Administrative Rules of Montana › Department 37 - PUBLIC HEALTH AND HUMAN SERVICES › Chapter 37.96 - RESERVED › Subchapter 37.96.8 - NEW › Rule 37.96.802 - MINIMUM CHILD IMMUNIZATION REQUIREMENTS

Current through Register Vol. 13, July 5, 2024
(1)
				Children attending all licensed and registered Montana child care facilities
				are required to be immunized against certain diseases. Minimum child
				immunization requirements apply to children in all child care facilities with
				exceptions described in ARM 37.96.805. Before a child may attend any licensed
				or registered Montana child care program, a program must be provided with
				documentation that the child has been vaccinated, as required for the child's
				age group, against measles, rubella, mumps, poliomyelitis, diphtheria,
				pertussis (whooping cough), tetanus, varicella, hepatitis B, pneumococcal
				disease (pneumonia), and Haemophilus influenza type B, unless the child
				qualifies for conditional attendance in accordance with (5) or has a medical or
				religious exemption:
Age at Entry
Number of Doses ° Vaccine Type
under 2 months old
no vaccinations required
by 3 months old
1 dose of polio vaccine
1 dose of DTP vaccine
1 dose of Hib vaccine
1 dose of Hep B vaccine
1 dose of PCV vaccine
by 5 months old
2 doses of polio vaccine
2 doses of DTP vaccine
2 doses of Hib vaccine
2 doses of Hep B vaccine
2 doses of PCV vaccine
by 7 months old
2 doses of polio vaccine
3 doses of DTP vaccine
2 or 3 doses of Hib vaccine*
2 doses of Hep B vaccine
3 doses of PCV vaccine
by 16 months old
2 doses of polio vaccine
3 doses of DTP vaccine
1 dose of varicella vaccine
1 dose of MMR vaccine
3 or 4 doses of Hib vaccine*
2 doses of Hep B vaccine
4 doses of PCV vaccine*
by 19 months old
1 dose of varicella vaccine
3 doses of polio vaccine
4 doses of DTP vaccine
1 dose of MMR vaccine
3 or 4 doses of Hib vaccine*
3 doses of Hep B vaccine
4 doses of PCV vaccine*
by 6 years old
3 doses of polio vaccine, one given after the 4th
							 birthday
4 doses of DTP vaccine, one given after the 4th
							 birthday
2 doses of varicella vaccine
2 doses of MMR vaccine
3 doses of Hep B vaccine
by 12 years old
3 doses of polio vaccine, one given after the 4th
							 birthday
1 dose of Tdap vaccine
2 doses of varicella vaccine
2 doses of MMR vaccine
3 doses of Hep B vaccine
(*) varies depending on vaccine type used or the ACIP
				  catch-up schedule.
(2) Hib
				and PCV vaccines are not required or recommended for children five years old
				and older.
(3) Doses of MMR and
				varicella vaccines, to be acceptable under this rule, must be given no earlier
				than 12 months old, and a child who received a dose prior to 12 months old must
				be revaccinated; however, vaccine doses given up to four days before the
				minimum interval or age are counted as valid. Live vaccines not administered at
				the same visit must be separated by at least four weeks.
(4) Vaccines immunizing against diphtheria,
				pertussis, and tetanus must be administered as follows:
(a) a child less than seven years old must be
				administered four or more doses of DTP or DTaP vaccine, at least one dose of
				which must be given after the fourth birthday;
(b) DT vaccine administered to a child less
				than seven years old is acceptable for purposes of this rule only if
				accompanied by a medical or religious exemption exempting the child from
				pertussis vaccination; and
(c) a
				child seven years old or older who has not completed the requirement in (1)
				must receive additional doses of Tdap vaccine or Td vaccine to become current
				in accordance with the ACIP schedule.