Appendix G

State Immunization Requirements for School Children

State	Minimum Doses Required		New or Planned Requirementsc
	Kindergartena	Middle Schoolb
AL	4 DTP	Td booster (10 yr)
	2 M, 1 MR
	3 Polio
AK	4 DTP
	2 M, 1 R
	3 Polio
AZ	4 DTP		Phase in 3 Hep B and 2 MMR for K–12
	2 MMR		by 2005
	3 Polio
	3 Hep B
AR	4 DTP		In process of requiring mumps and
	2 Med, 1 R		Hep B for K, 7th, and transfer
	3 Polio		students, and Varicella for K
CA	4 DTP	2 Me	Varicella and Hep A have been
	2 M, 1 MR	3 Hep B	proposed in the legislature
	3 Polio
	3 Hep B
CO	4 DTP	2 MMR	Effective July 1, 2000, for K, >=4 DTP,
	1 MMR	3 Hep B	>=3 Polio, 2 MMR, 1 Varicella
	3 Polio
	3 Hep B
CT	4 DTP	2 Me	Proposed law for Varicella (6th–7th
	1 MMR		graders and all born after 1/1/97
	3 Polio		without proof of immunity)
	3 Hep B
DE	4 DTP		Varicella will become a requirement
	2 MMR		in 2000
	3 Polio
DC	4 DTP	2 MMR
	2 MMR	1 Varicella
	3 Polio
	3 Hep B
	1 Varicella
FL	4 DTP	2 M, 1 MR
	2 M, 1 MR	3 Hep B
	3 Polio
	3 Hep B
GA	3 DTP	2 MMR
	1 MMR
	3 Polio
	3 Hep B
HI	4 DTP
	2 M, 1 MR
	3 Polio
	3 Hep B
ID	4 DT
	1 MMR
	3 Polio
	3 Hep B
IL	4 DTP	Td booster (10 yr)
	2 M, 1 MR	3 Hep B (5th)
	3 Polio
IN	4 DTP	2 Me
	2 M, 1 MR
	3 Polio
	3 Hep B
IA	3 DTP
	2 MeR
	3 Polio
	3 Hep B
KS	4 DTP
	2 MMR
	3 Polio
KY	4 DTP	Td booster (10 yr)
	2 M, 1 MR	2 Me
	3 Polio
	3 Hep B
LA	4 DTP		Effective fall 2003, Varicella
	2 M, 1 MR
	3 Polio
	3 Hep B
ME	4 DTP
	2 MMR
	3 Polio
MD	4 DTP
	2 M, 1 MR
	3 Polio
MA	5 DTP	Td booster
	2 M, 1 MR	2 Me
	4 Polio	3 Hep B
	3 Hep B	1 Varicella
	1 Varicella
MI	4 DTP	Td booster (10 yr)	Effective 2000, 3 Hep B for new school
	2 M, 1 MR		entries; effective January 1, 2002,
	3 Polio		Varicella for K–12
MN	4 DTP	Td booster	Effective 2000, 3 Hep B for K;
	1 MMR	2 MMR	effective 2001, 3 Hep B for 7th
	3 Polio
MS	4 DTP
	2 M, 1 MR
	3 Polio
MO	4 DTP
	2 M, 1 MR
	3 Polio
	3 Hep B
MT	4 DTP	2 MMR
	2 MMR
	3 Polio
NE	3 DTP	2 MMR	Effective July 1, 2000, 3 Hep B for 7th
	2 MMR
	3 Polio
	3 Hep B
NV	4 DTP
	2 MMR
	3 Polio
NH	4 DTP	Td booster (10 yr)
	1 MMR	2 Me
	3 Polio
	3 Hep B
NJ	4 DTP		Immunization program plans to
	2 M, 1 MR		propose Hep B
	3 Polio
NM	4 DTP	3 Hep B	Effective September 1, 2002, 3 Hep B
	2 M, 1 MR		for K and new entries
	3 Polio
NY	3 D		Pending legislation for Varicella and
	(NYC: 4 DTP)		adolescent Hep B
	2 M, 1 MR
	3 Polio
	3 Hep B
NC	4 DTP
	2 M, 1 MR
	3 Polio
	3 Hep B
ND	4 DTP
	2 MMR
	3 Polio
OH	4 DTP	2 MMR
	2 MMR
	3 Polio
	3 Hep B
OK	4 DTP	3 Hep B
	2 MMR	2 Hep A
	3 Polio
	3 Hep B
	2 Hep A
	1 Varicella
OR	4 DT		Effective 2000 for adolescents,
	2 M, 1 MR		2 Measles, 3 Hep B, Varicella;
	3 Polio		effective 2000 for K, Varicella
	3 Hep B
PA	4 DT	(Philadelphia:	Effective 2000 K–12, 2 Measles
	2 M, 1 MR	3 Hep B)
	3 Polio
	3 Hep B
RI	4 DTP	Td booster (7th)	Effective August 1, 2000, 3 Hep B
	2 M, 1 MR		for 7th, 1 Varicella, with phase-in of
	3 Polio		Hep B and Varicella completed for all
	3 Hep B		grades by August 1, 2005; in August
	1 Varicella		2001, 2 M required K–12
SC	3 DTP	3 Hep B
	2 M, 1 MR
	3 Polio
	3 Hep B
SD	4 DTP
	2 MMR
	3 Polio
TN	4 DTP	2 MMR
	2 MMR
	3 Polio
	3 Hep B
TX	4 DT	Td booster (10 yr)	Effective fall 2000 for K, 1 Varicella;
	2 M, 1 MR		3 Hep B, 1 Varicella for 7th
	3 Polio
	3 Hep B
UT	4 DTP
	2 M, 1 MR
	3 Polio
	3 Hep B
VT	3 DTP	3 Hep B
	2 Me, 1 R
	3 Polio
VA	3 DTP	2 Me
	2 M, 1 MR
	3 Polio
	3 Hep B
WA	4 DTP	2 Me
	1 MMR
	3 Polio
	3 Hep B
WV	3 DTP
	2 Me, 1 R
	3 Polio
WI	4 DTP	3 Hep B
	2 MMR
	4 Polio
	3 Hep B
WY	4 DTP	2 MMR
	2 MMR	3 Hep B
	4 Polio
	3 Hep B

^a Includes any requirements that begin in kindergarten (K), including those applicable to new entrants, K–12, and K–1.

^b Only those requirements that specifically begin in middle school (e.g., 6th–8th grades).

^c May not be a comprehensive listing.

^d Me = Measles.

SOURCE: Freed et al., 1999.