reglab/statecodes huggingface dataset:
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 2 - CARE OF CLIENTS WITH TUBERCULOSIS › Section 173-2-003 - ELIGIBILITY

Current through June 17, 2024
To be eligible for assistance from the Tuberculosis Program,
				  a client must:
(A) Be diagnosed with
				communicable tuberculosis, be suspected to have communicable tuberculosis, be a
				contact, or have a Class B tuberculosis designation;
(B) Be residing in Nebraska;
(C) Meet income and resource requirements
				based on household size; and
(D)
				Meet all statutory requirements for receiving assistance from the
				program.
003.01
INCOME
				AND RESOURCE REQUIREMENTS
. A client's annual income for the
				household must be at or below two hundred and fifteen percent of the federal
				poverty level in order to participate in the program. The income level is
				adjusted based on household size. A client's available resources may not exceed
				an estimated total of four thousand dollars. Available resources includes cash
				or other liquid assets or any type of real or personal property or interest in
				property that the client owns and may convert into cash to be used for support
				and maintenance. A resource which appears on record in the name of a client is
				deemed to belong to the client Jointly owned resources other than in joint
				tenancy are to be given the proportionate share based on the number of owners
				of the resource available to each owner. Resources that are owned jointly, are
				to be given the proportionate share based on the number of owners of the
				resource available to each owner. Resources that are owned in joint tenancy are
				considered available in total to the client. If the encumbrances against the
				property equal or exceed the price for which the property could be sold, the
				property is not an available resource. The value of the property is determined
				after any the amount of debt secured by mortqaqes, liens, promissory notes, and
				judgements are subtracted from the gross value of the encumbered property. The
				following resources are excluded in making a determination of eligibility:
(A) Real property which is owned by the
				client or the client's household and which the client occupies as a home. Lots
				adjacent to a home are considered an available resource if they can be sold
				separately;
(B) Household
				goods;
(C) Clothing;
(D) A motor vehicle if used for employment or
				medical transportation;
(E) A motor
				vehicle used as the client's home;
(F) The cash value of life insurance
				policies;
(G) Irrevocable burial
				trusts;
(H) Burial
				spaces;
(i) Stocks, inventories, and
				supplies used in self-employment;
(j) U.S, savings bonds;
(K) Any unavailable employment related
				retirement account that is held by the employer; and
(L) Earned income from a child 18 years of
				age and younger.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 2 - CARE OF CLIENTS WITH TUBERCULOSIS › Section 173-2-004 - RIGHT TO A FAIR HEARING

Current through June 17, 2024
If an individual is denied participation in the program or is
				  terminated from participation in the program the individual may request a fair
				  hearing. The request must be in writing and filed with the Department within
				  thirty (30) days of the mailing date on the written notice from the Department.
				  The request must:
(A) Include a brief
				summary of the Department's action being challenged;
(B) Describe the reason for the challenge;
				and
(C) Be sent to the Director of
				the Department Division of Public Health.
004.01
HEARING
				PROCEDURE.
The hearing is conducted in accordance with 184 (NAC)
				1.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 2 - CARE OF CLIENTS WITH TUBERCULOSIS › Section 173-2-005 - PAYMENT

Current through June 17, 2024
The program assists in paying for services that are directly
				  related to the care and treatment of communicable tuberculosis, that are
				  ordered or prescribed by a licensed health care provider possessing appropriate
				  specialized knowledge in the diagnosis and treatment of communicable
				  tuberculosis, and which are authorized by the Department Such services may
				  include:
(A) Pharmaceutical products
				necessary for the treatment of communicable tuberculosis;
(B) Latent tuberculosis pharmaceutical
				products and the cost associated with the dispensing of these
				products;
(C) The initial evaluation
				and diagnosis of contacts of a client;
(D) Visiting nursing services as allowed
				under Neb. Rev. Stat. 71-3613; and
(E) Services received by a client from
				providers participating in the program.
005.01
NON COVERED
				SERVICES.
The program does not pay for:
(A) Any services denied by Medicare,
				Medicaid, or any other health insurance as not medically necessary for the
				client;
(B) Any service not related
				to the treatment of communicable tuberculosis; or Any service not authorized by
				the Department.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 2 - CARE OF CLIENTS WITH TUBERCULOSIS › Section 173-2-006 - PROVIDER PAYMENT

