Appendix 1 - Influenza Vaccination Laws for Healthcare Workers (HCWs) in State Long-Term Care Facilities

What to know

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

Appendix 1

Influenza Vaccination Laws for State Long-Term Care Facilities

Long-Term Care (LTC) Facility Type

Facility Type
State Citation Long-Term Care (LTC) Facility Type
All LTC facilities Nursing facilities Nursing homes Residential care facilities Life care facilities Veterans homes
AL Ala. Code § 22-21-10* X
AR Ark. Code Ann. §§ 20-10-1304; 1305; 1303* X
Ark. Admin. Code 007.15.5-VI; 007.15.5-II; 007.15.5-IV; 007.15.5-V; 007.15.5-III* X
CA Cal. Code Regs. tit. 8, §§ 5199 (h)(5)(D)(10); (j)(1)(B)(2); (a)(1)(A)*
Appendices C1, C2, E		 X
CO 6 Colo. Code Regs. § 1011-1:II-10* X
6 Colo. Code Regs. 1011-1:II-10.5, 10.11, 10.12; Colo. Rev. Stat. Ann. § 25-3-101* X
DE 16 Del. Admin. Code §§ 3201-5.0; 3201-2.0* X
GA Ga. Code Ann. §§ 31-7-19; 31-7-1* X
IL  Ill. Admin. Code tit. 77, §§ 956.30; 956 App. A; 956.10* X X
KY Ky. Rev. Stat. Ann. §§ 209.552; 209.550;* 216.510* X
902 Ky. Admin. Regs. 2:065; Ky. Rev. Stat. Ann. §§ 209.550;* 216.510* X
ME 10-144-264 Me. Code R. §§ 2; 3; 4; 7; 1;* 10-144-110 Me. Code R. § Ch. 1* X
Me. Rev. Stat. Ann. tit. 22, §§ 802; 1812-A* X
MD Md. Code Ann., Health - General §§ 18-404;* 19-301* X95
MA 105 Mass. Code Regs. 150.002; 150.001* X
MO Mo. Ann. Stat. §§ 198.054; 198.006* X
NH N.H. Code Admin. R. He-P 805.19; 805.03* X
N.H. Code Admin. R. He-P 803.23; 803.03* X
N.H. Rev. Stat. Ann. §§ 151:33;* 151:2* X X X
N.H. Rev. Stat. Ann. §§ 151:9-b;* 151:2* X
NY N.Y. Public Health Law §§ 2192; 2194; 2195; 2191* X
N.Y. Comp. Codes R. & Regs. tit. 10, § 415.19; 415.2* X
N.Y. Comp. Codes R. & Regs. tit. 10, § 2.59; N.Y. Public Health Law § 2801* X
NC N.C. Gen. Stat. Ann. §§ 131E-113; 131E-101* X
OK Okla. Admin. Code § 310:675-9-31; 310:675-1-2* X
OR Or. Admin. R. 333-018-0127; 333-018-0100* X
PA 35 Pa. Stat. and Cons. Stat. Ann §§ 632.3; 632.5; 632.6; 632.2* X
RI R.I. Admin. Code 31-4-8:14.0; 31-4-8:1.0* X
R.I. Gen. Laws Ann. §§ 23-17.19-3; 23-17.19-5; 23-17.19-6; 23-17.19-2* X
R.I. Admin. Code 31-1-22:3.0; 31-1-22:5.0; 31-1-22:2.1(a)* X
SC S.C. Code Ann. Regs. 61-17* X
TN Tenn. Comp. R. & Regs. 1200-08-06-.06; 1200-08-06-.01* X
TX 40 Tex. Admin. Code §§ 19.1601; 19.101* X
25 Tex. Admin. Code §§ 97.202; 97.201; Tex. Health & Safety Code Ann. § 242.002* X
Tex. Health & Safety Code Ann. §§ 161.0051;* 242.002(5) X
UT Utah Admin. Code r. 386-705; 432-40* X
Utah Admin. Code r. 432-40* X
DC D.C. Mun. Regs. tit. 22-B, §§ 3222; 3299* X

