139A.8 - IMMUNIZATION OF CHILDREN.

        139A.8  IMMUNIZATION OF CHILDREN.
         1.  A parent or legal guardian shall assure that the person's
      minor children residing in the state are adequately immunized against
      diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, and
      varicella, according to recommendations provided by the department
      subject to the provisions of subsections 3 and 4.
         2. a.  A person shall not be enrolled in any licensed child
      care center or elementary or secondary school in Iowa without
      evidence of adequate immunizations against diphtheria, pertussis,
      tetanus, poliomyelitis, rubeola, rubella, and varicella.
         b.  Evidence of adequate immunization against haemophilus
      influenza B and invasive pneumococcal disease shall be required prior
      to enrollment in any licensed child care center.
         c.  Evidence of hepatitis type B immunization shall be
      required of a child born on or after July 1, 1994, prior to
      enrollment in school in kindergarten or in a grade.
         d.  Immunizations shall be provided according to
      recommendations provided by the department subject to the provisions
      of subsections 3 and 4.
         3.  Subject to the provision of subsection 4, the state board of
      health may modify or delete any of the immunizations in subsection 2.

         4. a.  Immunization is not required for a person's enrollment
      in any elementary or secondary school or licensed child care center
      if either of the following applies:
         (1)  The applicant, or if the applicant is a minor, the
      applicant's parent or legal guardian, submits to the admitting
      official a statement signed by a physician, advanced registered nurse
      practitioner, or physician assistant who is licensed by the board of
      medicine, board of nursing, or board of physician assistants that the
      immunizations required would be injurious to the health and
      well-being of the applicant or any member of the applicant's family.

         (2)  The applicant, or if the applicant is a minor, the
      applicant's parent or legal guardian, submits an affidavit signed by
      the applicant, or if the applicant is a minor, the applicant's parent
      or legal guardian, stating that the immunization conflicts with the
      tenets and practices of a recognized religious denomination of which
      the applicant is an adherent or member.
         b.  The exemptions under this subsection do not apply in times
      of emergency or epidemic as determined by the state board of health
      and as declared by the director of public health.
         5.  A person may be provisionally enrolled in an elementary or
      secondary school or licensed child care center if the person has
      begun the required immunizations and if the person continues to
      receive the necessary immunizations as rapidly as is medically
      feasible.  The department shall adopt rules relating to the
      provisional admission of persons to an elementary or secondary school
      or licensed child care center.
         6.  The local board shall furnish the department, within sixty
      days after the first official day of school, evidence that each
      person enrolled in any elementary or secondary school has been
      immunized as required in this section subject to subsection 4.  The
      department shall adopt rules pursuant to chapter 17A relating to the
      reporting of evidence of immunization.
         7.  Local boards shall provide the required immunizations to
      children in areas where no local provision of these services exists.

         8.  The department, in consultation with the director of the
      department of education, shall adopt rules for the implementation of
      this section and shall provide those rules to local school boards and
      local boards.  
         Section History: Recent Form
         2000 Acts, ch 1066, §8; 2003 Acts, ch 78, §1--3; 2007 Acts, ch 10,
      §24; 2007 Acts, ch 11, §1; 2009 Acts, ch 41, § 263
         Referred to in § 239B.12, 299.4