333-050-0210
Definitions

As used in OAR 333-050-0210 through 333-050-0410:

(1) “Administrator” has the meaning given that term in ORS 433.235.

(2) “ALERT Immunization Information System” means the system defined and described in OAR chapter 333, division 49.

(3) “Attend” or “attending” means:

(a) Enrolled with a school or children’s facility and being physically present for any reason at the school or facility.

(b) Residing on the premises of a children’s facility or school on five or more days in a given school year.

(c) For home-schooled, private, or special education students or students in other non-traditional educational settings subject to these rules:

(A) Meeting with an instructor in a school building five or more days during a school year; or

(B) Participating in sports, field trips or other activities through a school-sponsored program five or more times per school year.

(4) "Certificate of Immunization Status" means a form provided by the Public Health Division (Division) or other documentation approved by the Division in accordance with OAR 333-050-0300.

(5) “Child” means:

(a) An individual of any age up to the age of 18; or

(b) An individual of any age in any grade through 12th grade.

(6) “Children’s facility” or “facility”:

(a) Has the meaning given that term in ORS 433.235, and includes but is not limited to certified child care centers, certified family child care homes, child care centers exempt from certification, Head Start programs, preschools and Early Intervention/Early Childhood Special Education programs.

(b) Does not mean facilities or programs classified as exempt under OAR 333-050-0220.

(7) "Complete" means a record indicating that a child is fully immunized as required in OAR 333-050-0240 or has immunity documentation, as specified in OAR 333-050-0260, to each disease against which the child is not fully vaccinated.

(8) "Contraindication or precaution" means a medical diagnosis of a physical condition or disease that renders a particular vaccine improper or undesirable for a child in accordance with the current recommendations of the Advisory Committee on Immunization Practices, U.S. Department of Health and Human Services, U.S. Centers for Disease Control and Prevention, or the American Academy of Pediatrics.

(9) “Electronic signature” has the meaning given that term in ORS 84.004.

(10) "Evidence of immunization" means a record that complies with the requirements in OAR 333-050-0240 that indicates the month, day and year of receipt of each dose of a vaccine.

(11) "Exclude" or "Exclusion" means not being allowed to attend a school or facility pursuant to an exclusion order from the local health department based on non-compliance with the requirements of ORS 433.255, 433.260, or 433.267(1), and these rules.

(12) “Exclusion Day” means the fourth Wednesday in February, unless a different date is identified by the Public Health Division, in accordance with OAR 333-050-0310.

(13) “Exclusion order” means an order issued by the local health department prohibiting a child from attending a school or children’s facility because the school or children’s facility does not have documentation for the child required by ORS 433.267(1) or (2) and these rules.

(14) "Exemption" means either a documented medical or nonmedical exemption.

(15) "Health care practitioner" means:

(a) A practitioner of the healing arts who has within the scope of the practitioner's license, the authority to order immunizations, including but not limited to individuals licensed to practice by the Oregon Medical Board, Oregon Board of Naturopathic Medicine, and nurse practitioners licensed by the Oregon State Board of Nursing, or the equivalent licensing board in other states; and

(b) For purposes of OAR 333-050-0270(2) includes registered nurses and physician associates.

(16) “Immunity documentation” means documentation that meets the requirements in OAR 333-050-0260 from a health care practitioner with authority to diagnose disease, or from a representative of the local health department, from ALERT IIS, or from a clinical laboratory.

(17) “Immunization” means a vaccine authorized, approved or licensed by the United States Food and Drug Administration (or the foreign equivalent) for the prevention of a particular disease.

(18) "Incomplete" means a record indicating that a child:

(a) Is not fully immunized as required in OAR 333-050-0240; and

(b) Does not have a completed exemption or immunity documentation for a disease for which the child is not fully vaccinated.

(19) "Insufficient" means a record that does not have enough information to make a proper determination about a child's immunization status or has information that is clearly in error.

(20) “Local health department” has the meaning given that term in ORS 431.003, or if the local public health authority has transferred its authority to the Oregon Health Authority (Authority) under ORS 431.382, means the entity identified by the Authority to conduct the activities required by a local health department under these rules.

(21) "Main office" means a central administrative location at the school or children’s facility where immunization rates are made available to parents.

(22) "Medical exemption" means that, based on a contraindication or precaution, a child should not receive a specified immunization, either temporarily or permanently, depending on the duration of the contraindication or precaution.

(23) “Medical exemption form” means a document prescribed by the Oregon Health Authority and completed by a physician or a representative of the local health department for the purpose of claiming a medical exemption that includes, at a minimum, the following:

(a) Child’s name.