Healthcare Worker Type

HCW Type
State Citation HCW Type
All HCWs HCW with occupational exposure HCWs w/direct patient contact
AL Ala. Code § 22-21-10* X
AR Ark. Code Ann. §§ 20-10-1304; 1305; 1303* X
Ark. Admin. Code 007.15.5-VI; 007.15.5-II; 007.15.5-IV; 007.15.5-V; 007.15.5-III* X
CA Cal. Code Regs. tit. 8, §§ 5199 (h)(5)(D)(10); (j)(1)(B)(2); (a)(1)(A)*
Appendices C1, C2, E		 X
CO 6 Colo. Code Regs. § 1011-1:II-10* X
6 Colo. Code Regs. 1011-1:II-10.5, 10.11, 10.12; Colo. Rev. Stat. Ann. § 25-3-101* X
DE 16 Del. Admin. Code §§ 3201-5.0; 3201-2.0* X
GA Ga. Code Ann. §§ 31-7-19; 31-7-1* X
IL  Ill. Admin. Code tit. 77, §§ 956.30; 956 App. A; 956.10* X
KY Ky. Rev. Stat. Ann. §§ 209.552; 209.550;* 216.510* X
902 Ky. Admin. Regs. 2:065; Ky. Rev. Stat. Ann. §§ 209.550;* 216.510* X
ME 10-144-264 Me. Code R. §§ 2; 3; 4; 7; 1;* 10-144-110 Me. Code R. § Ch. 1* X
Me. Rev. Stat. Ann. tit. 22, §§ 802; 1812-A* X
MD Md. Code Ann., Health - General §§ 18-404;* 19-301* X
MA 105 Mass. Code Regs. 150.002; 150.001* X
MO Mo. Ann. Stat. §§ 198.054; 198.006* X
NH N.H. Code Admin. R. He-P 805.19; 805.03* X
N.H. Code Admin. R. He-P 803.23; 803.03* X
N.H. Rev. Stat. Ann. §§ 151:33;* 151:2* X
N.H. Rev. Stat. Ann. §§ 151:9-b;* 151:2* X
NY N.Y. Public Health Law §§ 2192; 2194; 2195; 2191* X
N.Y. Comp. Codes R. & Regs. tit. 10, § 415.19; 415.2* X
N.Y. Comp. Codes R. & Regs. tit. 10, § 2.59; N.Y. Public Health Law § 2801* X
NC N.C. Gen. Stat. Ann. §§ 131E-113; 131E-101* X
OK Okla. Admin. Code § 310:675-9-31; 310:675-1-2* X
OR Or. Admin. R. 333-018-0127; 333-018-0100* X
PA 35 Pa. Stat. and Cons. Stat. Ann §§ 632.3; 632.5; 632.6; 632.2* X
RI R.I. Admin. Code 31-4-8:14.0; 31-4-8:1.0* X
R.I. Gen. Laws Ann. §§ 23-17.19-3; 23-17.19-5; 23-17.19-6; 23-17.19-2* X
R.I. Admin. Code 31-1-22:3.0; 31-1-22:5.0; 31-1-22:2.1(a)* X
SC S.C. Code Ann. Regs. 61-17* X
TN Tenn. Comp. R. & Regs. 1200-08-06-.06; 1200-08-06-.01* X
TX 40 Tex. Admin. Code §§ 19.1601; 19.101* X
25 Tex. Admin. Code §§ 97.202; 97.201; Tex. Health & Safety Code Ann. § 242.002* X
Tex. Health & Safety Code Ann. §§ 161.0051;* 242.002(5) X100
UT Utah Admin. Code r. 386-705; 432-40* X
Utah Admin. Code r. 432-40* X
DC D.C. Mun. Regs. tit. 22-B, §§ 3222; 3299* X

