State Immunization Laws for Healthcare
Workers and Patients

Immunization Administration Requirements
For State: MA

** Click on each result to read the abridged text of the state immunization law.

Patient Type	Vaccine	Requirement
Hospital Employees	Hepatitis B[1]	No
	Influenza[2]	Offer[555]
	MMR[3]	Ensure[130]
	Varicella[4]	No
	Pneumococcal[5]	No
	Medical(M),Religious(R), or Philosophical(P) Exemptions[6]	No
Hospital Inpatients	Influenza[7]	No
	Pneumococcal[8]	No
	Medical(M),Religious(R), or Philosophical(P) Exemptions[9]	No
Individual Providers' Patients	Any Immunization[10]	No
	Medical(M),Religious(R), or Philosophical(P) Exemptions[11]	No
Ambulatory Care Facilities Employees	Any Immunization[12]	Ensure[131]/Offer[556]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[13]	No
Ambulatory Care Facilities Patients	Any Immunization[14]	No
	Medical(M),Religious(R), or Philosophical(P) Exemptions[15]	No
Correctional Inmates and Residents	Any Immunization[16]	Ensure[132]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[17]	No
Developmentally Disabled Facility Residents	Any Immunization[18]	Ensure[133]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[19]	No
	[]

[1] Does the jurisdiction require that any hospitals offer hepatitis B vaccine to any employees of the hospital, or ensure that any such employees are vaccinated with hepatitis B vaccine?
[2] Does the jurisdiction require that any hospitals offer influenza vaccine to any employees of the hospital, or ensure that any such employees are vaccinated with influenza vaccine?
[3] Does the jurisdiction require that any hospitals offer measles/mumps/rubella (MMR) vaccine (or any component thereof) to any employees of the hospital, or ensure that any such employees are vaccinated with MMR vaccine?
[4] Does the jurisdiction require that any hospitals offer varicella vaccine to any employees of the hospital, or ensure that any such employees are vaccinated with varicella vaccine?
[5] Does the jurisdiction require that any hospitals offer pneumococcal polysaccharide vaccine to any employees of the hospital, or ensure that any such employees are vaccinated with pneumococcal polysaccharide vaccine?	Top of Page
[6] If any hospitals are required to ensure that any hospital employees are vaccinated with hepatitis B, influenza, MMR, varicella or pneumococcal vaccine, does the jurisdiction provide any medical, religious or philosophical exemptions to such administration requirements?
[7] Does the jurisdiction require that any hospitals offer any inpatients of the hospital influenza vaccine, or ensure that any inpatients are vaccinated with influenza vaccine?
[8] Does the jurisdiction require that any hospitals offer any inpatients of the hospital pneumococcal polysaccharide vaccine, or ensure that any inpatients are vaccinated with pneumococcal polysaccharide vaccine?
[9] If any hospitals are required to ensure that any hospital inpatients are vaccinated with influenza or pneumococcal vaccines, does the jurisdiction provide any medical, religious or philosophical exemptions to such administration requirements?	Top of Page
[10] Does the jurisdiction require that any individual healthcare providers offer any vaccinations to any patients, or ensure that any patients are vaccinated with any vaccines?
[11] If any individual providers are required to ensure that any of their patients are vaccinated with any vaccines, does the jurisdiction provide any medical, religious or philosophical exemptions to such administration requirements?
[12] Does the jurisdiction require that any ambulatory care facilities offer any vaccinations to any employees, or ensure that any employees are vaccinated with any vaccines?
[13] If any ambulatory care facilities are required to ensure that any employees are vaccinated with any vaccines, does the jurisdiction provide any medical, religious or philosophical exemptions to such administration requirements?	Top of Page
[14] Does the jurisdiction require that any ambulatory care facilities offer any vaccinations to any patients, or ensure that any patients are vaccinated with any vaccines?
[15] If any ambulatory care facilities are required to ensure that any patients are vaccinated with any vaccines, does the jurisdiction provide for any medical, religious or philosophical exemptions to such administration requirements?
[16] Does the jurisdiction require that any correctional facilities or juvenile detention centers offer any vaccinations to any inmates or juveniles, or ensure that any inmates or juveniles are vaccinated with any vaccines?
[17] If any correctional centers or juvenile detention centers are required to ensure that any inmates or juveniles are vaccinated with any vaccines, does the jurisdiction provide for any medical, religious or philosophical exemptions to such administration requirements?	Top of Page
[18] Does the jurisdiction require that any residential facilities for the developmentally disabled or mentally retarded offer any residents any vaccinations, or ensure that any residents are vaccinated with any vaccines?
[19] If any residential facilities for the developmentally disabled or mentally retarded are required to ensure that any residents are vaccinated with any vaccines, does the jurisdiction provide for any medical, religious or philosophical exemptions to such administration requirements?
