State Immunization Laws for Healthcare
Workers and Patients

Immunization Administration Requirements
For State: MI

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

Patient Type	Vaccine	Requirement
Hospital Employees	Hepatitis B[1]	Offer[134]
	Influenza[2]	No
	MMR[3]	No
	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]	Offer[135]
	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]	No
	Medical(M),Religious(R), or Philosophical(P) Exemptions[17]	No
Developmentally Disabled Facility Residents	Any Immunization[18]	Ensure[136]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[19]	Yes – (M)[137]
	[]

[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?
[134] For Michigan requirements, see Mich. Admin. Code r. 325.70013, requiring that, within a specified time frame, an employer shall make available hepatitis B vaccine to category A employees. If an employee initially declines vaccination, but at a later date, while still covered under these rules, decides to accept hepatitis B vaccine, the employer shall provide the vaccine at the later date. If booster dose(s) are recommended by the United States Public Health Service, they shall be made available. However, if an employee has previously received the complete hepatitis B vaccine series, is found to be immune to hepatitis B virus by adequate antibody titer, or the vaccine is contraindicated for medical reasons, the employer is not required to offer the vaccine to the employee. Category A is defined in Mich. Admin. Code r. 325.70003 as consisting of occupations that require procedures or other occupation-related tasks that involve exposure or reasonably anticipated exposure to blood or other potentially infectious material, or that involves a likelihood for spills or splashes blood or other potentially infectious material.
[135] For Michigan requirements, see Mich. Admin. Code r. 325.70013, requiring that, within a specified time frame, an employer shall make available hepatitis B vaccine to category A employees. If an employee initially declines vaccination, but at a later date, while still covered under these rules, decides to accept hepatitis B vaccine, the employer shall provide the vaccine at the later date. If booster dose(s) are recommended by the United States Public Health Service, they shall be made available. However, if an employee has previously received the complete hepatitis B vaccine series, is found to be immune to hepatitis B virus by adequate antibody titer, or the vaccine is contraindicated for medical reasons, the employer is not required to offer the vaccine to the employee. Category A is defined in Mich. Admin. Code r. 325.70003 as consisting of occupations that require procedures or other occupation-related tasks that involve exposure or reasonably anticipated exposure to blood or other potentially infectious material, or that involves a likelihood for spills or splashes blood or other potentially infectious material.	Top of Page
[136] For Michigan requirements, see Mich. Admin. Code r. 400.4334 and Mich. Admin. Code r. 400.10307, relating to “residential treatment facilities,” and Mich. Admin. Code r. 325. 176, relating to “programs of group care or group residence.” Mich. Admin. Code r. 400.4334 requires that, if documentation of immunization for a resident is unavailable, immunizations shall begin within 30 days of admission to a residential treatment institution. Mich. Admin. Code r. 400.10307 requires that a resident in a facility shall have current immunizations as required by the department of health. If documentation of immunization is unavailable, then immunization shall begin within 30 days of admission to the facility. Mich. Admin. Code r. 400.4101 defines a “residential treatment facility” as an institution whose primary purpose is to provide habilitative or rehabilitative services. Mich. Admin. Code § 400.4302 clarifies the definition of “residential treatment facilities,” providing that the “rules in this part relate to all residential treatment child caring institutions.” Although the title in this part is ‘Residential Treatment Institutions,’ the rules in this section only apply to child caring institutions meeting the criteria established in the definition of “residential treatment institution.” A “child caring institution” is defined as having the same definition set forth in Mich. Comp. Laws § 722.111, which states that a “child caring institution” is a child care facility that is organized for the purpose of receiving minor children for care, maintenance, and supervision, usually on a 24-hour basis, in buildings maintained by the child caring institution for that purpose, and operates throughout the year. “Child caring institution” includes maternity homes for the care of unmarried mothers who are minors, agency group homes, defined as a small child caring institution owned, leased or rented by a licensed agency providing care for more than 4 but less than 13 children, and institutions for mentally retarded minor children. “Child caring