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Oregon Immunization Law

House Bill 3276

Recent clusters of meningococcal disease at the University of Oregon and Oregon State University uncovered gaps in health insurance coverage for students. House Bill (HB) 3276, passed in 2017, requires insurers to cover treatment and preventive measures when Oregon Health Authority’s public health director declares a disease outbreak, epidemic or other condition of public health importance in a geographic area of Oregon or statewide.
HB3276 also required OHA to convene a Task Force to make recommendations for improvements in student health insurance coverage and preventing the spread of disease during an outbreak, epidemic or other condition of public health importance. The Task Force consisted of representatives from public universities, insurers and other key stakeholders. The Task Force received instructions to do the following:

  1. Recommend legislative changes to improve student health insurance coverage;
  2. Recommend changes to public health policies on vaccinations to better address public health emergencies in the future; and
  3. Identify opportunities to minimize fragmenting of vaccine financing and delivery during a public health emergency.
Read the full report: House Bill 3276 Task Force Report


School Immunization Law - SB 895

Senate Bill 895 is a new law about school immunizations for 2015-2016.

Key changes made by Senate Bill 895:

  1. Religious exemptions signed prior to March 1, 2014, are no longer valid. Parents will be required to turn in documentation of immunization or complete the new process for a nonmedical exemption prior to Exclusion Day in February 2016.
  2. Schools and children's facilities (preschools, Head Starts and certified child care programs) will be required to have their immunization and exemption rates available at their main offices, on their websites, and for parents on paper or electronic format.

Schools and child cares can start contacting parents of children with old religious exemptions immediately to get updated documentation of immunization or exemption. A sample letter to parents is available, also in Spanish and Russian. Remember to include a copy of the Certificate of Immunization Status form for parents to fill out.


Right to medical or dental treatment without parental consent

ALERT Immunization Registry

Effective Jan. 1, 2012

Changes to administrative rules regarding the Oregon ALERT Immunization Information System (IIS) and vaccine stewardship have been completed.

The changes outline the training requirements for any entity who receives vaccine from the Oregon Health Authority's Immunization program, including training in clinical administration of vaccine, and vaccine storage and handling. The changes also clarify Oregon ALERT IIS data use protocols, while also documenting the data elements and timelines for data submission for all entities receiving state-supplied vaccine.

Healthcare Workers and Immunization

ORS 433.407 - 433.416
433.407 Definitions for ORS 433.407 to 433.423. As used in ORS 433.407 to 433.423 unless the context requires otherwise:

  1. "Authority" means the Oregon Health Authority.
  2. "Health care facility" means a facility as defined in ORS 442.015 and a mental health facility, alcohol treatment facility or drug treatment facility licensed or operated under ORS chapter 426 or 430.
  3. "Worker" means a person who is licensed or certified to provide health care under ORS chapter 677, 678, 679, 680, 684 or 685 or ORS 682.216, an employee of a health care facility, of a licensed health care provider or of a clinical laboratory as defined in ORS 438.010, a firefighter, a law enforcement officer as defined in ORS 414.805, a corrections officer or a parole and probation officer. [1989 c.949 §2; 1993 c.196 §8; 2005 c.264 §24; 2009 c.595 §671; 2011 c.720 §195]

Note: 433.407 to 433.423 were enacted into law by the Legislative Assembly but were not added to or made a part of ORS chapter 433 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

433.411 Legislative finding. The Legislative Assembly finds that by reason of and in the course of their employment, health care workers and emergency response employees, are subject to exposure to infectious diseases, that this exposure is not fully preventable due to the nature of their duties and that health care workers should be informed of exposure to infectious diseases as soon as is practicable to initiate appropriate medical care and to prevent exposing other persons to infectious diseases. [1989 c.949 §1]

433.416 When employer to provide preventive immunization.

  1. An employer of a health care worker at risk of contracting an infectious disease in the course of employment shall provide to the worker preventive immunization for infectious disease if such preventive immunization is available and is medically appropriate.
  2. Such preventive immunization shall be provided by the employer at no cost to the worker.
  3. A worker shall not be required as a condition of work to be immunized under this section, unless such immunization is otherwise required by federal or state law, rule or regulation. [1989 c.949 §3]

Vaccines recommended by the Centers for Disease Control and Prevention (CDC) for healthcare workers include:

  • Hepatitis B
  • Influenza
  • MMR
  • Pertussis
  • Varicella
  • Meningococcal (only high risk - anatomic or functional asplenia; persistent complement component deficiencies; microbiology lab workers)

Learn More

New Administrative Rules for VFC

The new administrative rules detail requirements for Vaccines for Children (VFC) clinic enrollment, vaccine eligibility, administration fees and clinic compliance.

Disease Reporting

Vaccine Shortage

Vaccine Education and Prioritization Plan

Pharmacists and Immunization


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