(b) Child’s birth date.

(c) Child’s medical condition that contraindicates or is a precaution to a vaccine.

(d) List of vaccines for which there is a contraindication or precaution.

(e) The duration of the contraindication or precaution, or approximate time until the child’s condition resolves, if applicable.

(f) Physician’s name.

(g) Physician’s signature.

(h) Physician’s license number.

(i) Physician’s contact information including the phone number.

(24) "Newly entering child" has the meaning given that term in ORS 433.267.

(25) "Nonmedical exemption" means the declination by a parent of one or more immunizations on behalf of the child for reasons other than those constituting medical exemptions.

(26) “Parent” has the meaning given that term in ORS 433.235.

(27) “Physician” has the meaning given that term in ORS 433.235.

(28) "Post-secondary education institution" means:

(a) A state institution of higher education under the jurisdiction of the Higher Education Coordinating Commission;

(b) A community college operated under ORS chapter 341;

(c) A school or division of Oregon Health and Science University; or

(d) A school located in Oregon described in OAR 583-030-0005 or classified as exempt under ORS 348.604.

(29) "Public Health Division" means the Oregon Health Authority, Public Health Division.

(30) "Record" means a document described in ORS 433.267(1).

(31) “School”:

(a) Has the meaning given that term in ORS 433.235, and includes but is not limited to public schools, private schools, charter schools, alternative education programs, any program that provides educational instruction designed to lead toward a high school diploma, and residential, correctional, or treatment program settings that provide K-12 educational instruction to children who are residents.

(b) Does not mean institutions or programs classified as exempt under OAR 333-050-0220.

(32) "School year" means an academic year as adopted by the school or school district (usually September through June).

(33) “Susceptible” has the meaning given that term in OAR 333-019-0010.

(34) "These rules" means OAR 333-050-0210 through 333-050-0410.

(35) "Transferring child" has the meaning given that term in ORS 433.267.

(36) "Up-to-date" means not complete with required immunizations but currently on schedule and not subject to exclusion, based on the immunization schedule for spacing doses, as prescribed in the Primary Review Table described in OAR 333-050-0240(1).

(37) "Vaccine educational module" means an education module approved by the Public Health Division to fulfill the requirement in ORS 433.267 to claim a nonmedical exemption.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0220
Exempt Children’s Facility and Schools

The following schools and children’s facilities are exempt from the requirements in these rules:

(1) Schools and facilities whose primary purpose is to supervise the training of children in a specific subject including but not limited to, dancing, drama, or music.

(2) Schools and facilities whose primary purpose is related to children’s group athletic or social activities sponsored by or under the supervision of an organized club or hobby group.

(3) Schools and facilities operated at a location where children may only attend on a limited basis not more than four different days per year.

(4) Schools and facilities operated on an occasional basis by a person, sponsor, or organization not ordinarily engaged in providing child care.

(5) Registered family child care homes, as defined in OAR 414-210-0100.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 13-2025, minor correction filed 07/08/2025, effective 07/08/2025
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0230
Documentation Requirements to Attend a Children’s Facility or School

(1) Prior to attending any children’s facility or school in Oregon, the parent of a newly entering child must submit to the administrator:

(a) Documentation of a minimum of one dose of each vaccine required for the child’s age and grade as identified in OAR 333-050-0240 through 333-050-0250;

(b) A medical or nonmedical exemption from vaccinations in accordance with OAR 333-050-0270; or

(c) Immunity documentation, in accordance with OAR 333-050-050-0260.

(2) If a transfer record does not arrive from a previous school within 30 days, the parent of a transferring child must submit to the administrator:

(a) Documentation of required immunizations as identified in OAR 333-050-0240 through 333-050-0250;

(b) A medical or nonmedical exemption from vaccinations in accordance with OAR 333-050-0270; or

(c) Immunity documentation, in accordance with OAR 333-050-050-0260.

(3) For children’s facilities providing drop-in child care, the parent of a newly entering child must submit to the administrator the same information required in section (1) of this rule prior to the child attending on the fifth visit.

(4) Nothing in this rule is intended to prevent a person from using or accepting an electronic document, using or accepting an electronic signature, or using, accepting, transmitting or storing documents electronically.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0240
Immunization Requirements

(1) The following are required immunizations for children attending a school or children’s facility, along with the required number of doses for the child’s age or grade as described in the Primary Review Table, incorporated by reference and provided as an attachment at the end of this rule, unless a child has immunity documentation for certain diseases listed in OAR 333-050-0260, or a child has a medical or nonmedical exemption.

