State Immunization Laws for Healthcare
Workers and Patients

Immunization Administration Requirements
For State: NV

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

Patient Type	Vaccine	Requirement
Hospital Employees	Hepatitis B[1]	No[189]
	Influenza[2]	No[190]
	MMR[3]	No[191]
	Varicella[4]	No[192]
	Pneumococcal[5]	No[193]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[6]	No
Hospital Inpatients	Influenza[7]	No[194]
	Pneumococcal[8]	No[195]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[9]	No
Individual Providers' Patients	Any Immunization[10]	Ensure[196]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[11]	No
Ambulatory Care Facilities Employees	Any Immunization[12]	Offer[197]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[13]	No
Ambulatory Care Facilities Patients	Any Immunization[14]	No[198]
	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[199]
	Medical(M),Religious(R), or Philosophical(P) Exemptions[19]	Yes – (M)[200] & (R)[201]
	[]

[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?
[189] For Nevada, no statute or regulation requires any hospital to ensure that any employees are vaccinated with hepatitis B vaccine. However, note Nev. Admin. Code ch. 441A, § 550, relating to “medical facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact less than 2 years of age, each employee of the medical facility shall complete a course of antimicrobial prophylaxis. If a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each member of the staff in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the staff member has received an immunization against Haemophilus influenzae type b.
[190] For Nevada, no statute or regulation requires any hospital to ensure that any employees are vaccinated with influenza vaccine. However, note Nev. Admin. Code ch. 441A, § 550, relating to “medical facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact less than 2 years of age, each employee of the medical facility shall complete a course of antimicrobial prophylaxis. If a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each member of the staff in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the staff member has received an immunization against Haemophilus influenzae type b.	Top of Page
[191] For Nevada, no statute or regulation requires any hospital to ensure that any employees are vaccinated with MMR vaccine. However, note Nev. Admin. Code ch. 441A, § 550, relating to “medical facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact less than 2 years of age, each employee of the medical facility shall complete a course of antimicrobial prophylaxis. If a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each member of the staff in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the staff member has received an immunization against Haemophilus influenzae type b.
[192] For Nevada, no statute or regulation requires any hospital to ensure that any employees are vaccinated with varicella vaccine. However, note Nev. Admin. Code ch. 441A, § 550, relating to “medical facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact less than 2 years of age, each employee of the medical facility shall complete a course of antimicrobial prophylaxis. If a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each member of the staff in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the staff member has received an immunization against Haemophilus influenzae type b.
[193] For Nevada, no statute or regulation requires any hospital to ensure that any employees are vaccinated with pneumococcal vaccine. However, note Nev. Admin. Code ch. 441A, § 550, relating to “medical facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact less than 2 years of age, each employee of the medical facility shall complete a course of antimicrobial prophylaxis. If a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each member of the staff in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the staff member has received an immunization against Haemophilus influenzae type b.
[194] For Nevada, no statute or regulation requires any hospital to ensure that any inpatients are vaccinated with influenza vaccine. Note, however, Nev. Admin. Code ch. 441A, § 550, relating to “medical facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each child in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the child has received an immunization against Haemophilus influenzae type b.	Top of Page
[195] For Nevada, no statute or regulation requires any hospital to ensure that any inpatients are vaccinated with pneumococcal vaccine. Note, however, Nev. Admin. Code ch. 441A, § 550, relating to “medical facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each child in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the child has received an immunization against Haemophilus influenzae type b.
[196] For Nevada requirements, see Nev. Admin. Code ch. 441A, § 570, relating to “providers.” Nev. Admin. Code ch. 441A, § 570 requires the health care provider of an infant born to a woman carrying hepatitis B surface antigen to ensure that the infant is given hepatitis B immune globulin and hepatitis B vaccine within 12 hours of birth, with the vaccine series being completed on a schedule established by the division. Nev. Admin. Code ch. 441A, § 110 defines a “provider” as a physician, nurse, physician's assistant, or veterinarian licensed in accordance with state law.