Current through June 17, 2024
The rate of reimbursement paid by the Department to a health
				  care facility or a healthcare provider will not exceed the applicable rate set
				  by Nebraska Medicaid for the services provided. Participating providers agree
				  to accept as payment in full the amount paid according to the Department's
				  payment methodologies after all other sources have been exhausted. The provider
				  shall not bill the client for services covered by the program, if the client
				  agrees in advance in writing to pay for a non-covered service, the provider may
				  bill the client for such service. It is not a violation for a provider to bill
				  the client for services when it is determined the client received funds from a
				  third party resource, such funds were designated to pay for covered services,
				  and payment of the funds has not been submitted to the
				  provider.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 2 - CARE OF CLIENTS WITH TUBERCULOSIS › Section 173-2-007 - RECORDS

Current through June 17, 2024
The medical records of a client shall be available whenever
				  requested. A discharge summary of the period of hospitalization or other care
				  for which the program the is to be billed shall accompany, or shall have been
				  submitted prior thereto, the request of the payment. A discharge summary of the
				  period of hospitalization or other care for diagnosis or treatment of any
				  client regardless of the source of payment, shall be transmitted by a provider
				  to the program within five days after his or her discharge.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 2 - CARE OF CLIENTS WITH TUBERCULOSIS › Section 173-2-008 - LABORATORY REQUIREMENT

Current through June 17, 2024
A provider or local public health department that receives a
				  laboratory report of M. tuberculosis complex will have the laboratory submit,
				  within 48 hours of a growth of such culture or subculture, a specimen from the
				  culture for genotyping and identification as directed by the
				  program.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 2 - CARE OF CLIENTS WITH TUBERCULOSIS › Section 173-2-009 - PROVIDER PARTICIPATION AND PAYMENTS

Current through June 17, 2024
To participate in the program, providers must be licensed by
				  the Department or its equivalent in another state. Providers that do not meet
				  these standards are not eligible to participate with the program.
009.01
PAYMENT
				PROCEDURES.
Payments are made in accordance with the standards and
				payment procedures set out in this chapter. Claims may be approved for payment
				when ail of the following conditions are met:
(A) The client was approved for participation
				in the program when the service was provided;
(B) The services provided are for program
				covered services as described in this chapter; and
(C) No more than 6 months have elapsed from
				the date of service and when the program is received the claim. If
				circumstances beyond the entity's or individual's control delayed submittal to
				the program the program may make payment. The determination of whether the
				circumstances were beyond the entities or individual's control is at the
				program's discretion and may be based on documentation submitted by the entity
				or individual or other information received by the program.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
These regulations are intended to implement
Neb.
				  Rev. Stat.
§§
									79-214
				  and
				  79-217
				  to
				  79-223.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-002 - DEFINITIONS

Current through June 17, 2024
For purposes of these regulations:
Booster dose
means a dose of
				  vaccine given after the initial series to enhance waning immunity to specific
				  disease(s).
Child or children
means any student
				  or students enrolled in a public or private elementary or secondary school
				  system in Nebraska.
Department
means the Department of
				  Health and Human Services.
Local health department
means a
				  county, district, or city-county health department approved by the Department
				  of Health and Human Services as a local full-time public health service.
Reportable communicable disease
means those diseases which are required by law to be reported pursuant to 173
				  NAC 1.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-003 - SYMPTOMS OF COMMUNICABLE DISEASE; EXCLUSION FROM SCHOOL

Current through June 17, 2024
Children showing any signs or symptoms of a contagious or
				  infectious disease are required by law to be sent to their homes immediately,
				  or as soon as safe and proper conveyance can be found.
Teachers are encouraged to observe each child carefully for
				  signs of illness each time the child returns to school. This is particularly
				  important when epidemic diseases are known to be present in the
				  community.
The presence of one or more of the following signs or
				  symptoms should make the teacher suspect a communicable disease:
Fever, flushed face, headache, aches in muscles or joints,
				  unexplained tiredness or listlessness, loss of appetite, stomach ache, nausea
				  or vomiting, diarrhea, convulsions, sore throat, nasal congestion or discharge,
				  unexplained skin eruption, sore or inflamed eyes.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-004 - REPORTING