(a) Diphtheria/Tetanus/Pertussis containing vaccine (DTaP) — Five doses unless:

(A) The fourth dose was given on or after the fourth birthday, then only four doses are required. The fourth dose given within four days prior to the fourth birthday is acceptable; or

(B) The third dose was given on or after the seventh birthday, then only three doses are required. The third dose given within four days prior to the seventh birthday is acceptable.

(b) Tetanus/Diphtheria/Pertussis booster (Tdap) — One dose given on or after the seventh birthday. A dose given within four days prior to the seventh birthday is acceptable,

(c) Polio — Four doses unless:

(A) The third dose was given on or after the fourth birthday, then only three doses are required. The third dose given within four days prior to the fourth birthday is acceptable; or

(B) The child is 18 years of age or older. Polio vaccination at or after the 18th birthday is not required.

(d) Varicella — One dose given on or after the first birthday. A dose given within four days prior to the first birthday is acceptable, unless:

(A) The first dose was received at or after 13 years of age, in which case, two doses are required.

(B) If a second dose is required, the second dose must be received at least 24 days after first dose.

(e) Measles — Two doses given on or after the first birthday. A dose given within four days prior to the first birthday is acceptable. The second dose must be received at least 24 days after first dose.

(f) Mumps — One dose is required, given on or after the first birthday. A dose given within four days prior to the first birthday is acceptable.

(g) Rubella — One dose given on or after the first birthday. A dose given within four days prior to the first birthday is acceptable.

(h) Hepatitis B — Three doses unless:

(A) The first dose was given on or after the 11th birthday, and the second dose was given at least four months after the first dose, in which case only two doses are required. The first dose given within four days prior to the 11th birthday is acceptable; or

(B) The first dose was received at or after 18 years of age, in which case the student is complete with two doses.

(i) Hepatitis A — Two doses given on or after the first birthday. A dose given within four days prior to the first birthday is acceptable.

(j) Haemophilus influenzae Type b (Hib) — Up to four doses depending on the child's current age and when previous doses were administered.

(2) If there is a lapse of time between doses longer than that recommended by the standard described in the Primary Review Table in section (1) of this rule, the dose still counts for purposes of compliance with these rules.

(3) In situations where a child's immunization history makes it difficult to determine whether the child has received all of the required immunizations, the administrator must request that the local health department make a final determination of the child's immunization status.

[ED. NOTE: To view attachments referenced in rule text, click here to view rule.]

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0250
Documentation of Immunizations

(1) Documentation of immunization must be on:

(a) A Certificate of Immunization Status form with the required signatures, along with evidence of immunization; or

(b) A record from the ALERT Immunization Information System with evidence of immunization.

(2) A person at a school or facility who receives a Certificate of Immunization Status form that is signed but not dated, may date the form with the date it was received.

(3) If a school or facility receives evidence of immunization that includes the month and year, but not the day the dose was received, the administrator must attempt to get the missing information from the parent, the ALERT Immunization Information System or another source. If no day of dose information is obtained the administrator may use the last day of the month to assess the immunization status for the child.

(4) If the parent of a child does not submit all the documentation required in this rule, the children’s facility or school may choose to complete or update a Certificate of Immunization Status form, using one or more of the following records and attaching the respective record to the Certificate of Immunization Status form:

(a) A health care practitioner documented immunization record.

(b) A record with the immunization information that clearly identifies it as having been created by the health care practitioner or a health system, such as but not limited to:

(A) A print-out from an electronic medical record.

(B) A print-out from the ALERT Immunization Information System.

(C) A print-out from another state’s immunization information system.

(c) A print-out from a children’s facility’s or school’s computer system if approved by the Public Health Division (Division) in accordance with OAR 333-050-0300.

(d) A written immunization record signed and dated by the parent and provided by the facility or school.

(e) An immunization record sent electronically by the parent to the facility or school.

(5) If an individual at a children’s facility or school completes the Certificate of Immunization Status form as permitted under section (4) of this rule, it must be signed and dated by that individual.

(6) When a child is determined by the facility, school or school district to be houseless and does not have a completed Certificate of Immunization Status on file with the school, the student shall be allowed to enroll conditionally.

(a) The enrolling school shall immediately refer the parent or guardian of the student to the school district houseless student liaison who shall assist in obtaining necessary immunizations or screenings, or immunization or other required health records.

(b) The enrolling school staff shall make every effort to help the family compile an immunization record for the student, including requesting a record from a previous school, ALERT Immunization Information System or a previous medical provider.