[197] For Nevada requirements, see Nev. Admin. Code ch. 449, § 5315, relating to “facilities for the treatment of irreversible renal disease.” Nev. Admin. Code ch. 449, § 5315 provides that if any member of the staff is susceptible to hepatitis B and has not been vaccinated for that disease, the facility shall offer vaccination for that disease to that member of the staff in accordance with the provisions of 29 CFR § 1910.1030(f)(1) and (2). 29 CFR § 1910.1030(f)(1) and (2) provides that employers must make available the hepatitis B vaccine and vaccine series to all employees who have occupational exposure. The employer shall ensure that the hepatitis B vaccine and vaccination series and follow-up is made available at no cost to the employee. Additional time, place and manner requirements apply to vaccine administration. The employer shall not make participation in a prescreening program a prerequisite for receiving hepatitis B vaccination. If the employee initially declines vaccination but changes their mind while still covered under the standard, the employer shall make the hepatitis B vaccine available. If a routine booster dose(s) is recommended by the U.S. Public Health Service, the dose(s) shall be made available to the employee free of charge. A “facility for the treatment of irreversible renal disease” is defined in Nev. Admin. Code ch. 449, § 0046 as a facility that is not part of a hospital and which provides peritoneal dialysis or hemodialysis or trains a person with a permanent irreversible renal impairment to perform dialysis for himself. Also note Nev. Admin. Code ch. 441A, § 550, relating to “medical facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact less than 2 years of age, each employee of the medical facility shall complete a course of antimicrobial prophylaxis. If a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each member of the staff in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the staff member has received an immunization against Haemophilus influenzae type b.
[198] For Nevada, no statute or regulation requires any ambulatory care facility to ensure that any patient is vaccinated with any vaccine. Note, however, Nev. Admin. Code ch. 441A, § 550, relating to “medical facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each child in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the child has received an immunization against Haemophilus influenzae type b.	Top of Page
[199] For Nevada requirements, see Nev. Rev. Stat. 432A.230, Nev. Admin. Code ch. 441A, § 675, Nev. Admin. Code ch. 441A, § 610, and Nev. Admin. Code ch. 432A, § 505, relating to “child care facilities.” Nev. Rev. Stat. 432A.230 provides that a child may not be admitted to any child care facility within this state, including a facility licensed by a county or city, unless his parent/guardian submits to the operator of the facility a certificate stating that the child has been immunized and has received proper boosters for that immunization or is complying with the schedules established by regulation pursuant to the Nev. Rev. Stat. 439.550 for the following diseases: diphtheria, tetanus, pertussis if the child is under 6 years of age; poliomyelitis, rubella, rubeola, and such other diseases as the local board of health or the state board of health may determine. The certificate must show that the required vaccines and boosters were given and must bear the signature of a licensed physician or his designee or a registered nurse or his designee attesting that certificate accurately reflects the child’s record of immunization. A child whose parent or guardian has not established a permanent residence in the county in which a child care facility is located and whose history of immunizations cannot be immediately confirmed by a physician in this state or a local health officer, may enter the child care facility conditionally if the parent or guardian: (1) agrees to submit within 15 days a certificate from a physician or local health officer that the child has received or is receiving the required immunizations; and (2) submits proof that he has not established a permanent residence in the county where the facility is located. Nev. Admin. Code ch. 441A, § 675 provides that the same day that a report of a case having rubella or a suspected case considered to have rubella in a school or child care facility is received, the principal, director, or other person in charge of the school or child care facility shall review the immunization records of all enrolled children to identify those who are not adequately immunized against rubella. The person in charge of the child care facility shall notify the parent/legal guardian of children who have not presented proof of immunity to rubella that the child is excluded from attendance at the child care facility, effective the following morning: (1) until proof of immunity to rubella is received by the child care facility; or (2) if the child has not been immunized against rubella because of a medical or religious exemption, until 14 days after the onset of the reported case. Nev. Admin. Code ch. 441A, § 610 provides that on the same day that a report of a case having measles or a suspected case considered to have measles in a school or child care facility is received, the principal, director or other person in charge of the school or child care facility shall review the records of immunization of all enrolled children to identify those who are not adequately immunized against measles. The person in charge of the child care facility shall notify the parent/legal guardian of children who have not presented proof of immunity to measles that the child is excluded from attendance at the child care facility, effective the following morning: (1) until proof of immunity to measles is received by the child care facility; or (2) if the child has not been