17.19-6 X
UT U.A.C. R432-40, R432-40-3* X
DC 22-B DCMR § 3222, § 299*, § 298* X X

Requirement Type

Requirement Type
State Citation Requirement Type
Assessment Administrative offer Administrative ensure
KY KRS § 209.552;209.550;* 216.510* X X X
902 Ky. Admin. Regs. 2:065 X X
NY McKinney's Public Health Law § 2192, § 2194, § 2195, § 2191* X79 X80 X81
PA 35 P.S. § 632.3, §632.6, § 632.2*, § 632.4 X
RI Gen. Laws 1956, § 23-17.19-3, § 23-17.19-2*, § 23-17.19-6 X85
UT U.A.C. R432-40, R432-40-3* X X
DC 22-B DCMR § 3222, § 299*, § 298* X X X

Exemptions

Exemptions
State Citation Exemptions
None specified75 Medical Religious Philosophical76
KY KRS § 209.552;209.550;* 216.510* X X X
902 Ky. Admin. Regs. 2:065 X X
NY McKinney's Public Health Law § 2192, § 2194, § 2195, § 2191* X82 X83 X84
PA 35 P.S. § 632.3, §632.6, § 632.2*, § 632.4 X X X
RI Gen. Laws 1956, § 23-17.19-3, § 23-17.19-2*, § 23-17.19-6 X X X
UT U.A.C. R432-40, R432-40-3* X X
DC 22-B DCMR § 3222, § 299*, § 298* X X X

Appendix 2: Pneumococcal Vaccination Laws for Patients in Long-Term Care (LTC) Facilities

Facility Type

Facility Type
State Citation LTC Facility Type
All LTC facilities Nursing facilities Life care facilities Shelter care Facilities Veterans homes Nursing Homes
AL Ala. Code 1975 §22-21-10 X
AR A.C.A. §20-10-1304, §20-10-1305, §20-10-1303* X
Ark. Admin. Code 007.15.5-VI, 007.15.5-III*, 007.15.5-IV X
CA West’s Ann. Cal. Health & Safety Code §120392.4, §120392.6, §120392* X
Cal. Health & Safety Code § 120392.2; 120392.6; 120392* X
CT C.G.S.A. § 19a-522, § 19a-521* X
Regs. Conn. State Agencies §19-13-D8t, §19-13-D8t (a)* X
DE 16 Del. Admin. Code 3201-6.0, 3201-2.0* X
FL West’s F.S.A. §400.141, § 400.021* X
GA Ga. Code Ann., §31-7-2.1, § 31-7-1* X
Ga Comp. R. & Regs. 111-8-56-.27, 111-8-56-.01* X
HI Haw. Admin. Rules §11-94.1-42, § 11-94.1-2 X
IL 77 Ill. Adm. Code 300.1060, 390.330* X
77 Ill. Adm. Code 340.1640; 340.1000* X X
77 Ill. Adm. Code 390.1140 X89
77 Ill. Adm. Code 330.1160 X
210 ILCS 45/2-213, 45/1-113* X
210 ILCS 40/10.1, 210 Ill. Comp. Stat. Ann. 40/2* X
IN IC § 16-28-14-3, § 16-28-15-3*, ; 16-28-14-5, 16-28-14-6 § 16-28-14-2* X
KY KRS § 209.552, §209.550* X
902 Ky. Admin. Regs. 2:065 X
ME 10-144 CMR Ch. 101, Ch. II, § 67 X
MD MD Code, Health - General, § 18-404, § 18-404*, § 19-301* X
NE Neb. Rev. St. § 71-468, § 71-413* X
NH N.H. Code Admin. R. He-P 803.23, 803.03*, N.H. REV. STAT. ANN. § 151:9-b X
NJ N.J.A.C. 8:39–19.4, 8:39–1.2* X
N.J.A.C. §8:43–16.2, §8:39-1.2* X
N.J.A.C. 5:27A–16.2, 5:27A–1.3* X
NY McKinney's Public Health Law § 2192, § 2193, § 2195, § 2191* X92
NC N.C.G.S.A. § 131E-113, § 131E-101* X
OH OAC 3701-17-13, 3701-17-01* X
R.C. § 3721.041, § 3721.01* X
OAC 3701-17-58, OAC 3701-17-01* X
OK Okla. Admin. Code 310:675-9-31, Okla. Admin. Code 310:675-1-2* X
PA 35 P.S. § 632.3, §632.4, §632.6, § 632.2* X
RI Gen. Laws 1956, § 23-17.19-3, § 23-17.19-4, § 23-17.19-6, § 23-17.19-2* X
R.I. Admin. Code 31-4-8:22.0, 31-4-8:59.0* X
SD ARSD 44:73:04:10, 44:73:01:01* X
TN Tenn. Comp. R. & Regs. 1200-08-06-.06, 1200-08-06-.01* X
TX 40 TAC § 19.1601, § 19.101* X
25 TAC § 97.202, § 97.201, V.T.C.A., Health & Safety Code § 242.002* X
V.T.C.A., Health & Safety Code § 161.0051, § 161.0001* X
UT U.A.C. R432-40, R432-40-3* X
VA VA Code Ann. § 32.1-127, § 32.1-123* X X
12 VAC 5-371-110, 12 VAC 5-371-10* X X
WA West's RCWA 74.42.285, 74.42.010* X
DC 22-B DCMR § 3222, § 299* X

