Appendix 2 - Influenza Vaccination Laws for Patients 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 (LTC) facilities' influenza vaccine laws by facility, patient, requirement, and exemption type.

Appendix 2

Influenza Vaccination Laws for State Long-Term Care Facilities

Long-Term Care (LTC) Facility Type

Facility Type
State Citation LTC Facility Type
All LTC facilities Nursing facilities101 Nursing homes Life care facilities Veterans’ homes Residential care centers Comprehensive care facilities Intermediate care facilities
AL Ala. Code § 22-21-10* X
AZ Ariz. Rev. Stat. Ann. §§ 36-406; 36-401* X
 Ariz. Admin. Code § R9-10-413
Ariz. Rev. Stat. Ann. § 36-401*		 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. Health & Safety Code § 120392.4; 120392.6; 120392* X
Cal. Health & Safety Code § 120392.2; 120392.6; 120392* X
CT Conn. Gen. Stat. Ann. §§ 19a-522; 19a-490* X
Conn. Agencies Regs. §§ 19-13-D8t; 19-13-D1(b)(3)(C)* X105
DE 16 Del. Admin. Code 3201-6.0; 3201-2.0* X
FL Fla. Stat. Ann. §§ 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 Ill. Admin. Code tit. 77, §§ 300.1060; 300.330* X
Ill. Admin. Code tit. 77, §§ 340.1640; 340.1000* X
Ill. Admin. Code tit. 77, §§ 390.1140; 390.110* X106
210 Ill. Comp. Stat. Ann. 45/2-213; 45/1-102* X
210 Ill. Comp. Stat. Ann. 40/10.1; 40/2* X
IN Ind. Code Ann. §§ 16-28-14-3; 16-28-14-5; 16-28-14-6; 16-28-15-3;* 16-28-14-2* X
KY Ky. Rev. Stat. Ann. §§ 209.552; 209.550;* 216.510* X
902 Ky. Admin. Regs. 2:065; Ky. Rev. Stat. Ann. § 216.510* X
ME 10-144-101 Me. Code R. Ch. II § 67* X
MD Md. Code Ann., Health - General §§ 18-404;* 19-301* X109
MI Mich. Comp. Laws Ann. §§ 333.21716; 333.21701-333.201703* X
NE Neb. Rev. Stat. Ann. §§ 71-468; 71-420;* 71-424* X X
NH N.H. Code Admin. R. He-P 805.19; 805.03;* N.H. Rev. Stat. Ann. § 151:9-b X
N.H. Code Admin. R. He-P 803.23; 805.03;* N.H. Rev. Stat. Ann. § 151:9-b X
N.H. Rev. Stat. Ann. §§ 151:9-b;* 151:2* X
N.H. Rev. Stat. Ann. §§ 151:33;* 151:2* X X X
NJ N.J. Admin. Code §§ 8:39–19.4; 8:39–1.2* X
N.J. Admin. Code §§ 8:43–16.2; 8:43–1.3* X
N.J. Admin. Code §§ 5:27A–16.2; 5:27A–1.3* X
NY N.Y. Public Health Law §§ 2192; 2193; 2195; 2191* X
NC N.C. Gen. Stat. Ann. §§ 131E-113; 131E-101* X
OH Ohio Admin. Code 3701-17-13
Ohio Rev. Code Ann. §§ 3721.041; 3721.01*		 X
Ohio Admin. Code 3701-17-58; Ohio Rev. Code Ann. §§ 3721.041; 3721.01* X
OK Okla. Admin. Code § 310:675-9-31; 310:675-1-2 X
PA 35 Pa. Stat. and Cons. Stat. Ann §§ 632.3; 632.4; 632.6; 632.2* X
RI R.I. Gen. Laws Ann. §§ 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; 31-4-8:1.0* X
SC S.C. Code Ann. Regs. 61-17* X
SD S.D. Admin. R. 44:73:04:09; S.D. Codified Laws § 34-12-1.1(6)* 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. 432-40* X
VA Va. Code Ann. §§ 32.1-127; 32.1-123* X X
12 Va. Admin. Code §§ 5-371-110; 5-371-10* X X
WA Wash. Admin. Code § 388-97-1340; 388-97-0001* X
Wash. Rev. Code Ann. §§ 74.42.285; 74.42.010* X
DC D.C. Mun. Regs. tit. 22-B, §§ 3222; 3299* X