(c) If after completion of the steps described in subsection (a) and (b) of this section and review of the student’s individual circumstances, immunization records are not received or are incomplete, the enrolling school shall include the student on the Immunization Report, and the local health department shall proceed as described in OAR 333-050-0290 and 333-050-0310.

(7) For children 15 years of age or older, a school may accept a Certificate of Immunization Status form signed by the child.

(8) Nothing in this rule is intended to prevent a person from using or accepting an electronic document, using or accepting an electronic signature, or using, accepting, transmitting or storing documents electronically.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0260
Immunity Documentation

(1) If a child has immunity documentation to any of the diseases in this rule such documentation satisfies the immunization requirements for these rules. Immunity documentation must be included with the Certificate of Immunization Status form.

(a) Measles, Mumps or Rubella due to a disease history.

(b) Measles, Mumps or Rubella due to a documented immune titer.

(c) Invasive Haemophilus influenzae Type b disease at 24 months of age or older.

(d) Varicella due to documented immunity titer or disease history. Parent signed history of varicella disease is allowable if submitted to the administrator prior to August 1, 2025.

(e) Hepatitis B based on laboratory confirmation of immunity or confirmation of carrier status.

(f) Hepatitis A based on laboratory confirmation of immunity.

(2) Nothing in this rule is intended to prevent a person from using or accepting an electronic document, using or accepting an electronic signature, or using, accepting, transmitting or storing documents electronically.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0270
Record of Immunization Exemptions

(1) Medical Exemptions.

(a) A parent may claim a medical exemption from an immunization for a child for one or more of the vaccines required in these rules.

(b) A parent claiming a medical exemption on or after August 1, 2025, must submit a medical exemption form to the administrator.

(c) The administrator must submit all medical exemption forms to the local health department. The local health department must review the forms to ensure all the fields are complete and to verify that the documentation includes a contraindication or precaution in accordance with the current recommendations of the Advisory Committee on Immunization Practices or the American Academy of Pediatrics.

(d) If a medical exemption form does not contain a contraindication or precaution in accordance with the current recommendations of the Advisory Committee on Immunization Practices or the American Academy of Pediatrics, or lacks the information stated in OAR 333-050-0210(21), the local health department must inform the school or facility that the medical exemption form lacks the required elements for a medical exemption, and the school or facility must inform the parent. A medical exemption form may be resubmitted with all of the required elements for reevaluation.

(e) The local health department must categorize a medical exemption as temporary or permanent based on the duration that the contraindication or precaution is expected to last.

(2) Nonmedical Exemptions.

(a) A parent may claim a nonmedical exemption from an immunization for a child for one or more of the vaccines required in these rules.

(b) A parent claiming a nonmedical exemption must complete and submit a Certificate of Immunization Status form to the administrator in accordance with these rules, and must submit:

(A) Documentation that the parent has completed a vaccine educational module approved by the Public Health Division within the previous 12 months; or

(B) Documentation that the parent has discussed with a health care practitioner within the previous 12 months the risks and benefits of immunization that is consistent with information published by the U.S. Centers for Disease Control and Prevention and consistent with the contents of the vaccine educational module approved by the Public Health Division and contains the signature of the health care practitioner, on a form prescribed by the Oregon Health Authority.

(c) Documentation of completion of the vaccine educational module must be on a form prescribed by the Public Health Division, Immunization Program.

(d) Documentation of nonmedical exemption must specify the vaccines about which information about the benefits and risks has been provided and for which a nonmedical exemption may be claimed for the child.

(e) For children 15 years of age or older, a school may accept a documentation of nonmedical exemption completed and signed by the child.

(3) Nothing in this rule is intended to prevent a person from using or accepting an electronic document, using or accepting an electronic signature, or using, accepting, transmitting or storing documents electronically.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0280
Primary Review of Records

(1) At least annually the administrator must conduct a primary review of the immunization records for each child within that children’s facility or school to determine the immunization status of each child. This review shall be completed no later than 42 calendar days prior to the fourth Wednesday in February unless otherwise requested by the local health department and approved by the Public Health Division.

(2) The administrator must categorize each child’s record as follows:

(a) Complete or Up-to-date.

(b) Nonmedical exemption.

(c) Permanent medical exemption.

(d) Temporary medical exemption.

(e) Incomplete/insufficient.

(f) No record.

(g) Children not to be counted. School age children also attending a facility should be counted by the school. Children enrolled in a school but physically attending another school should be counted by the school they physically attend. Children physically attending more than one facility or school should be counted by the facility or school where they attend the most hours.

(3) An administrator must provide to the local health department, the following documents for secondary review, at least 42 calendar days prior to the fourth Wednesday in February, unless otherwise requested by the local health department and approved by the Public Health Division:

(a) Copies of records categorized as “incomplete/insufficient” organized alphabetically by the child’s last name.