Patient Type

Patient Type
State Citation Patient Type
All patients 65+ years Patients at risk
AL Ala. Code 1975 §22-21-10 X
AR A.C.A. §20-10-1304, §20-10-1305, §20-10-1303* X
Ark. Admin. Code 007.15.5-VI, 007.15.5-III*, 007.15.5-IV X
CA West’s Ann. Cal. Health & Safety Code §120392.4, §120392.6, §120392* X
Cal. Health & Safety Code § 120392.2; 120392.6; 120392* X
CT C.G.S.A. § 19a-522, § 19a-521* X
Regs. Conn. State Agencies §19-13-D8t, §19-13-D8t (a)* X
DE 16 Del. Admin. Code 3201-6.0, 3201-2.0* X
FL West’s F.S.A. §400.141, § 400.021* X
GA Ga. Code Ann., §31-7-2.1, § 31-7-1* X
Ga Comp. R. & Regs. 111-8-56-.27, 111-8-56-.01* X
HI Haw. Admin. Rules §11-94.1-42, § 11-94.1-2 X
IL 77 Ill. Adm. Code 300.1060, 390.330* X
77 Ill. Adm. Code 340.1640; 340.1000* X
77 Ill. Adm. Code 390.1140 X
77 Ill. Adm. Code 330.1160 X
210 ILCS 45/2-213, 45/1-113* X
210 ILCS 40/10.1, 210 Ill. Comp. Stat. Ann. 40/2* X
IN IC § 16-28-14-3, § 16-28-15-3*, ; 16-28-14-5, 16-28-14-6 § 16-28-14-2* X
KY KRS § 209.552, §209.550* X
902 Ky. Admin. Regs. 2:065 X
ME 10-144 CMR Ch. 101, Ch. II, § 67 X
MD MD Code, Health - General, § 18-404, § 18-404*, § 19-301* X
NE Neb. Rev. St. § 71-468, § 71-413* X
NH N.H. Code Admin. R. He-P 803.23, 803.03*, N.H. REV. STAT. ANN. § 151:9-b X
NJ N.J.A.C. 8:39–19.4, 8:39–1.2* X
N.J.A.C. §8:43–16.2, §8:39-1.2* X
N.J.A.C. 5:27A–16.2, 5:27A–1.3* X
NY McKinney's Public Health Law § 2192, § 2193, § 2195, § 2191* X93
NC N.C.G.S.A. § 131E-113, § 131E-101* X
OH OAC 3701-17-13, 3701-17-01* X
R.C. § 3721.041, § 3721.01* X
OAC 3701-17-58, OAC 3701-17-01* X
OK Okla. Admin. Code 310:675-9-31, Okla. Admin. Code 310:675-1-2* X
PA 35 P.S. § 632.3, §632.4, §632.6, § 632.2* X
RI Gen. Laws 1956, § 23-17.19-3, § 23-17.19-4, § 23-17.19-6, § 23-17.19-2* X
R.I. Admin. Code 31-4-8:22.0, 31-4-8:59.0* X
SD ARSD 44:73:04:10, 44:73:01:01* X
TN Tenn. Comp. R. & Regs. 1200-08-06-.06, 1200-08-06-.01* X
TX 40 TAC § 19.1601, § 19.101* X X
25 TAC § 97.202, § 97.201, V.T.C.A., Health & Safety Code § 242.002* X X
V.T.C.A., Health & Safety Code § 161.0051, § 161.0001* X
UT U.A.C. R432-40, R432-40-3* X X
VA VA Code Ann. § 32.1-127, § 32.1-123* X
12 VAC 5-371-110, 12 VAC 5-371-10* X
WA West's RCWA 74.42.285, 74.42.010* X
DC 22-B DCMR § 3222, § 299* X X