Patient Type

Patient Type
State Citation Patient Type
All patients 65+ years
AL Ala. Code § 22-21-10* X
AZ Ariz. Rev. Stat. Ann. §§ 36-406; 36-401* X
 Ariz. Admin. Code § R9-10-413

Ariz. Rev. Stat. Ann. § 36-401*

 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. Health & Safety Code § 120392.4; 120392.6; 120392* X
Cal. Health & Safety Code § 120392.2; 120392.6; 120392* X
CT Conn. Gen. Stat. Ann. §§ 19a-522; 19a-490* X
Conn. Agencies Regs. §§ 19-13-D8t; 19-13-D1(b)(3)(C)* X
DE 16 Del. Admin. Code 3201-6.0; 3201-2.0* X
FL Fla. Stat. Ann. §§ 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 Ill. Admin. Code tit. 77, §§ 300.1060; 300.330* X
Ill. Admin. Code tit. 77, §§ 340.1640; 340.1000* X
Ill. Admin. Code tit. 77, §§ 390.1140; 390.110* X107
210 Ill. Comp. Stat. Ann. 45/2-213; 45/1-102* X
210 Ill. Comp. Stat. Ann. 40/10.1; 40/2* X
IN Ind. Code Ann. §§ 16-28-14-3; 16-28-14-5; 16-28-14-6; 16-28-15-3;* 16-28-14-2* X
KY Ky. Rev. Stat. Ann. §§ 209.552; 209.550;* 216.510* X
902 Ky. Admin. Regs. 2:065; Ky. Rev. Stat. Ann. § 216.510* X
ME 10-144-101 Me. Code R. Ch. II § 67* X
MD Md. Code Ann., Health - General §§ 18-404;* 19-301* X
MI Mich. Comp. Laws Ann. §§ 333.21716; 333.21701-333.201703* X
NE Neb. Rev. Stat. Ann. §§ 71-468; 71-420;* 71-424* X
NH N.H. Code Admin. R. He-P 805.19; 805.03;* N.H. Rev. Stat. Ann. § 151:9-b X
N.H. Code Admin. R. He-P 803.23; 805.03;* N.H. Rev. Stat. Ann. § 151:9-b X
N.H. Rev. Stat. Ann. §§ 151:9-b;* 151:2* X
N.H. Rev. Stat. Ann. §§ 151:33;* 151:2* X
NJ N.J. Admin. Code §§ 8:39–19.4; 8:39–1.2* X
N.J. Admin. Code §§ 8:43–16.2; 8:43–1.3* X
N.J. Admin. Code §§ 5:27A–16.2; 5:27A–1.3* X
NY N.Y. Public Health Law §§ 2192; 2193; 2195; 2191* X
NC N.C. Gen. Stat. Ann. §§ 131E-113; 131E-101* X
OH Ohio Admin. Code 3701-17-13

