State Immunization Laws for Healthcare
Workers and Patients

Immunization Administration Requirements
For State: NE

** 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[560]
	MMR[3]	No
	Varicella[4]	No
	Pneumococcal[5]	No
	Medical(M),Religious(R), or Philosophical(P) Exemptions[6]	No
Hospital Inpatients	Influenza[7]	Offer[563]
	Pneumococcal[8]	Offer[564]
	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]	No
	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[144]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[17]	No
Developmentally Disabled Facility Residents	Any Immunization[18]	Ensure[145]
	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?
[144] For Nebraska, no statute or regulation requires any correctional centers or juvenile detention centers to offer any vaccines to any inmates/juveniles or to ensure that any inmates/juveniles are vaccinated with any vaccines. However, note Neb. Rev. Stat. § 83-4,161, providing that, in developing and implementing medical treatment of communicable diseases, the medical director of a correctional or penal institution shall ensure that the medical treatment protocols include provisions allowing for routine immunizations against communicable diseases of all inmates upon entering the custody of departments.
[145] For Nebraska requirements, see 175 NAC 17-006, concerning Intermediate Care Facilities for the Mentally Retarded. 175 NAC 17 adopts by reference 42 CFR 483.410 through 483.480. At 42 CFR 483.460 (a) (3) this requirement is found: “(3) The facility must provide or obtain preventive and general medical care as well as annual physical examinations of each client that at a minimum include the following: … (ii) Immunizations, using as a guide the recommendations of the Public Health Service Advisory Committee on Immunization Practices or of the Committee on the Control of Infectious Diseases of the American Academy of Pediatrics.” See also Neb. Rev. Stat. §71-468, requiring that each general acute hospital, intermediate care facility, nursing facility, and skilled nursing facility annually offer onsite vaccinations for influenza and pneumococcal disease to all residents and to all inpatients prior to discharge, and Neb. Rev. Stat. §71-469, requiring that each general acute hospital, intermediate care facility, nursing facility, and skilled nursing facility offer onsite vaccinations for diphtheria, tetanus, and pertussis to all residents and inpatients prior to discharge. Because “intermediate care facility for the mentally retarded” is defined separately from “intermediate care facility” in Nebraska law, the requirements of Neb. Rev. Stat. §71-468 and §71-469 were interpreted as not applying to residents of facilities for the developmentally disabled for purposes of this database.	Top of Page
[560] For Nebraska requirements, see Neb. Rev. Stat. §71-467, pertaining to “general acute hospital; employees; influenza vaccinations; tetanus-diphtheria-pertussis vaccine; duties; record”. Neb. Rev. Stat. §71-467 states that each general acute hospital shall annually offer onsite influenza vaccination to all hospital employees and shall offer to all employees a single dose of tetanus-diphtheria-pertussis vaccine if they have not previously received such vaccine and regardless of the time since their most recent vaccination with such vaccine. Neb. Rev. Stat. §71-467 further states that each general acute care hospital shall require all hospital employees to be vaccinated against influenza, tetanus, diphtheria, and pertussis, except that an employee may elect not to be vaccinated, and that this section shall not apply in individual cases when contraindicated or if a national shortage of the vaccine exists.
[563] For Nebraska requirements, see Neb. Rev. Stat. §71-468, pertaining to onsite vaccinations for influenza and pneumococcal disease. Neb. Rev. Stat. §71-468 requires that each general acute hospital, intermediate care facility, nursing facility, and skilled nursing facility annually, beginning no later than October 1 and ending on the following April 1, offer onsite vaccinations for influenza and pneumococcal disease to all residents and to all inpatients prior to discharge. Note also Neb. Rev. Stat. §71-469, which requires each general acute hospital to offer onsite vaccinations for diphtheria, tetanus, and pertussis to all inpatients prior to discharge, pursuant to procedures of the facility and in accordance with the recommendations of the advisory committee on immunization practices of the Centers for Disease Control and Prevention of the United States Public Health Services of the United States Department of Health and Human Services as the recommendations existed on January 1, 2013. Nothing in this section shall be construed to require any facility listed in this section to bear the cost of a vaccination provided pursuant to this section. Nebraska law further specifies that Neb. Rev. Stat. §71-468 and Neb. Rev. Stat. §71-469 shall not apply in individual cases when contraindicated or if a national shortage of the vaccine exists.
[564] For Nebraska requirements, see Neb. Rev. Stat. §71-468, pertaining to onsite vaccinations for influenza and pneumococcal disease. Neb. Rev. Stat. §71-468 requires that each general acute hospital, intermediate care facility, nursing facility, and skilled nursing facility annually, beginning no later than October 1 and ending on the following April 1, offer onsite vaccinations for influenza and pneumococcal disease to all residents and to all inpatients prior to discharge. Note also Neb. Rev. Stat. §71-469, which requires each general acute hospital to offer onsite vaccinations for diphtheria, tetanus, and pertussis to all inpatients prior to discharge, pursuant to procedures of the facility and in accordance with the recommendations of the advisory committee on immunization practices of the Centers for Disease Control and Prevention of the United States Public Health Services of the United States Department of Health and Human Services as the recommendations existed on January 1, 2013. Nothing in this section shall be construed to require any facility listed in this section to bear the cost of a vaccination provided pursuant to this section. Nebraska law further specifies that Neb. Rev. Stat. §71-468 and Neb. Rev. Stat. §71-469 shall not apply in individual cases when contraindicated or if a national shortage of the vaccine exists.

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.