immunized against measles because of a medical or religious exemption, until 14 days after the onset of the reported case. Nev. Admin. Code ch. 432A, § 505 provides that a child may not be enrolled in a child care facility in this state unless he has been immunized against Haemophilus influenzae type b. A “child care facility” is defined in Nev. Rev. Stat. 432A.024 as: (1) an establishment operated and maintained for the purpose of furnishing care on a temporary or permanent basis, during the day or overnight, to five or more children under 18 years of age, if compensation is received for the care of any of those children; (2) an on-site child care facility; or (3) an outdoor youth program. Because the statutory language is so broad, this chart assumes that the definition of “child care facility” covers residential facilities for the developmentally disabled or mentally retarded. Also note Nev. Admin. Code ch. 441A, § 550, relating to “child care facilities.” Nev. Admin. Code ch. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a child care facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each child in the child care facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the child has received an immunization against Haemophilus influenzae type b.
[200] For Nevada, for medical exemptions to the immunization requirements of Nev. Rev. Stat. 432A.230, Nev. Admin. Code ch. 441A, § 675, Nev. Admin. Code ch. 441A, § 610, and Nev. Admin. Code ch. 432A, § 505, relating to “child care facilities,” see Nev. Rev. Stat. 432A.250, Nev. Admin. Code ch. 441A, § 675, Nev. Admin. Code ch. 441A, § 610, and Nev. Admin. Code ch. 432A, § 505. Nev. Rev. Stat. 432A.250 provides that if the medical condition of a child will not permit him to be immunized to the extent required by Nev. Rev. Stat. 432A.230, a written statement of this fact signed by a licensed physician and presented to the operator of the facility by the parents/guardian of such child exempts such child from all or part of the provisions of Nev. Rev. Stat. 432A.230, as the case may be, for purposes of admission. Note that exemptions do not always apply: Nev. Rev. Stat. 432A.270 provides that whenever the state board of health or a local board of health determines that there is a dangerous contagious disease in a child care facility attended by a child for whom exemption from immunization is claimed pursuant to the provisions of Nev. Rev. Stat. 432A.240 or Nev. Rev. Stat. 432A.250, the operator of the facility shall require either that the child is immunized or that he remains outside the school environment and the local health officer be notified. Nev. Admin. Code ch. 441A, § 675 provides that the requirements of Nev. Admin. Code ch. 441A, § 675 are inapplicable where the child has not been immunized against rubella because of medical exemption (but note that the exempted child may not return to the facility until 14 days after the onset of the reported case). Nev. Admin. Code ch. 441A, § 610 provides that the requirements of Nev. Admin. Code ch. 441A, § 610 are inapplicable where a child had not been immunized against measles because of medical exemption (but note that the exempted child may not return to the facility until 14 days after the onset of the reported case). Nev. Admin. Code ch. 432A, § 505 provides that the Haemophilus influenzae type b immunization requirements of Nev. Admin. Code ch. 432A, § 505 are inapplicable where excused by medical condition.
[201] For Nevada, for religious exemptions to the immunization requirements of Nev. Rev. Stat. 432A.230, Nev. Admin. Code ch. 441A, § 675, Nev. Admin. Code ch. 441A, § 610, and Nev. Admin. Code ch. 432A, § 505, relating to “child care facilities,” see Nev. Rev. Stat. 432A.240, Nev. Admin. Code ch. 441A, § 675, Nev. Admin. Code ch. 441A, § 610, and Nev. Admin. Code ch. 432A, § 505. Nev. Rev. Stat. 432A.240 provides that if the religious belief of a child’s parents or guardians prohibits the immunization of the child as required by Nev. Rev. Stat. 432A.230, a written statement of this fact signed by parents or guardian and presented to the operator of the facility exempts the child from the provisions of that section for the purposes of admission. Note that exemptions do not always apply: Nev. Rev. Stat. 432A.270 provides that whenever the state board of health or a local board of health determines that there is a dangerous contagious disease in a child care facility attended by a child for whom exemption from immunization is claimed pursuant to the provisions of Nev. Rev. Stat. 432A.240 or Nev. Rev. Stat. 432A.250, the operator of the facility shall require either that the child is immunized or that he remains outside the school environment and the local health officer be notified. Nev. Admin. Code ch. 441A, § 675 provides that that the requirements of Nev. Admin. Code ch. 441A, § 675 are inapplicable where the child has not been immunized against rubella because of religious exemption (but note that the exempted child may not return to the facility until 14 days after the onset of the reported case). Nev. Admin. Code ch. 441A, § 610 provides that the requirements of Nev. Admin. Code ch. 441A, § 610 are inapplicable where a child had not been immunized against measles because of religious exemption (but note that the exempted child may not return to the facility until 14 days after the onset of the reported case). Nev. Admin. Code ch. 432A, § 505 provides that the Haemophilus influenzae type b immunization requirements of Nev. Admin. Code ch. 441A, § 505 are inapplicable where excused because of religious belief.

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