[130] For Massachusetts requirements, see Mass. Regs. Code tit. 105, § 130.626, relating to hospital personnel assigned to maternal-newborn areas. Mass. Regs. Code tit. 105, § 130.626 requires that personnel assigned to maternal-newborn areas shall have: (1) demonstrated immunity to rubeola either via measles titer, physician-diagnosed disease or physician-documented live measles vaccine received on or after 12 months of age; and (2) demonstrated immunity to rubella either via rubella titer or physician-documented rubella vaccine received on or after 12 months of age. This requirement only applies to those institutions covered by the Massachusetts definition of “hospital.” “Hospital” is defined in Mass. Regs. Code tit. 105, § 130.020 as any institution in the Commonwealth of Massachusetts, however named, whether conducted for charity or for profit, which is advertised, announced, established, or maintained for the purpose of caring for persons admitted thereto for diagnosis or medical, surgical or restorative treatment which is rendered within said institution. This definition shall not include any hospital operated by the Commonwealth of Massachusetts or by the United States.
[131] For Massachusetts requirements, see Mass. Regs. Code tit. 105, § 130.626, relating to hospital personnel assigned to maternal-newborn areas. Mass. Regs. Code tit. 105, § 130.626 requires that personnel assigned to maternal-newborn areas shall have: (1) demonstrated immunity to rubeola either via measles titer, physician-diagnosed disease or physician-documented live measles vaccine received on or after 12 months of age; and (2) demonstrated immunity to rubella either via rubella titer or physician-documented rubella vaccine received on or after 12 months of age. Note that, while this requirement applies to “hospitals,” Massachusetts’ definition includes facilities covered under this chart’s definition of “ambulatory care facility.” “Hospital” is defined in Mass. Regs. Code tit. 105, § 130.020 as any institution in the Commonwealth of Massachusetts, however named, whether conducted for charity or for profit, which is advertised, announced, established, or maintained for the purpose of caring for persons admitted thereto for diagnosis or medical, surgical or restorative treatment which is rendered within said institution. This definition shall not include any hospital operated by the Commonwealth of Massachusetts or by the United States. Because this definition of “hospital” is not limited to facilities providing 24-hour care, and the definition otherwise appears on its face to cover those facilities also covered by this chart’s definition of ambulatory care facilities, this chart assumes that the requirements applying to “hospitals” would also apply to ambulatory care facilities.	Top of Page
[132] For Massachusetts requirements, see Mass. Regs. Code tit. 103, § 932.10, relating to “county correctional facilities,” and Mass. Regs. Code tit. 102, § 3.06, relating to “programs serving children and teen parents.” Mass. Regs. Code tit. 103, § 932.10 provides that county correctional facilities’ written policy and procedure shall provide, at a minimum, medical preventative maintenance including medical services provided to take advance measures against disease, such as inoculations and immunizations. Mass. Regs. Code tit. 102, § 3.06 provides that preventative health services for residents shall include immunizations and TB testing as required by the Department of Public Health.
[133] For Massachusetts requirements, see Mass. Regs. Code tit. 102, § 3.06, relating to “programs serving children and teen parents.” Mass. Regs. Code tit. 102, § 3.06 provides that preventative health services for residents shall include immunizations and TB testing as required by the Department of Public Health.
[555] For Massachusetts requirements, see Mass. Regs. Code tit. 105, § 130.325, relating to requirements that hospital personnel be vaccinated against influenza. Mass. Regs. Code tit. 105, § 130.325(B) provides that each hospital shall ensure that all personnel are vaccinated with seasonal influenza vaccine unless an individual declines vaccination in accordance with Mass. Regs. Code tit. 105, § 130.325(F). Mass. Regs. Code tit. 105, § 130.325(A) defines personnel as individuals employed by or affiliated with the hospital, whether directly, by contract with another entity, or as an independent contractor, paid or unpaid, including but not limited to employees, members of the medical staff, contract employees or staff, students, and volunteers who either work at or come to the licensed hospital site, whether or not such individual(s) provide direct patient care.
[556] For Massachusetts requirements, see Mass. Regs. Code tit. 105, § 140.150, relating to requirements that personnel be vaccinated against influenza virus.Mass. Regs. Code tit. 105, § 140.150(B) provides that each clinic shall ensure that all personnel are vaccinated with seasonal influenza vaccine unless an individual declines vaccination in accordance with Mass. Regs. Code tit. 105, § 140.150(F). Mass. Regs. Code tit. 105, § 140.150(A) defines personnel as individuals employed by or affiliated with the hospital, whether directly, by contract with another entity, or as an independent contractor, paid or unpaid, including but not limited to employees, members of the medical staff, contract employees or staff, students, and volunteers who either work at or come to the licensed hospital site, whether or not such individual(s) provide direct patient care. Mass. Regs. Code tit. 105, § 140.020 defines clinic as “any entity, however organized, whether conducted for profit or not for profit, which is advertised, announced, established or maintained for the purpose of providing ambulatory medical, surgical, dental, physical rehabilitation, or mental health services.	Top of Page

Disclaimer: The purpose of this database is to provide researchers, policymakers, and state and local public health practitioners with descriptive information concerning state immunization-related law. No part of this legal analysis involves providing legal advice or answering specific questions of law on behalf of any person or organization.