Requirement Type

Requirement Type
State Citation Requirement Type
Assessment Admin. offer Admin. ensure
AL Ala. Code 1975 §22-21-10 X X X
AR A.C.A. §20-10-1304, §20-10-1305, §20-10-1303* X
Ark. Admin. Code 007.15.5-VI, 007.15.5-III*, 007.15.5-IV X X
CA West’s Ann. Cal. Health & Safety Code §120392.4, §120392.6, §120392* X X
Cal. Health & Safety Code § 120392.2; 120392.6; 120392* X
CT C.G.S.A. § 19a-522, § 19a-521* X
Regs. Conn. State Agencies §19-13-D8t, §19-13-D8t (a)* X X
DE 16 Del. Admin. Code 3201-6.0, 3201-2.0* X X
FL West’s F.S.A. §400.141, § 400.021* X X
GA Ga. Code Ann., §31-7-2.1, § 31-7-1* X
Ga Comp. R. & Regs. 111-8-56-.27, 111-8-56-.01* X
HI Haw. Admin. Rules §11-94.1-42, § 11-94.1-2 X
IL 77 Ill. Adm. Code 300.1060, 390.330* X X X
77 Ill. Adm. Code 340.1640; 340.1000* X X X
77 Ill. Adm. Code 390.1140 X X X
77 Ill. Adm. Code 330.1160 X X X
210 ILCS 45/2-213, 45/1-113* X X X
210 ILCS 40/10.1, 210 Ill. Comp. Stat. Ann. 40/2* X X X
IN IC § 16-28-14-3, § 16-28-15-3*, ; 16-28-14-5, 16-28-14-6 § 16-28-14-2* X X X
KY KRS § 209.552, §209.550* X X X
902 Ky. Admin. Regs. 2:065 X X
ME 10-144 CMR Ch. 101, Ch. II, § 67 X X X
MD MD Code, Health - General, § 18-404, § 18-404*, § 19-301* X X X
NE Neb. Rev. St. § 71-468, § 71-413* X
NH N.H. Code Admin. R. He-P 803.23, 803.03*, N.H. REV. STAT. ANN. § 151:9-b X X X
NJ N.J.A.C. 8:39–19.4, 8:39–1.2* X X X
N.J.A.C. §8:43–16.2, §8:39-1.2* X X X
N.J.A.C. 5:27A–16.2, 5:27A–1.3* X X X
NY McKinney's Public Health Law § 2192, § 2193, § 2195, § 2191* X94 X95 X96
NC N.C.G.S.A. § 131E-113, § 131E-101* X X X
OH OAC 3701-17-13, 3701-17-01* X
R.C. § 3721.041, § 3721.01* X X
OAC 3701-17-58, OAC 3701-17-01* X
OK Okla. Admin. Code 310:675-9-31, Okla. Admin. Code 310:675-1-2* X
PA 35 P.S. § 632.3, §632.4, §632.6, § 632.2* X X X
RI Gen. Laws 1956, § 23-17.19-3, § 23-17.19-4, § 23-17.19-6, § 23-17.19-2* X X X
R.I. Admin. Code 31-4-8:22.0, 31-4-8:59.0* X X X
SD ARSD 44:73:04:10, 44:73:01:01* X X X
TN Tenn. Comp. R. & Regs. 1200-08-06-.06, 1200-08-06-.01* X X X
TX 40 TAC § 19.1601, § 19.101* X X X
25 TAC § 97.202, § 97.201, V.T.C.A., Health & Safety Code § 242.002* X X X
V.T.C.A., Health & Safety Code § 161.0051, § 161.0001* X
UT U.A.C. R432-40, R432-40-3* X X
VA VA Code Ann. § 32.1-127, § 32.1-123* X X
12 VAC 5-371-110, 12 VAC 5-371-10* X X
WA West's RCWA 74.42.285, 74.42.010* X
DC 22-B DCMR § 3222, § 299* X X X

