WSR 16-15-103
PERMANENT RULES
DEPARTMENT OF HEALTH
[Filed July 20, 2016, 11:36 a.m., effective August 20, 2016]
Effective Date of Rule: Thirty-one days after filing.
Purpose: WAC 246-105-040, the rule makes school and child care immunization requirements consistent with national standards by referencing the 2016 advisory committee on immunization practices (ACIP) recommended childhood and adolescent immunization schedule.
Citation of Existing Rules Affected by this Order: Amending WAC 246-105-040.
Statutory Authority for Adoption: RCW 28A.210.140.
Other Authority: RCW 28A.210.060.
Adopted under notice filed as WSR 16-08-017 on March 28, 2016.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 1, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 1, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: July 20, 2016.
John Wiesman, DrPH, MPH
Secretary
AMENDATORY SECTION (Amending WSR 14-06-037, filed 2/25/14, effective 3/28/14)
WAC 246-105-040 Requirements based on national immunization guidelines.
The department shall develop and distribute implementation guidelines for schools and child care centers that are consistent with the national immunization guidelines described in this section and the requirements in WAC 246-105-090.
(1) Unless otherwise stated in this section, a child must be vaccinated against each vaccine-preventable disease listed in WAC 246-105-030 at ages and intervals according to the national immunization guidelines in the "Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Persons Aged 0 Through 18 Years, United States ((2013)) 2016"; as published in the Morbidity and Mortality ((Week)) Weekly Report (MMWR) ((2013;62(01): 2-8)) 2016;65(04): 86-87.
(2) In addition to the ages and intervals required by subsection (1) of this section, the following vaccine administration guidelines shall apply. Schools and child care centers may accept one of the following as proof of a child's immunization status against varicella:
(a) Documentation on the CIS form that the child received age appropriate varicella vaccine; or
(b) Diagnosis or verification of a history of varicella disease by a health care provider acting within his or her scope of practice; or
(c) Diagnosis or verification of a history of herpes zoster by a health care provider acting within his or her scope of practice; or
(d) Serologic proof of immunity against varicella; or
(e) Documentation by the parent that a child has a history of varicella. This type of proof will be accepted only for certain grade levels described in the department's implementation guidelines according to WAC 246-105-090(2).