Current through June 17, 2024
004.01 Suspected
				Contagious or Infectious Disease
When a child is sent home because of a suspected contagious
				  or infectious disease, the law requires the proper school authority, school
				  board, or board of education to be notified without delay.
004.02 Suspected Reportable Disease
When a school nurse or an individual acting in the capacity
				  of a school nurse identifies a case or suspected case of a reportable disease,
				  s/he must report that case to the local public health department or the DHHS
				  Division of Public Health as provided in 173 NAC 1-007.04.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-005 - DURATION OF EXCLUSION PERIOD

Current through June 17, 2024
Children excluded for a confirmed communicable disease
				  should not be allowed to return to school until the minimum isolation period
				  has elapsed, and all signs or symptoms of acute illness have disappeared. The
				  period of exclusion should extend throughout the period when acute signs of
				  illness are present, or until the student is fever-free for 24 hours without
				  the use of fever-reducing medication.
Minimum isolation periods are shown in the table on
				  Attachment 1, Contagious and Infectious Disease/Condition Chart, which is
				  attached to 173 NAC 3 and incorporated by this reference. School boards and
				  boards of education may observe these periods, or adopt and enforce their own
				  exclusion regulations which may not be shorter or less restrictive than those
				  contained in 173 NAC 3.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-006 - EXCLUSION OF HEALTH CONTACTS

Current through June 17, 2024
With a few exceptions (which are shown in the table on
				  Attachment 1) there are no restrictions placed upon the health contacts of
				  communicable diseases by these regulations; consequently, they may attend
				  school unless the local health department, board of health, school board or
				  board of education has adopted rules and regulations to the contrary. If
				  officials consider exclusion of health contacts necessary, it is suggested that
				  whenever possible this be confined to the latter portion of the incubation
				  period and enforced only for those children who are not known to be
				  immune.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-008 - IMMUNIZATION STANDARDS

Current through June 17, 2024
Each student must be protected by immunization against the
				  following diseases, unless otherwise exempted from this requirement under the
				  provisions of 173 NAC
				  3-010:
Measles Diphtheria Invasive pneumococcal disease
Mumps Tetanus
Rubella Pertussis
Polio Haemophilus Influenzae type b (Hib)
Hepatitis B Varicella
008.01 For the purposes of complying with the
				requirement of immunization against the diseases listed above:
3-008.01A Students 2-5 years of age enrolled
				in a school-based program not licensed as a child care provider are considered
				to be immunized if they have received:
3 doses of hepatitis B vaccine;
4 doses of DTaP, DTP, or DT vaccine;
3 doses of polio vaccine;
1 dose of MMR vaccine given no earlier than 4 days before the
				  first birthday;
3 doses of hib vaccine or 1 dose of hib vaccine given at or
				  after 15 months of age;
1 dose of varicella vaccine; and
4 doses of pneumococcal vaccine or 1 dose of pneumococcal
				  vaccine given at or after 15 months.
3-008.01B Students enrolling for the first
				time (kindergarten or 1st grade, depending on the
				school district's entering grade), enrolling in 7th
				grade, and all transfer students from outside the state regardless of the grade
				they are entering are considered immunized if they have received:
3 doses DTaP, DTP, DT, or Td vaccine with at least 1 dose
				  given no earlier than 4 days before 4 years of age;
3 doses of polio vaccine;
2 doses of MMR vaccine with the first dose given no earlier
				  than 4 days before the first birthday and the 2 doses separated by at least 28
				  days;
3 doses of pediatric hepatitis B vaccine, or, if the
				  alternate hepatitis B vaccination schedule is used, 2 doses of a licensed adult
				  hepatitis B vaccine specified for adolescents 11-15 years of age; and
2 doses of varicella vaccine with the first dose given no
				  earlier than 4 days before the first birthday and the 2 doses separated by at
				  least 28 days.
Students enrolling in 7th grade
				  must provide evidence of having 1 booster dose of a tetanus, diphtheria, and
				  pertussis (Tdap) vaccine, given on or after 7 years of age.
3-008.01C All other students are considered
				immunized if they have received:
3 doses of DTaP, DTP, DT, or Td vaccine, with at least 1 dose
				  given no earlier than 4 days before 4 years of age;
3 doses of polio vaccine;
2 doses of MMR vaccine given no earlier than 4 days before
				  the first birthday and the 2 doses separated by at least 28 days;
3 doses of hepatitis B vaccine; and
2 doses of varicella vaccine with the first dose given no
				  earlier than 4 days before the first birthday and the 2 doses separated by at
				  least 28 days.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-009 - REQUIRED EVIDENCE OF IMMUNIZATION