Exemptions

Exemptions
State Citation Exemptions
None specified86 Medical Religious Philosophical87
AL Ala. Code 1975 §22-21-10 X X X
AR A.C.A. §20-10-1304, §20-10-1305, §20-10-1303* X X X88
Ark. Admin. Code 007.15.5-VI, 007.15.5-III*, 007.15.5-IV X X
CA West’s Ann. Cal. Health & Safety Code §120392.4, §120392.6, §120392* X X
Cal. Health & Safety Code § 120392.2; 120392.6; 120392* X X
CT C.G.S.A. § 19a-522, § 19a-521* X X
Regs. Conn. State Agencies §19-13-D8t, §19-13-D8t (a)* X X
DE 16 Del. Admin. Code 3201-6.0, 3201-2.0* X X
FL West’s F.S.A. §400.141, § 400.021* X X X
GA Ga. Code Ann., §31-7-2.1, § 31-7-1* X
Ga Comp. R. & Regs. 111-8-56-.27, 111-8-56-.01* X
HI Haw. Admin. Rules §11-94.1-42, § 11-94.1-2 X X
IL 77 Ill. Adm. Code 300.1060, 390.330* X X
77 Ill. Adm. Code 340.1640; 340.1000* X X
77 Ill. Adm. Code 390.1140 X X
77 Ill. Adm. Code 330.1160 X X
210 ILCS 45/2-213, 45/1-113* X X
210 ILCS 40/10.1, 210 Ill. Comp. Stat. Ann. 40/2* X X
IN IC § 16-28-14-3, § 16-28-15-3*, ; 16-28-14-5, 16-28-14-6 § 16-28-14-2* X X X
KY KRS § 209.552, §209.550* X X X
902 Ky. Admin. Regs. 2:065 X X
ME 10-144 CMR Ch. 101, Ch. II, § 67 X X
MD MD Code, Health - General, § 18-404, § 18-404*, § 19-301* X X X
NE Neb. Rev. St. § 71-468, § 71-413* X
NH N.H. Code Admin. R. He-P 803.23, 803.03*, N.H. REV. STAT. ANN. § 151:9-b X90 X91
NJ N.J.A.C. 8:39–19.4, 8:39–1.2* X X
N.J.A.C. §8:43–16.2, §8:39-1.2* X X
N.J.A.C. 5:27A–16.2, 5:27A–1.3* X X
NY McKinney's Public Health Law § 2192, § 2193, § 2195, § 2191* X97 X98 X99
NC N.C.G.S.A. § 131E-113, § 131E-101* X X X
OH OAC 3701-17-13, 3701-17-01* X
R.C. § 3721.041, § 3721.01* X X
OAC 3701-17-58, OAC 3701-17-01* X X
OK Okla. Admin. Code 310:675-9-31, Okla. Admin. Code 310:675-1-2* X X
PA 35 P.S. § 632.3, §632.4, §632.6, § 632.2* X X X
RI Gen. Laws 1956, § 23-17.19-3, § 23-17.19-4, § 23-17.19-6, § 23-17.19-2* X X X
R.I. Admin. Code 31-4-8:22.0, 31-4-8:59.0* X X X
SD ARSD 44:73:04:10, 44:73:01:01* X X X
TN Tenn. Comp. R. & Regs. 1200-08-06-.06, 1200-08-06-.01* X X
TX 40 TAC § 19.1601, § 19.101* X X
25 TAC § 97.202, § 97.201, V.T.C.A., Health & Safety Code § 242.002* X X
V.T.C.A., Health & Safety Code § 161.0051, § 161.0001* X
UT U.A.C. R432-40, R432-40-3* X X
VA VA Code Ann. § 32.1-127, § 32.1-123* X X
12 VAC 5-371-110, 12 VAC 5-371-10* X X
WA West's RCWA 74.42.285, 74.42.010* X
DC 22-B DCMR § 3222, § 299* X X X
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