Ohio Rev. Code Ann. §§ 3721.041; 3721.01*

 X
Ohio Admin. Code 3701-17-58; Ohio Rev. Code Ann. §§ 3721.041; 3721.01* X
OK Okla. Admin. Code § 310:675-9-31; 310:675-1-2 X
PA 35 Pa. Stat. and Cons. Stat. Ann §§ 632.3; 632.4; 632.6; 632.2* X
RI R.I. Gen. Laws Ann. §§ 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; 31-4-8:1.0* X
SC S.C. Code Ann. Regs. 61-17* X
SD S.D. Admin. R. 44:73:04:09; S.D. Codified Laws § 34-12-1.1(6)* 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. 432-40* X
VA Va. Code Ann. §§ 32.1-127; 32.1-123* X
12 Va. Admin. Code §§ 5-371-110; 5-371-10* X
WA Wash. Admin. Code § 388-97-1340; 388-97-0001* X
Wash. Rev. Code Ann. §§ 74.42.285; 74.42.010* 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
AL Ala. Code § 22-21-10* X X X
AZ Ariz. Rev. Stat. Ann. §§ 36-406; 36-401* X
 Ariz. Admin. Code § R9-10-413
Ariz. Rev. Stat. Ann. § 36-401*		 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 X
CA Cal. Health & Safety Code § 120392.4; 120392.6; 120392* X X
Cal. Health & Safety Code § 120392.2; 120392.6; 120392* X
CT Conn. Gen. Stat. Ann. §§ 19a-522; 19a-490* X
Conn. Agencies Regs. §§ 19-13-D8t; 19-13-D1(b)(3)(C)* X X
DE 16 Del. Admin. Code 3201-6.0; 3201-2.0* X X
FL Fla. Stat. Ann. §§ 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
IL Ill. Admin. Code tit. 77, §§ 300.1060; 300.330* X X X
Ill. Admin. Code tit. 77, §§ 340.1640; 340.1000* X X X
Ill. Admin. Code tit. 77, §§ 390.1140; 390.110* X X X
210 Ill. Comp. Stat. Ann. 45/2-213; 45/1-102* X X
210 Ill. Comp. Stat. Ann. 40/10.1; 40/2* X X
IN Ind. Code Ann. §§ 16-28-14-3; 16-28-14-5; 16-28-14-6; 16-28-15-3;* 16-28-14-2* 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. § 216.510* X X
ME 10-144-101 Me. Code R. Ch. II § 67* X X X
MD Md. Code Ann., Health - General §§ 18-404;* 19-301* X X X
MI Mich. Comp. Laws Ann. §§ 333.21716; 333.21701-333.201703* X
NE Neb. Rev. Stat. Ann. §§ 71-468; 71-420;* 71-424* X
NH N.H. Code Admin. R. He-P 805.19; 805.03;* N.H. Rev. Stat. Ann. § 151:9-b X X
N.H. Code Admin. R. He-P 803.23; 805.03;* N.H. Rev. Stat. Ann. § 151:9-b X X X
N.H. Rev. Stat. Ann. §§ 151:9-b;* 151:2* X X
N.H. Rev. Stat. Ann. §§ 151:33;* 151:2* X
NJ N.J. Admin. Code §§ 8:39–19.4; 8:39–1.2* X X X
N.J. Admin. Code §§ 8:43–16.2; 8:43–1.3* X X X
N.J. Admin. Code §§ 5:27A–16.2; 5:27A–1.3* X X X
NY N.Y. Public Health Law §§ 2192; 2193; 2195; 2191* X111 X X112
NC N.C. Gen. Stat. Ann. §§ 131E-113; 131E-101* X X X
OH Ohio Admin. Code 3701-17-13
Ohio Rev. Code Ann. §§ 3721.041; 3721.01*		 X113
Ohio Admin. Code 3701-17-58; Ohio Rev. Code Ann. §§ 3721.041; 3721.01* X
OK Okla. Admin. Code § 310:675-9-31; 310:675-1-2 X
PA 35 Pa. Stat. and Cons. Stat. Ann §§ 632.3; 632.4; 632.6; 632.2* X X X
RI R.I. Gen. Laws Ann. §§ 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; 31-4-8:1.0* X X X
SC S.C. Code Ann. Regs. 61-17* X
SD S.D. Admin. R. 44:73:04:09; S.D. Codified Laws § 34-12-1.1(6)* X 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 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. 432-40* X X
VA Va. Code Ann. §§ 32.1-127; 32.1-123* X X
12 Va. Admin. Code §§ 5-371-110; 5-371-10* X X
WA Wash. Admin. Code § 388-97-1340; 388-97-0001* X
Wash. Rev. Code Ann. §§ 74.42.285; 74.42.010* X
DC D.C. Mun. Regs. tit. 22-B, §§ 3222; 3299* X X X