Current through June 17, 2024
009.01 For purposes
				of compliance with the immunization requirement, the board of education or
				school board or other governing authority, must require the presentation of an
				immunization history which includes the name of the vaccine and the month, day,
				and year of administration.
009.02
				Laboratory evidence of circulating antibodies for measles, mumps, or rubella
				constitutes evidence of immunity against those diseases provided the following
				information is supplied: name of laboratory, date of test, name of test, test
				result, signature of laboratory technician performing the test or of the
				laboratory director, and date of signature. For purposes of compliance with
				this rule, clinical history of measles, mumps, or rubella without laboratory or
				epidemiologic confirmation does not constitute evidence of immunity.
009.03 Epidemiologic confirmation of a
				diagnosis
Epidemiologic confirmation of a diagnosis means that the
				  clinical history of measles, mumps, or rubella is corroborated by association
				  with laboratory proven case(s) and that such epidemiologic case(s) have been
				  reported to and counted by the Department.
009.04 A documented history of varicella
				disease from a parent or health care provider with the year of infection
				constitutes evidence of immunity to varicella. The documentation must include
				one of the following:
1. Signature of the
				parent or legal guardian and the date (year) of the child's varicella illness,
				or
2. Signature of a health care
				provider and the date (year) of the child's varicella illness, or
3. Laboratory evidence of a child's varicella
				immunity.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-010 - MEDICAL AND RELIGIOUS EXEMPTION; PROVISIONAL ENROLLMENT

Current through June 17, 2024
Each student must be protected against the diseases listed
				  using the standards described in 173 NAC
				  3-008 and submit evidence of
				  immunization as described in 173 NAC
				  3-009. Any student who does not comply
				  with these requirements must not be permitted to enroll in school, except as
				  provided in 173 NAC 3-010.01 through 3-010.03.
010.01 Immunization is not required for a
				student's enrollment in any school in this state if he or she submits to the
				admitting official either of the following:
3-010.01A A statement signed by a physician,
				physician assistant, or nurse practitioner stating that, in the health care
				provider's opinion, the specified immunization(s) required would be injurious
				to the health and well-being of the student or any member of the student's
				family or household; or
3-010.01B A
				notarized affidavit signed by the student or, if he or she is a minor, by a
				legally authorized representative of the student, stating that the immunization
				conflicts with the tenets and practice of a recognized religious denomination
				of which the student is an adherent or member or that immunization conflicts
				with the personal and sincerely followed religious beliefs of the
				student.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 3 - SCHOOL HEALTH, COMMUNICABLE DISEASE CONTROL, PHYSICAL EXAMINATION, VISUAL EVALUATION, AND IMMUNIZATION STANDARDS › Section 173-3-011 - TIME OF COMPLIANCE

Current through June 17, 2024
Each student must present documentation as outlined in 173
				  NAC
				  3-009 and
				  3-010 prior to
				  enrollment.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 4 - IMMUNIZATION IN LICENSED CHILD CARE PROGRAMS › Section 173-4-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
These regulations implement
Neb. Rev.
				  Stat.
§§ 711913.01 to 71-1913.03 of the Child Care
				  Licensing Act by establishing levels of protection for those diseases
				  preventable through immunization and the reporting by licensed child care
				  programs of each child's immunization status.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 4 - IMMUNIZATION IN LICENSED CHILD CARE PROGRAMS › Section 173-4-002 - DEFINITIONS

