(a) A parent or legal guardian shall have a child immunized against certain diseases as determined in rules He-P 301.14, Immunization Requirements, adopted by the commissioner of the department of health and human services.

(b) A child shall be exempt from immunization in accordance with RSA 141-C:20-c.

(c) A child who is exempt from immunization in accordance with (b) shall not attend school during an outbreak of a communicable disease for which immunization is required under RSA 141-C:20-a.

(d) If a child is not immunized as in Ed 311.01(a), does not have a religious or medical exemption, or is unable to provide evidence of acceptable immunization for conditional enrollment, he/she shall not be admitted to school.

(b) Unless the child has received an exemption from the vaccination requirement pursuant to RSA 141-C:20-c, public or private primary or secondary schools, pre-schools and child care agencies shall not admit a child without first receiving documentation, as defined in He-P 301.01(n), showing that the child has received the following age-appropriate and acceptable immunizations:

• (1) With regard to diphtheria, tetanus, pertussis (DPT) or diphtheria, tetanus, accellular pertussis (DTaP) or tetanus, diphtheria, accelluar pertussis (Tdap), or if pertussis vaccine is medically contraindicated, then diphtheria-tetanus toxoid (DT/Td), the following doses:

• a. Unless the 4th dose was administered on or after the fourth birthday, five doses;

• b. For children 6 years and under, 4 or 5 doses, with the last dose administered on or after the 4th birthday;

• c. For children 7 years of age and older, a minimum of 3 doses with the last dose administered on or after the 4th birthday;

• d. Children between 7 and 10 years of age who have not completed their primary immunization schedule or have an unknown vaccine history, a single dose of Tdap, except that if after receiving the dose of Tdap, they require additional tetanus and diphtheria toxoid doses, a dose of Td; and

• e. Beginning August 1, 2017 a single dose of Tdap prior to entering 7th grade, unless that child received Tdap at age 7 years or older, in which case no further doses are required;

• (2) Four doses of trivalent polio vaccine, with the fourth dose administered on or after the 4th birthday and separated by 6 months from the 3rd dose, unless:

• a. The third dose of an all oral polio vaccine (OPV) or all inactivated polio vaccine (IPV) series was administered on or after the 4th birthday; with the last two doses separated by 6 months, or;

• b. If the child was enrolled prior to 2011, 3 doses of all oral polio vaccine (OPV) or all inactivated polio vaccine (IPV) series, with the last dose given on or after the 4th birthday;

• (3) With regard to measles, mumps, rubella (MMR) vaccine:

• a. One dose given on or after 12 months of age; and

• b. For all students in grades kindergarten through 12th grade 2 valid doses, with the first dose administered on or after 12 months of age;

• (4) Three doses of hepatitis B vaccine;

(5) For varicella vaccines unless laboratory evidence of immunity for the specific child is provided:

• a. One dose given on or after 12 months of age;

• b. For all students entering kindergarten after 2009, 2 valid doses of varicella vaccine, with the first dose administered on or after 12 months of age; and

• c. For children enrolled in kindergarten prior to 2009, parental or medical provider verification that those children have had varicella disease; and

(6) For Haemophilus influenza Type b (Hib), with regard to children under the age of 59 months who are enrolled in child care and pre-school;

• a. 4 doses, with the last dose administered on or after 12 months of age; or

• b. One dose on or after 15 months of age.

I. All parents or legal guardians shall have their children who are residing in this state immunized against certain diseases.These diseases shall include, but not be limited to, diphtheria, mumps, pertussis, poliomyelitis, rubella, rubeola, and tetanus. The commissioner shall adopt rules under RSA 541-A relative to other diseases which require immunization.

II. No child shall be admitted or enrolled in any school or child care agency, public or private, unless the following is demonstrated:

(a) Immunization under paragraph I;

(b) Partial immunization relative to the age of the child as specified in rules adopted by the commissioner; or

(c) Exemption under RSA 141-C:20-c.

III. Nothing in this section shall require an immunization/vaccination requirement for diseases that are noncommunicable. Noncommunicable disease means a disease that is not infectious or transmissible from person-to-person.