Exemptions

Exemptions
State Citation Exemptions
None specified102 Medical Religious Philosophical103
AL Ala. Code § 22-21-10* X X X
AZ Ariz. Rev. Stat. Ann. §§ 36-406; 36-401* X
 Ariz. Admin. Code § R9-10-413
Ariz. Rev. Stat. Ann. § 36-401*		 X X
AR Ark. Code Ann. §§ 20-10-1304; 1305; 1303* X X X104
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. Health & Safety Code § 120392.4; 120392.6; 120392* X X
Cal. Health & Safety Code § 120392.2; 120392.6; 120392* X X
CT Conn. Gen. Stat. Ann. §§ 19a-522; 19a-490* X X
Conn. Agencies Regs. §§ 19-13-D8t; 19-13-D1(b)(3)(C)* X X
DE 16 Del. Admin. Code 3201-6.0; 3201-2.0* X X
FL Fla. Stat. Ann. §§ 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 Ill. Admin. Code tit. 77, §§ 300.1060; 300.330* X X
Ill. Admin. Code tit. 77, §§ 340.1640; 340.1000* X X
Ill. Admin. Code tit. 77, §§ 390.1140; 390.110* X X
210 Ill. Comp. Stat. Ann. 45/2-213; 45/1-102* X X
210 Ill. Comp. Stat. Ann. 40/10.1; 40/2* X X
IN Ind. Code Ann. §§ 16-28-14-3; 16-28-14-5; 16-28-14-6; 16-28-15-3;* 16-28-14-2* 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. § 216.510* X X
ME 10-144-101 Me. Code R. Ch. II § 67* X X
MD Md. Code Ann., Health - General §§ 18-404;* 19-301* X X X
MI Mich. Comp. Laws Ann. §§ 333.21716; 333.21701-333.201703* X
NE Neb. Rev. Stat. Ann. §§ 71-468; 71-420;* 71-424* X
NH N.H. Code Admin. R. He-P 805.19; 805.03;* N.H. Rev. Stat. Ann. § 151:9-b X X X
N.H. Code Admin. R. He-P 803.23; 805.03;* N.H. Rev. Stat. Ann. § 151:9-b X109 X110
N.H. Rev. Stat. Ann. §§ 151:9-b;* 151:2* X X
N.H. Rev. Stat. Ann. §§ 151:33;* 151:2* X
NJ N.J. Admin. Code §§ 8:39–19.4; 8:39–1.2* X X
N.J. Admin. Code §§ 8:43–16.2; 8:43–1.3* X X
N.J. Admin. Code §§ 5:27A–16.2; 5:27A–1.3* X X
NY N.Y. Public Health Law §§ 2192; 2193; 2195; 2191* X X X
NC N.C. Gen. Stat. Ann. §§ 131E-113; 131E-101* X X X
OH Ohio Admin. Code 3701-17-13
Ohio Rev. Code Ann. §§ 3721.041; 3721.01*		 X X
Ohio Admin. Code 3701-17-58; Ohio Rev. Code Ann. §§ 3721.041; 3721.01* X X
OK Okla. Admin. Code § 310:675-9-31; 310:675-1-2 X X
PA 35 Pa. Stat. and Cons. Stat. Ann §§ 632.3; 632.4; 632.6; 632.2* X X X
RI R.I. Gen. Laws Ann. §§ 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; 31-4-8:1.0* X X X
SC S.C. Code Ann. Regs. 61-17* X X
SD S.D. Admin. R. 44:73:04:09; S.D. Codified Laws § 34-12-1.1(6)* 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. 432-40* X X
VA Va. Code Ann. §§ 32.1-127; 32.1-123* X X
12 Va. Admin. Code §§ 5-371-110; 5-371-10* X X
WA Wash. Admin. Code § 388-97-1340; 388-97-0001* X
Wash. Rev. Code Ann. §§ 74.42.285; 74.42.010* X
DC D.C. Mun. Regs. tit. 22-B, §§ 3222; 3299* X X X
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