Current through June 17, 2024
For purposes of these regulations:
Program
means the provision of
				  services in lieu of parental supervision for children under 13 years of age for
				  compensation, either directly or indirectly, on the average of less than 12
				  hours per day, but more than 2 hours per week. Program includes any
				  employer-sponsored child care, family child care home, child care center,
				  school-age child care program, school-age services under
Neb. Rev.
				  Stat.
§
									79-1104,
				  or preschool or nursery school. Program does not include casual care at
				  irregular intervals, a recreation camp as defined in
Neb. Rev.
				  Stat.
§ 713101, classes or services provided by a religious
				  organization other than child care or a preschool or nursery school, a
				  preschool program conducted in a school approved under
Neb. Rev.
				  Stat.
§
									79-318,
				  services provided only to school-age children during the summer and other
				  extended breaks in the school year, or foster care as defined in
Neb. Rev. Stat.
§
									71-1901.
DTP and DTaP
means diphtheria,
				  tetanus toxoid, and pertussis vaccine.
DT
means diphtheria and tetanus
				  toxoid vaccine pediatric preparation.
Hep B
means hepatitis B
				  vaccine.
Hib
means haemophilus influenzae
				  type B vaccine.
MMR
means measles, mumps, and
				  rubella vaccine.
MMRV
means measles, mumps, rubella,
				  and varicella vaccine.
PCV
means pneumococcal
				  vaccine.
Polio
means polio vaccine,
				  including oral polio (OPV) and/or injectable polio (IPV).
Td
means diphtheria and tetanus
				  toxoid vaccine adult preparation.
Tdap
means diphtheria, tetanus, and
				  pertussis vaccine (booster).
VZV
means varicella (chickenpox)
				  vaccine.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 4 - IMMUNIZATION IN LICENSED CHILD CARE PROGRAMS › Section 173-4-003 - REQUIRED IMMUNIZATION INFORMATION; EXCLUSION FROM ATTENDANCE; NOTICE

Current through June 17, 2024
003.01 Each program
				must require the parent or guardian of each child enrolled in such program to
				present within 30 days of enrollment and periodically thereafter:
1. Proof that the child is protected by
				age-appropriate immunization against measles, mumps, rubella, poliomyelitis,
				diphtheria, pertussis, tetanus, haemophilus influenzae type B, hepatitis B,
				varicella, and invasive pneumococcal disease;
2. Certification by a physician, advanced
				practice registered nurse, or physician assistant that immunization is not
				appropriate for a stated medical reason;
3. A written statement that the parent or
				guardian does not wish to have the child so immunized and the reasons therefor;
				or
4. Parental or clinical
				documentation of disease with year of infection for varicella. The
				documentation must include one of the following:
a. Signature of the parent or legal guardian
				and the date (year) of the child's varicella illness, or
b. Signature of a health care provider and
				the date (year) of the child's varicella illness, or
c. Laboratory evidence of a child's varicella
				immunity.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 4 - IMMUNIZATION IN LICENSED CHILD CARE PROGRAMS › Section 173-4-004 - REQUIRED LEVELS OF PROTECTION

Current through June 17, 2024
For the purposes of complying with the requirement of
				  immunization against the diseases listed in 173 NAC
				  4-003 and in recognition of the fact
				  that immunization needs vary depending on the age of the child, the required
				  minimum number of doses of each vaccine is indicated in the Childhood
				  Immunization Schedule, Attachment 1, which is incorporated in these regulations
				  by this reference.
004.01 For purposes
				of compliance with the immunization requirement, the licensee of a child care
				program must require the presentation of an immunization history which
				contains:
1. Names of the vaccines;
2. Month and year of administration for DTaP,
				DTP, DT, Td, Tdap, polio, Hep B, Hib, and pneumococcal vaccine;
3. Day, month, and year of administration of
				MMR, MMRV, and/or varicella;
4.
				Name of the health practitioner or agency where the immunizations were
				obtained; and
5. Signature of the
				physician, parent, guardian or of other such person maintaining the
				immunization history of the child, verifying that the child has received these
				vaccines.
Children with a reliable history of chickenpox (validated by
				  written parental/clinical documentation including year of infection) can be
				  assumed to be immune to varicella and therefore need not receive the varicella
				  vaccination.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 5 - RABIES CONTROL PROGRAM › Section 173-5-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
These regulations are intended to implement the law
				  governing the control of rabies pursuant to Nebraska Revised Statute (Neb. Rev.
				  Stat.) §§
									71-4401 to
				  71-4412.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 5 - RABIES CONTROL PROGRAM › Section 173-5-002 - INITIAL AND BOOSTER RABIES VACCINATIONS

Current through June 17, 2024
Young domestic and hybrid animals must be initially
				  vaccinated against rabies commencing at three months of age and can be
				  considered immunized within 28 days. Regardless of the age of the animal or
				  product used at initial vaccination, a booster vaccination should be
				  administered one year later. Subsequent booster vaccinations should then be
				  given at intervals consistent with the vaccine labeling. A domestic animal is
				  considered immunized immediately after any booster
				  vaccination.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 5 - RABIES CONTROL PROGRAM › Section 173-5-004 - APPROVED TESTS FOR RABIES DETECTION