institution” does not include hospitals, nursing homes, or homes for the aged licensed under article 17 of the public health code, 1978 PA 368, MCL 333.20101 to 333.22260, a boarding school licensed under section 1335 of the revised school code, 1976 PA 451, MCL 380.1335, a hospital or facility operated by the state or licensed under the mental health code, 1974 PA 258, MCL 330.1001 to 330.2106, or an adult foster care family home or an adult foster care small group home licensed under the adult foster care facility licensing act, 1979 PA 218, MCL 400.701 to 400.737, in which a child has been placed pursuant to section 5(6). Thus, the requirements of Mich. Admin. Code r. 400.4334 and Mich. Admin. Code r. 400.10307 would only apply to those residential homes for the developmentally disabled and mentally retarded that are not state operated and are not licensed under the mental health code. With respect to “programs of group care or group residence,” see Mich. Admin. Code r. 325.176. Mich. Admin. Code r. 325.176 provides the following: (1) children between 2 months and 3 months shall have received all of the following vaccines, in specified quantities: diphtheria vaccine, tetanus vaccine, pertussis vaccine, poliovirus vaccine, Haemophilus influenzae type b vaccine, and hepatitis B vaccine; (2) children between 4 months and 5 months of age shall have received all the following vaccines, in specified quantities: diphtheria vaccine, tetanus vaccine, pertussis vaccine, poliovirus vaccine, Haemophilus influenzae type b vaccine, and hepatitis B vaccine; (3) children between 6 months and 14 months of age registered in a program of group residence or care shall have received all of the following vaccines, in specified quantities: diphtheria vaccine, tetanus vaccine, pertussis vaccine, poliovirus vaccine, Haemophilus influenzae type b vaccine, and hepatitis B vaccine; (4) children between 15 months and 4 years shall have received all of the following vaccines, in specified quantities: diphtheria vaccine, tetanus vaccine, pertussis vaccine, poliovirus vaccine, Haemophilus influenzae type b vaccine, hepatitis B vaccine, live measles vaccine at or after 12 months, live mumps vaccine at or after 12 months, rubella vaccine. Effective Jan. 1, 2000, children in this age group must also show, according to specified criteria, evidence of varicella immunity. If a child cannot complete immunization requirements for medical reasons, within 4 months of admittance, a child shall be permitted to remain enrolled in the program for a time consistent with good medical practice. A statement requesting enrollment of the child beyond the exclusion date shall be signed by a physician or local health officer and shall certify that the child is in the process of complying with immunization requirements, and this medical exemption shall be filed with the group program. This chart assumes that the definition of “group program” covers residential facilities for the developmentally disabled and mentally retarded for the foregoing reasons. Mich. Comp. Laws § 333.9211 limits the application of “group program” to pre-school aged children, and makes “group program” synonymous with “a program of group residence care or camping.” These general classifications would fit under the definition of “child care organizations” within Mich. Comp. Laws § 722.111 of the Child Care Organizations Act. Mich. Comp. Laws § 722.111 defines “child care organization” as an organization having as its principal function the receiving of minor children for care, maintenance, training and supervision. “Child caring institutions” are one organization subject to the requirements of the Child Care Organizations Act and, as described above, the definition of “child caring institutions” includes residential facilities for the developmentally disabled and mentally retarded which are not state operated and which are not licensed under the mental health code. Thus, the requirements of Mich. Admin. Code r. 325.176 would only apply to those residential facilities for the developmentally disabled and mentally retarded which are not operated by the state or licensed under the mental health code. (Interpretation of application of “group program” based on interview w/ counsel for Michigan Department of Community Health, results received 4/1/05.)
[137] For Michigan, for medical exemptions to the immunization requirements of Mich. Admin. Code r. 400.4334, see Mich. Admin. Code r 400.4334, which provides that the immunization requirements are inapplicable where a statement from a physician indicating that immunizations are contraindicated is included in the resident’s record. For exemptions to the immunization requirements of Mich. Admin. Code r. 400.10307. see Mich. Admin. Code r 400.10307, providing that immunization requirements are inapplicable where a statement from a physician indicating that immunizations are contraindicated is included in the resident’s record.

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.