Requirement Type

Requirement Type
State Citation Requirement Type
Assessment Admin. offer Admin. ensure Surgical mask
AL Ala. Code § 22-21-10* X X X
AR Ark. Code Ann. §§ 20-10-1304; 1305; 1303* X X90
Ark. Admin. Code 007.15.5-VI; 007.15.5-II; 007.15.5-IV; 007.15.5-V; 007.15.5-III* X X
CA Cal. Code Regs. tit. 8, §§ 5199 (h)(5)(D)(10); (j)(1)(B)(2); (a)(1)(A)*
Appendices C1, C2, E		 X X
CO 6 Colo. Code Regs. § 1011-1:II-10* X91 X92 X93 X94
6 Colo. Code Regs. 1011-1:II-10.5, 10.11, 10.12; Colo. Rev. Stat. Ann. § 25-3-101* X X
DE 16 Del. Admin. Code §§ 3201-5.0; 3201-2.0* X X
GA Ga. Code Ann. §§ 31-7-19; 31-7-1* X
IL  Ill. Admin. Code tit. 77, §§ 956.30; 956 App. A; 956.10* X
KY Ky. Rev. Stat. Ann. §§ 209.552; 209.550;* 216.510* X X
902 Ky. Admin. Regs. 2:065; Ky. Rev. Stat. Ann. §§ 209.550;* 216.510* X X X
ME 10-144-264 Me. Code R. §§ 2; 3; 4; 7; 1;* 10-144-110 Me. Code R. § Ch. 1* X X
Me. Rev. Stat. Ann. tit. 22, §§ 802; 1812-A* X
MD Md. Code Ann., Health - General §§ 18-404;* 19-301* X X X
MA 105 Mass. Code Regs. 150.002; 150.001* X X
MO Mo. Ann. Stat. §§ 198.054; 198.006* X
NH N.H. Code Admin. R. He-P 805.19; 805.03* X X X
N.H. Code Admin. R. He-P 803.23; 803.03* X X X
N.H. Rev. Stat. Ann. §§ 151:33;* 151:2* X
N.H. Rev. Stat. Ann. §§ 151:9-b;* 151:2* X X X
NY N.Y. Public Health Law §§ 2192; 2194; 2195; 2191* X96 X97 X98
N.Y. Comp. Codes R. & Regs. tit. 10, § 415.19; 415.2* X X
N.Y. Comp. Codes R. & Regs. tit. 10, § 2.59; N.Y. Public Health Law § 2801* X X
NC N.C. Gen. Stat. Ann. §§ 131E-113; 131E-101* X X X
OK Okla. Admin. Code § 310:675-9-31; 310:675-1-2* X
OR Or. Admin. R. 333-018-0127; 333-018-0100* X
PA 35 Pa. Stat. and Cons. Stat. Ann §§ 632.3; 632.5; 632.6; 632.2* X X X
RI R.I. Admin. Code 31-4-8:14.0; 31-4-8:1.0* X X
R.I. Gen. Laws Ann. §§ 23-17.19-3; 23-17.19-5; 23-17.19-6; 23-17.19-2* X X X99
R.I. Admin. Code 31-1-22:3.0; 31-1-22:5.0; 31-1-22:2.1(a)* X X X
SC S.C. Code Ann. Regs. 61-17* X X
TN Tenn. Comp. R. & Regs. 1200-08-06-.06; 1200-08-06-.01* X X X
TX 40 Tex. Admin. Code §§ 19.1601; 19.101* X X X
25 Tex. Admin. Code §§ 97.202; 97.201; Tex. Health & Safety Code Ann. § 242.002* X X X
Tex. Health & Safety Code Ann. §§ 161.0051;* 242.002(5) X
UT Utah Admin. Code r. 386-705; 432-40* X
Utah Admin. Code r. 432-40* X X
DC D.C. Mun. Regs. tit. 22-B, §§ 3222; 3299* X X X