Current through June 17, 2024
The Direct Fluorescent Antibody (DFA) test is approved for
				  rabies diagnosis and must be performed in accordance with the established
				  national standardized protocol by a qualified laboratory that has been
				  designated by the Department. Any test method other than Direct Fluorescent
				  Antibody (DFA) may only be used if approved by the
				  Department.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 5 - RABIES CONTROL PROGRAM › Section 173-5-005 - REPORT OF TESTS FOR IDENTIFYING ANIMALS AFFLICTED WITH RABIES

Current through June 17, 2024
The laboratory must report the results of the test to the
				  Department and rabies control authority which submitted the specimen for
				  testing.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
These regulations are enacted pursuant to
Neb.
				  Rev. Stat.
§§
									71-502,
				  and
				  81-601
				  et seq. and apply to the exercise of authority by the Department to order
				  Directed Health Measures necessary to prevent, limit, or slow the spread of
				  communicable disease, illness, or poisoning.
Nothing in these regulations precludes the Department from
				  requesting voluntary compliance with beneficial health
				  measures.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-003 - FINDINGS

Current through June 17, 2024
003.01 Director
				Informed
When the Director receives information that a member or
				  members of the public have been, or may have been exposed to a communicable
				  disease, illness, or poisoning by biological, chemical, radiological, or
				  nuclear agents, the Director will review all information under the following
				  provisions to determine if any Directed Health Measure should be
				  ordered.
This information may come from:
1. The United States Department of Health and
				Human Services Centers for Disease Control and Prevention;
2. A Local Public Health
				Department;
3. Communicable disease
				surveillance conducted by the Department;
4. Treating health care providers or health
				care facilities; or
5. Other public
				health, security, or law enforcement authorities.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-004 - DIRECTED HEALTH MEASURES

Current through June 17, 2024
004.01 Directed
				Health Measures which may be ordered by the Director are:
6-004.01A
Quarantine
				of:
1. Individuals;
2. Defined populations;
3. Buildings and premises, or of defined
				areas, public and private, or
4.
				Animals.
The methods of quarantine may require the individual or
				  population to remain within or outside of defined areas
(cordon
				  sanitaire)
or restricted to or from specified activities, which may
				  include "work quarantine" restricting individuals or defined populations to
				  their residence or workplace.
In the event that the quarantine of affected premises posing
				  an immediate threat to the public health and safety is determined to be
				  incapable of effective enforcement, the Department may act alone or in concert
				  with any local jurisdiction having condemnation or nuisance abatement
				  authority, to carry out measures effective to remove the threat, including safe
				  demolition of the premises.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-005 - PROCEDURES

Current through June 17, 2024
005.01 In making
				the finding under 173 NAC
				6-003 and determining the measures
				under 173 NAC
				6-004, the Director will consult with
				the Chief Medical Officer, if the Director is not a medical doctor, or other
				medical and communicable disease control personnel of the Department. The
				Director may make use of the expertise and observations of any health care
				provider who has treated a person for whom a Directed Health Measure is being
				considered. The Director will also consider the directives and guidelines
				issued by the American Public Health Association and the United States
				Department of Health and Human Services Centers for Disease Control and
				Prevention or their successors, and may consider the directives and guidelines
				issued by similar public health authorities.
005.02 In determining the nature, scope, and
				duration of the Directed Health Measure ordered, the Director, based on the
				information available at the time of the determination, will:
1. Assess the situation and identify the
				least restrictive practical means of isolating, quarantining, or
				decontaminating an individual that effectively protects unexposed and
				susceptible individuals;
2. Select
				a place of isolation or quarantine that will allow the most freedom of movement
				and communication with family members and other contacts without allowing
				disease transmission to others and allow the appropriate level of medical care
				needed by isolated or quarantined individuals to the extent
				practicable;
3. For communicable
				diseases, order that the duration of the Directed Health Measure should be no
				longer than necessary to ensure that the affected individual or group no longer
				poses a public health threat;
4.
				Give consideration to separation of isolated individuals from quarantined
				individuals. However, if quarantine or isolation is possible in the home(s) of
				the affected individual(s), individuals may be isolated with quarantined
				individuals; and
5. Give
				consideration to providing for termination of the Order under the following
				circumstances:
a. If laboratory testing or
				examination is available to rule out a communicable condition, the Order may
				provide that proof of the negative result will be accepted to terminate a
				Directed Health Measure; or
b. If
				treatment is available to remedy a communicable condition, the Order may
				provide that proof of successful treatment will be accepted to terminate a
				Directed Health Measure.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-006 - ISSUANCE OF ORDERS