(b) Copies of records categorized as medical exemption, except those records that have been certified by the local health department as having a permanent medical exemption or immunity documentation and are otherwise complete with no further review required; and

(c) A completed Immunization Report form that includes an alphabetical list for each category and includes children with no record, an incomplete record, or a temporary medical exemption. The form must include each child's name, current grade level, parent names and current mailing address. A printout from the facility’s or the school’s computer system that has been approved in accordance with OAR 333-050-0300 is acceptable.

(4) The administrator shall review the completed Immunization Report form or printout to ensure accuracy and correct any errors before submitting it to the local health department.

(5) All copies of records provided by the administrator to the local health department must contain at least the child's name, the child’s date of birth, and the child’s evidence of immunization or exemption. An administrator should not provide original documents to the local health department.

(6) Additional review cycles for incomplete or insufficient records with specific timeframes are allowable if:

(a) Mutually agreed upon by the affected local health department and affected school or facility.

(b) If required at the direction of the affected local health department or the Public Health Division.

(7) An administrator is ultimately responsible for complying with this rule, but can delegate to others the functions of gathering the records and completing the necessary forms.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0290
Secondary Review of Records

(1) The local health department shall conduct a secondary review of records received from the administrator pursuant to OAR 333-050-0280.

(2) In conducting secondary review of the records, the local health department shall review the Immunization Report for accuracy. The local health department shall review each child's record that was received for appropriate medical or nonmedical exemptions and then use the Primary Review Table described in OAR 333-050-0240(1) to determine each child's current immunization status for each of the required vaccines.

(3) After reviewing the records the local health department shall:

(a) Indicate on the Immunization Report form those children whose records are judged to be:

(A) Complete/up-to-date; and

(B) Medically exempt.

(b) For any child with an “incomplete/insufficient” record or no immunization record, indicate on the Immunization Report form the specific vaccines that the child is missing.

(c) Retain copies of the records of children to be excluded for at least one year.

(d) Provide the Immunization Report form with the department’s secondary review information to the administrator.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0300
Children’s Facility or School Immunization Tracking Systems

(1) A school or children’s facility may use a computer system that contains immunization information for children that accurately calculates compliance with these rules and may use a printout from this system in lieu of filling out the Immunization Report form, if approved by the Public Health Division (Division).

(2) In order to obtain Division approval, a children’s facility or school must submit a request in accordance with section (3) of this rule and have its system tested by the Division to ensure it contains all the required elements and can correctly determine a child’s immunization status, in accordance with the categories described in OAR 333-050-0280 and 333-050-0330.

(3) Instructions for submitting a request for approval under this rule along with the information needed by the Division in order to test the system is provided as an attachment at the end of this rule. A request to test a computer system in time for the primary records review required under OAR 333-050-0280 must be received by the Division no later than the last working day of November.

(4) Within a reasonable period of time of receiving a request for approval, the Division will review computer printouts and computer outputs for essential data elements, the sequence of data elements, specific test results as calculated by the computerized system, and accuracy of the compilation of data elements included on the Immunization Report form, in order to determine whether it can approve the request.

(5) The Division may withdraw system approval at any time if it determines the system is not correctly determining a child’s immunization status or is not accurately completing the Immunization Report forms.

[ED. NOTE: To view attachments referenced in rule text, click here to view rule.]

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0310
Child Exclusion from School and Children’s Facility Attendance

(1) The local health department shall issue a signed exclusion order for each child who is not in compliance with ORS 433.267(1) and these rules no later than three weeks prior to the Exclusion Day specified in section (3) of this rule unless otherwise specified in this rule.

(a) Exclusion orders must be mailed by the local health department by first class to the mailing address of record for the child, as provided by the school or children’s facility, unless that information is known to be incorrect, in which case the local health department shall use reasonable efforts to obtain a valid mailing address.

(b) If a valid mailing address cannot be obtained, the local health department must make arrangements to send a copy of the exclusion order home with the child and shall use reasonable efforts to ensure the child’s parent receives the exclusion order, including sending it via electronic mail.

(2) The local health department must provide a copy of each exclusion order to the administrator.

(3) Starting on Exclusion Day, the administrator shall prohibit any child who was issued an exclusion order from attending the school or facility until the child has submitted records that indicate compliance with these rules, and the records have been verified by the administrator in accordance with section (10) of this rule.