Exemptions

Exemptions
State Citation Exemptions
None specified88 Medical Religious Philosophical89
AL Ala. Code § 22-21-10* X X X
AR Ark. Code Ann. §§ 20-10-1304; 1305; 1303* X X
Ark. Admin. Code 007.15.5-VI; 007.15.5-II; 007.15.5-IV; 007.15.5-V; 007.15.5-III* X X
CA Cal. Code Regs. tit. 8, §§ 5199 (h)(5)(D)(10); (j)(1)(B)(2); (a)(1)(A)*
Appendices C1, C2, E		 X X
CO 6 Colo. Code Regs. § 1011-1:II-10* X
6 Colo. Code Regs. 1011-1:II-10.5, 10.11, 10.12; Colo. Rev. Stat. Ann. § 25-3-101* X X
DE 16 Del. Admin. Code §§ 3201-5.0; 3201-2.0* X
GA Ga. Code Ann. §§ 31-7-19; 31-7-1* X
IL  Ill. Admin. Code tit. 77, §§ 956.30; 956 App. A; 956.10* X X X
KY Ky. Rev. Stat. Ann. §§ 209.552; 209.550;* 216.510* X X X
902 Ky. Admin. Regs. 2:065; Ky. Rev. Stat. Ann. §§ 209.550;* 216.510* X X
ME 10-144-264 Me. Code R. §§ 2; 3; 4; 7; 1;* 10-144-110 Me. Code R. § Ch. 1* X X X
Me. Rev. Stat. Ann. tit. 22, §§ 802; 1812-A* X X X
MD Md. Code Ann., Health - General §§ 18-404;* 19-301* X X X
MA 105 Mass. Code Regs. 150.002; 150.001* X X X
MO Mo. Ann. Stat. §§ 198.054; 198.006* X X
NH N.H. Code Admin. R. He-P 805.19; 805.03* X
N.H. Code Admin. R. He-P 803.23; 803.03* X
N.H. Rev. Stat. Ann. §§ 151:33;* 151:2* X
N.H. Rev. Stat. Ann. §§ 151:9-b;* 151:2* X X
NY N.Y. Public Health Law §§ 2192; 2194; 2195; 2191* X X X
N.Y. Comp. Codes R. & Regs. tit. 10, § 415.19; 415.2* X
N.Y. Comp. Codes R. & Regs. tit. 10, § 2.59; N.Y. Public Health Law § 2801* X
NC N.C. Gen. Stat. Ann. §§ 131E-113; 131E-101* X X X
OK Okla. Admin. Code § 310:675-9-31; 310:675-1-2* X X
OR Or. Admin. R. 333-018-0127; 333-018-0100* X X
PA 35 Pa. Stat. and Cons. Stat. Ann §§ 632.3; 632.5; 632.6; 632.2* X X X
RI R.I. Admin. Code 31-4-8:14.0; 31-4-8:1.0* X X
R.I. Gen. Laws Ann. §§ 23-17.19-3; 23-17.19-5; 23-17.19-6; 23-17.19-2* X X X
R.I. Admin. Code 31-1-22:3.0; 31-1-22:5.0; 31-1-22:2.1(a)* X X
SC S.C. Code Ann. Regs. 61-17* X X
TN Tenn. Comp. R. & Regs. 1200-08-06-.06; 1200-08-06-.01* X X
TX 40 Tex. Admin. Code §§ 19.1601; 19.101* X X
25 Tex. Admin. Code §§ 97.202; 97.201; Tex. Health & Safety Code Ann. § 242.002* X X
Tex. Health & Safety Code Ann. §§ 161.0051;* 242.002(5) X
UT Utah Admin. Code r. 386-705; 432-40* X
Utah Admin. Code r. 432-40* X X
DC D.C. Mun. Regs. tit. 22-B, §§ 3222; 3299* X X X
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