Current through June 17, 2024
006.01 Upon a
				finding pursuant to 173 NAC
				6-003 and determination pursuant to
				173 NAC
				6-004, the Director will issue an
				Order directed to the affected individual, individuals, entity, or
				entities.
006.02 Orders of the
				Director imposing Directed Health Measures are effective immediately.
006.03 Orders will contain the finding and
				determination and will order the affected person or persons to comply with the
				terms of the Order, and will also include the following:
6-006.03A
Orders of
				Isolation
will contain the following:
1. Name and identifying information of the
				individual(s) subject to the order;
2. Brief statement of the facts warranting
				the isolation;
3. Conditions for
				termination of the order;
4.
				Duration of isolation period;
5.
				The place of isolation;
6.
				Prohibition of contact with others except as approved by the Director or
				designee;
7. Required conditions to
				be met for treatment;
8. Required
				conditions to be met for visitation if allowed;
9. Instructions on the disinfecting or
				disposal of any personal property of the individual;
10. Required precautions to prevent the
				spread of the subject disease;
11.
				The individual's right to an independent medical exam at their own
				expense;
12. Provisions to ensure
				and monitor compliance; and
13.
				Procedure to request a hearing.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-007 - NOTICE OF ORDERS

Current through June 17, 2024
007.01 Orders to
				Individuals
Orders directed to individuals will be delivered in a manner
				  reasonably calculated to give the individual actual notice of the terms of the
				  Order consistent with the threat of communicable disease, illness, or
				  poisoning. Personal delivery may be attempted, except in cases when personal
				  delivery would present a risk of spread of disease or exposure to agents that
				  cannot be avoided by measures reasonably available. Electronic transmission by
				  e-mail or telefacsimile will be sufficient, provided that any available means
				  of determining and recording receipt of such notice will be made. If electronic
				  transmission is impossible or unavailable under the circumstances, oral
				  communication by telephone or direct transmission of voice will be sufficient,
				  and such communication will be memorialized at the time it is delivered.
007.02 Orders to Groups
Orders directed to groups of individuals or populations may
				  be disseminated by mass media.
007.03 Quarantine Orders Regarding Areas
Orders directing the quarantine of premises or geographic
				  locations may be disseminated by mass media and will be posted at or near the
				  premises or geographic location in order to be visible and effective to achieve
				  the intended purpose. Copies of the Orders will be delivered to the owners or
				  others in control of the premises, if known, in the same manner as Orders
				  directed to individuals.
007.04 Notice to Elected Officials
Copies of all Orders will be provided if reasonably possible
				  to the chief elected official(s) of the jurisdiction(s) in which the Order is
				  implemented.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-008 - HEARING PROCESS

Current through June 17, 2024
008.01 Request for
				Hearing
Any person subject to an Order under 173 NAC 6 may request a
				  contested case hearing to contest the validity of the Order, in accord with the
				  Department's rules of practice and procedure adopted pursuant to the
				  Administrative Procedure Act.
008.02 Scheduling of Hearing
Upon request, the Department will schedule a hearing to be
				  held as soon as reasonably possible under the circumstances. Unless the person
				  subject to an Order requests otherwise, the hearing will be scheduled no sooner
				  than three days after the request is received by the Department. The hearing
				  will be conducted in accord with the Department's rules of practice and
				  procedure adopted pursuant to the Administrative Procedure Act.
008.03 Parties to the Hearing
The parties to the hearing will be limited to the Department
				  and the subject person unless:
1. One
				or more additional persons have requested contested case hearings on
				substantially identical issues;
2.
				The interests of administrative economy require that the matters be
				consolidated; and
3. No party would
				be prejudiced by consolidation.
The parties may be represented by counsel at their own
				  expense.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-009 - ENFORCEMENT OF ORDERS