(4) If children whose records are not updated on the specified Exclusion Day arrive at their school or facility, the administrator shall make every effort to contact their parent by phone. The administrator shall place excluded children in a space away from the other children until their parent arrives to pick them up or until they are returned home by regular school district transportation.

(5) An exclusion order applies to a child’s attendance at any school or children’s facility in Oregon.

(6) Exclusion orders may be issued for a date of exclusion other than Exclusion Day if during a validation survey it is discovered that a child is out of compliance with the immunization requirements in ORS 433.267(1) and these rules.

(7) Exclusion orders may be issued for a date of exclusion other than Exclusion Day if agreed upon by the school or facility, local health department and the Public Health Division.

(8) Additional exclusion cycles may be required at the direction of the local health department or the Public Health Division. An exclusion date shall be no fewer than 14 calendar days from the date that the exclusion order is mailed.

(9) The Public Health Division may issue an order changing the date for Exclusion Day in part or all of the state, due to a local or state emergency, or due to the determination of vaccine shortage under ORS 433.040.

(10) Post exclusion compliance.

(a) A child who has been issued an exclusion order may come into compliance and return to attending a school or children’s facility by submitting the information identified in the exclusion order, or otherwise providing evidence of compliance with ORS 433.267(1) and these rules, to the administrator.

(b) When the administrator verifies that the required information has been provided and the child is in compliance with ORS 433.267(1) and these rules the child must be permitted to attend school or a children’s facility.

(11) If evidence is presented to the local health department that an exclusion order was issued in error the local health department shall rescind the exclusion order and immediately notify the child's school or children’s facility, who shall immediately notify the parent that the child is in compliance.

(12) Treatment facilities or court-mandated residential correctional facilities that are operating a school, including but not limited to Oregon Youth Authority closed custody sites, are not required to exclude children from school based on non-compliance with ORS 433.267(1) and these rules. The administrator must ensure that students have complete or up-to-date immunization records, a medical or nonmedical exemption or immunity documentation for all vaccines required for the student’s grade.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0320
Requests to Review Exclusion Orders

(1) If a parent believes an exclusion order is in error, the parent may contact the local health department and request that the local health department review and re-check the information to determine the accuracy of the exclusion order.

(2) A local health department must review and re-check a child's immunization records upon receipt of a request by a parent.

(3) If the local health department finds an exclusion order was issued in error the exclusion order must be rescinded in accordance with OAR 333-050-0310.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0330
Updating Immunization Report Forms; Local Health Department Review

(1) No later than 12 calendar days after the mandatory exclusion date, the administrator shall ensure that:

(a) The Immunization Report form returned from the local health department is updated by appropriately marking the current status of each child as specified (including children listed as having no record).

(b) The information on the Immunization Report form is accurate including the number of children in attendance at the school or children’s facility, kindergarten, seventh grade, and any grades kindergarten through 12 with:

(A) The specified number of doses of each vaccine or all the doses required for the child’s grade;

(B) Nonmedical exemptions for each vaccine, the total number of nonmedical exemptions, and how many nonmedical exemptions for all required vaccines;

(C) Nonmedical exemptions from each source, whether documentation from a health care practitioner or vaccine educational module;

(D) Medical exemptions; and

(E) No record.

(c) A copy of the revised Immunization Report form is submitted to the local health department. The administrator shall maintain a copy of the updated Immunization Report form submitted to the local health department.

(2) The local health department shall review the updated Immunization Report form for accuracy.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0340
Vaccine Shortages

(1) A child shall not be excluded from a children’s facility or school for failing to receive a required vaccine if the State Public Health Officer has determined that there is a vaccine shortage under ORS 433.040 and that is the reason the child has not received the vaccine. Any vaccine, a requirement for which has been waived due to a vaccine shortage, will be required at the next review cycle, once the shortage has been lifted. The Public Health Division shall notify local health departments, schools and facilities of any shortages that affect their procedures under these rules.

(2) During a local vaccine shortage, a local public health officer, after consultation with the Public Health Division, may allow a child to attend a school or facility without meeting the minimum immunization requirements in case of temporary local vaccine shortage.

(a) The local health department shall provide a letter signed by the local health officer to the parent of any student whose vaccination requirement has been waived, detailing which vaccines are being waived for the student. The letter must state that the student will receive an exclusion order if the student's record is not updated with the missing doses prior to the next exclusion cycle, unless the vaccine shortage continues.

(b) A copy of the letter must also be provided to the children’s facility or school and the administrator must include it with the child’s immunization records on file at the school or facility.

(3) A student shall not be excluded from a post-secondary or community college institution for failing to receive a required vaccine if the State Public Health Officer has determined that there is a vaccine shortage and that is the reason the student has not received the vaccine. Any vaccine, the requirement for which has been waived due to a vaccine shortage, will be required at the next term or semester, once the shortage has been lifted.

(4) The local public health officer, after consultation with the Public Health Division, may allow a student to attend an educational institution without meeting the minimum immunization requirements in case of temporary local vaccine shortage.

(a) The local health department shall provide a letter signed by the local health officer to the affected student stating that the vaccine requirement is being postponed. The letter must give guidance to the post-secondary institution about when vaccine is expected to be available.

(b) A photocopied form letter signed by the local health officer may be used by the local health department when the shortage is expected to affect more than one student.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0350
School/Facility Compliance and Civil Penalties

(1) If a school or facility fails to comply with these rules, the local health department shall notify that school or facility in writing, by electronic mail or letter, informing them of the following:

(a) The specific rules the school or facility is not complying with.

(b) What the school or facility needs to do to come into compliance.

(c) The date by which compliance is required, with a four working day time frame.

(2) The local health department will make a minimum of one attempt of verbal contact prior to the date established for compliance and document this attempt.

(3) If the school or facility fails to meet the timeframe established for compliance, the local health department shall notify the Public Health Division (Division) of the name and address of the school or facility and provide the Division with written documentation to the school or facility, and any other supporting documentation.

(4) After receiving a notification by a local health department, the Public Health Division shall send a certified letter (“Letter”) to the non-compliant school or facility that:

(a) Notifies the school or facility that it is out of compliance and how it is out of compliance with the immunization laws, including a citation to the applicable statutes and rules.

(b) Describes what is required to come into compliance.

(c) Establishes a compliance deadline.

(d) Informs the school or facility that a civil penalty may be imposed if the school or facility does not meet the compliance deadline.

(5) The Public Health Division shall send copies of the Letter to the local health department, the school administrator or school district’s superintendent, and the Department of Early Learning and Care, as applicable,

(6) Schools or facilities that fail to comply with these rules may be subject to civil penalties not to exceed $500 per day per violation.

(7) A notice of imposition of civil penalties shall comply with ORS 183.745.

Statutory/Other Authority: ORS 431.262, ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 431.262, ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0360
Updating Records

(1) The administrator is responsible for updating records each time a child’s parent, health care practitioner, or an authorized representative of the local health department provides evidence of immunization or exemption.

(2) The administrator shall maintain a system to track and report children who are susceptible and do not have immunity documentation. The local health department may request that the list of children who are susceptible and do not have immunity documentation to a disease be sorted by classroom, grade, or school. The administrator will provide the list within one calendar day of the local health department's request to facilitate appropriate disease control measures.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0370
Validation Surveys

(1) The local health department or the Public Health Division may conduct school or facility record validation surveys to ensure compliance with ORS 433.235 through 433.280 and these rules.

(2) If the local health department or Public Health Division finds children who are not in compliance with ORS 433.267(1) or these rules the local health department may issue exclusion orders in the manner provided in OAR 333-050-0310.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0380
Annual Reporting Requirements

(1) For purposes of this rule, “local area” is defined as the jurisdiction of the local health department.

(2) The local health department shall submit the numbers from each school and children’s facility’s Immunization Report to the Public Health Division no later than 23 calendar days after the fourth Wednesday in February.

(3) On or before April 30th of each year, the Public Health Division shall publicize a summary of the immunization status of children attending schools and facilities for each county.

(4) On or before May 15th of every year the local health department shall make available to each school and children’s facility in the area served by the local health department, the following:

(a) The immunization rates of children in the local area compiled from school reports for kindergarten through 12th grade categorized by disease; and

(b) The immunization rates of children in the local area calculated from the ALERT Immunization Information System for children 19 months up to kindergarten age categorized by disease.

(5) The administrator of the school or children’s facility must make available a summary of the immunization status, for the administrator’s school or children’s facility and a summary of the immunization status of children attending schools and facilities in the local area within 30 days after the first day of school and within 30 days after the fourth Wednesday in February, in accordance with section (6) of this rule. For facilities, both summaries must be made available within 30 days after the first day of school based on the school calendar in the local area.

(6) A summary of immunization status for the school or children’s facility must include:

(a) The percentage of children who are up to date on their immunizations by vaccine;

(b) The percentage of children with nonmedical exemptions, by vaccine;

(c) The percentage of children with no record;

(d) The percentage of children with medical exemptions;

(e) The total number of children;

(f) The total number of enrolled children for whom documentation of immunization status is not required; and

(g) The number of children 18 months of age and younger in attendance who are not required to have completed the full series of vaccines required before kindergarten because of their age.