Current through June 17, 2024
009.01 The
				Department may seek the assistance of the appropriate quarantine officer to
				enforce any Order.
009.02
				Department personnel assigned to the enforcement of any Order will promote the
				need for the Directed Health Measure and encourage individuals to comply with
				all aspects of the Order.
009.03
				Any individual subject to an Order may at any time present evidence to the
				Director to show that the Order should be modified or terminated. The Director
				may or may not modify or terminate the Order in his or her sole
				discretion.
009.04 In the event of
				noncompliance with the terms of a Department Order under 173 NAC
				6-006, law enforcement and other
				Municipal and Local Public Health Department personnel will be required to aid
				the Department in enforcement of the Order, pursuant to 173 NAC 6 and
Neb. Rev. Stat.
§
									71-502.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-010 - COOPERATION AND COORDINATION

Current through June 17, 2024
010.01 The
				Department may assist or seek the assistance of quarantine officers, Local
				Public Health Departments, other public health authorities, and others
				authorized or required by law to carry out Directed Health Measures in carrying
				out those measures.
010.02 Treating
				Health Care Providers must follow and aid affected individuals and populations
				in compliance with ordered Directed Health Measures.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 6 - DIRECTED HEALTH MEASURES TO PREVENT OR LIMIT THE SPREAD OF COMMUNICABLE DISEASE, ILLNESS, OR POISONING › Section 173-6-011 - REPORTING OF NONCOMPLIANCE

Current through June 17, 2024
Treating Health Care Providers, Health Care Facilities, and
				  other persons must report any information known to them concerning any
				  individual or entity subject to an Order of quarantine, isolation,
				  decontamination, or other Directed Health Measure that is not in compliance
				  with the Order. The report must be made to the Department and local law
				  enforcement.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Section 173-7-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
001.01 Statutory
				Authority
This chapter is adopted pursuant to
Neb. Rev.
				  Stat.
§§
										79-214,
				  79-220,
				  and
				  79-248
				  to
				  79-253.
001.02 Scope
These regulations apply to every public school district in
				  Nebraska and students under their jurisdiction. This includes children aged 3-5
				  years enrolled in early childhood education or early childhood special
				  education programs as defined in Title 92 Nebraska Administrative Code,
				  Chapters 11 and Chapter 51 respectively.
001.03 Role of School Boards
Neb. Rev. Stat.
§
										79-251
				  states the boards of education and school boards of the school districts of the
				  state shall enforce the provisions of
Neb. Rev. Stat.
§§
										79-248
				  to
				  79-253.
Neb. Rev. Stat.
§
										79-252
				  states that school district boards of education or school boards may employ
				  licensed physicians to conduct screening in lieu of conducting
				  screening.
Neb. Rev. Stat.
§
										79-214
				  states that the school board of any school district shall require evidence of a
				  physical examination and visual evaluation for those students in applicable
				  grades.
001.04 Role of the
				Department of Health and Human Services (DHHS)
7-001.04A
Neb. Rev.
				Stat.
§
										79-248
				identifies the prescriptive role of the Department of Health and Human Services
				in identifying conditions for which to screen the school-aged population.
Neb. Rev. Stat.
§
										79-249
				provides the statutory authority to the Department of Health and Human Services
				to promulgate these rules and regulations. DHHS is to prescribe the schedule
				for minimum required school health screenings, which shall be based on current
				medical and public health practice, and to define the qualifications of the
				person or persons authorized to conduct required screenings.
7-001.04B Pursuant to
Neb. Rev.
				Stat.
§
										79-249,
				the School Health Program in the DHHS Division of Public Health provides the
				School Health Guidelines for Nebraska schools; makes available useful materials
				to assist schools to implement school health screening programs; and makes
				available methods for gathering, analyzing, and utilizing data obtained that do
				not violate any privacy laws.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Section 173-7-002 - DEFINITIONS

Current through June 17, 2024
Health Inspection:
Neb. Rev. Stat.
§§
									79-248
				  through
				  79-253
				  refer to health inspections conducted at school. For the purposes of these
				  regulations, the term "health screening" shall be used synonymously and
				  interchangeably with the phrase "health inspection."
Health Screening:
Collection of
				  individual-level basic subjective and objective data from observations and
				  interviews. The task includes the recording and reporting of the collected
				  data.
Health screening
does
include: inspection,
				  accurate measurement, and comparison of individual measurement with an
				  objective standard in order to identify the individual student whose parent is
				  to be notified of the need for further evaluation.
Health screening does
not
include:
				  assessment, judgment based on the knowledge base of a regulated health
				  profession, diagnosis, evaluation, examination, investigation, interpretation,
				  treatment, or management of any health condition.
Health screening is not a regulated act reserved for the
				  licensed health professions.