(7) Immunization rates shared by children’s facilities and schools may include immunization data collected in the previous school year.

(8) Children’s facilities shall make rates available based on the school calendar in the local area.

(9) Schools and children’s facilities for which immunization records are required for fewer than 10 children in attendance, 18 months of age up to kindergarten, are exempt from the requirements of section (5) of this rule for these children.

(10) Schools and children’s facilities for which immunization records for a vaccine are required for fewer than 10 students in attendance, in kindergarten and above, are exempt from the reporting requirements of section (5) of this rule for that vaccine.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0390
Second Dose Measles in Post Secondary Educational Institutions

(1) Each post-secondary education institution, except for a community college, shall require, subject to section (4) of this rule, that each entering full-time student born on or after January 1, 1957, has two doses of measles vaccine prior to the student's second quarter or semester of enrollment on an Oregon campus.

(2) Students attending classes fully virtually who do not come on campus are not subject to the requirements of this rule.

(3) For students attending an institution subject to section (1) of this rule pursuant to a non-immigrant visa, documentation of measles vaccination must be provided prior to the student attending classes. If the student's first dose of measles vaccine was received less than 30 days prior to attendance, the student has until the beginning of the second term or semester to provide documentation of the second dose.

(4) The following records are acceptable proof of two doses of measles vaccine:

(a) Written documentation by the student, a health care practitioner, or an authorized representative of the local health department of the month, day and year of each dose. Two doses are required, given on or after the first birthday. A dose given within four days prior to the first birthday is acceptable. The second dose must be received at least 24 days after first dose.

(b) For students born prior to 1984, if there is no available date for the first dose, written documentation by the student, a health care practitioner, or an authorized representative of the local health department of the month, day and year of the second dose as long as the second dose was after December 31, 1989.

(5) Each post-secondary educational institution subject to these rules shall develop procedures to implement and maintain the records required by this rule and ORS 433.282 and 433.284.

(6) The Public Health Division may conduct validation surveys to ensure compliance.

Statutory/Other Authority: ORS 433.004, ORS 433.273 & ORS 433.282
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0400
Second Dose Measles in Community Colleges

(1) Each community college shall require, subject to section (3) of this rule, that students born on or after January 1, 1957, involved in the following, have two doses of measles vaccine prior to each student's participation in the following:

(a) Clinical experiences in allied health programs.

(b) Practicum experiences in education and child care programs.

(c) Intercollegiate sports.

(2) Community colleges shall develop procedures to implement and maintain the records required by this rule.

(3) The following records are acceptable proof of two doses of measles vaccine:

(a) Written documentation by the student, a health care practitioner, or an authorized representative of the local health department of the month, day and year of each dose. Two doses are required, given on or after the first birthday. A dose given within four days prior to the first birthday is acceptable. The second dose must be received at least 24 days after first dose.

(b) For students born prior to 1984, if there is no available date for the first dose, written documentation by the student, a health care practitioner, or an authorized representative of the local health department of the month, day and year of the second dose as long as the second dose was after December 31, 1989.

(4) Each community college subject to these rules shall develop procedures to implement and maintain the records required by this rule and ORS 433.283 and 433.284.

(5) The Public Health Division may conduct validation surveys to ensure compliance.

Statutory/Other Authority: ORS 433.004, ORS 433.273 & ORS 433.283
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025

333-050-0410
Vaccine Education Module

(1) The Public Health Division will make available to parents a no-cost Internet-based vaccine educational module that includes:

(a) Information consistent with information published by the U.S. Centers for Disease Control and Prevention;

(b) Information about the benefits and risks of each vaccine for which a parent is claiming a nonmedical exemption; and

(c) Information about the epidemiology, prevention of disease through use of vaccination, and the safety and efficacy of vaccines.

(2) A person may submit a vaccine educational module to the Oregon Health Authority, Public Health Division for approval. To obtain approval, the vaccine educational module must contain the substantive content of the Internet-based vaccine educational module made available by the Public Health Division. The Oregon Health Authority must review the module to determine whether it meets the criteria in these rules, including the requirement that the information in the module is consistent with information published by the U.S. Centers for Disease Control and Prevention. Approval or disapproval shall be made in writing. If the module is disapproved the Oregon Health Authority must explain the reasons for disapproval.

Statutory/Other Authority: ORS 433.004 & ORS 433.273
Statutes/Other Implemented: ORS 433.001, ORS 433.004, ORS 433.006 & ORS 433.235 - 433.284
History:
PH 11-2025, adopt filed 05/02/2025, effective 05/02/2025