DHS 144.02 (3) “Department" means the Wisconsin department of health services, unless otherwise specified.
DHS 144.02 (4) “DT” means pediatric diphtheria and tetanus vaccine.
DHS 144.02 (5) “DTaP” means pediatric diphtheria, tetanus, and acellular pertussis vaccine.
DHS 144.02 (6) “DTP” means pediatric diphtheria, tetanus, and pertussis vaccine
DHS 144.02 (7) “Hib" means Haemophilus influenzae type b vaccine.
DHS 144.02 (8) “Hep B" means hepatitis B vaccine.
DHS 144.02 (9) “Immunization" means the process of inducing immunity artificially by administering an immunobiologic.
DHS 144.02 (10) “Local health department" has the meaning given in s. 250.01 (4), Stats. DHS 144.02 (11) “Mening” means a meningococcal vaccine containing, at a minimum, serogroups A, C, W, and Y.
DHS 144.02 (12) “MMR" means measles, mumps, and rubella vaccine administered in combination or as separate vaccines.
DHS 144.02 (13) “Municipality" means any town, village, city, or county.
DHS 144.02 (14) “Parent" means the parent, parents, guardian, or legal custodian of any minor student.
DHS 144.02 (15) “PCV" means pneumococcal conjugate vaccine.
DHS 144.02 (16) “Physician" means an individual possessing the degree of doctor of medicine or doctor of osteopathy or an equivalent degree as determined by the medical examining board under s. 448.05 (2), Stats., and holding a license granted by the medical examining board under s. 448.06, Stats. DHS 144.02 (17) “Physician assistant” has the meaning given in s. 448.01 (6), Stats. DHS 144.02 (18) “School" means any public or private elementary, middle, junior or senior high school, which provides educational instruction to students in any grade kindergarten through 12, or in an ungraded educational setting, or to preschool children enrolled in early childhood programs. “School day" in reference to schools has the meaning prescribed in s. 115.01 (10), Stats. A school day for a child care center is any day that the center is open and caring for children. DHS 144.02 (19) “Student" means any individual enrolled in or attending a school or child care center.
DHS 144.02 (20) “Subsided" in reference to a substantial outbreak means passage of 2 incubation periods for the disease causing the outbreak without additional cases, unless a shorter period of time is judged adequate by the department.
DHS 144.02 (21) “Substantial outbreak" means occurrence of any of the following diseases at the threshold determined by the department using epidemiological factors such as time and place:
(g)
Haemophilus influenzae type b. (i)
Meningococcal disease. DHS 144.02 (22) “Td” means adolescent and adult tetanus and diphtheria vaccine.
DHS 144.02 (23) “Tdap” means adolescent and adult tetanus, diphtheria and acellular pertussis vaccine.
DHS 144.02 (24) “Vaccine provider" means a health care facility, as defined in s. 155.01 (6), Stats., which administers vaccines, or a local health department, or a physician’s office which administers vaccines. DHS 144.02 (25) “Var" means varicella vaccine.
DHS 144.02 (Note) Varicella is commonly known as chickenpox.
DHS 144.02 (26) “Written evidence of immunization" means a paper or an electronic record, which at a minimum indicates the date that each required dose of vaccine was administered to a student or the results of a laboratory test indicating immunity to the disease. Students who have not previously attended a Wisconsin school must provide the month, day, and year for each required dose of vaccine.
SECTION 4. DHS 144.03 (1), (2) (title), (a) and (b) are amended to read:
DHS 144.03 (1) Individuals included. The minimum immunization requirements authorized by s. 252.04, Stats., and required under this chapter, apply to any student admitted to a Wisconsin elementary, middle, junior or senior high school, or to a Wisconsin day child care center. DHS 144.03 (2) Requirements for the 2008-09 2020-2021 school year and for school years following the 2020-2021 school year.
(a) Table DHS 144.03-A, as qualified by pars. (b) to (g) (k), lists the number of doses of each required vaccine that each student in the 2008-09 2020-2021 school year and following school years shall have received since birth for the age or grade of the student. These comprise the minimum immunizations required under s. 252.04 (2), Stats. They do not, however, represent all the recommended immunizations for those individuals who begin immunizations in infancy and follow according to currently accepted immunization schedules. (b) Immunization against measles, mumps, and rubella shall have been received on or after the date of the be administered no sooner than 4 days before the student’s first birthday. A dose received 4 days or less before the first birthday is acceptable. A second dose of MMR shall be received no sooner than 4 weeks after the first dose.
SECTION 5. Table DHS 144.03-A and DHS 144.03 (2) (c) to (i) are repealed and recreated to read:
Table 144.03-A
Required Immunizations for the 2020-2021 School Year and the Following School Years
Age/Grade | Required Immunizations (Number of Doses) |
5 months through 15 months | 2 DTP/DTaP/DT | | 2 Polio | | | 2 Hep B | 2 Hib | 2 PCV | |
16 months through 23 months | 3 DTP/DTaP/DT | | 2 Polio | 1 MMR | | 2 Hep B | 3 Hib | 3 PCV | |
2 years through 4 years | 4 DTP/DTaP/DT | | 3 Polio | 1 MMR | 1 Var | 3 Hep B | 3 Hib | 3 PCV | |
Kindergarten through grade 6 | 4 DTP/DTaP/DT | | 4 Polio | 2 MMR | 2 Var | 3 Hep B | | | |
Grade 7 through grade 11 | 4 DTP/DTaP/DT | 1 Tdap | 4 Polio | 2 MMR | 2 Var | 3 Hep B | | | 1 Mening |
Grade 12 | 4 DTP/DTaP/DT | 1 Tdap | 4 Polio | 2 MMR | 2 Var | 3 Hep B | | | 2 Mening |
DHS 144.03 (2) (c) The fourth dose of polio vaccine shall be administered no sooner than 4 days before the student’s fourth birthday. A student receiving a third dose of polio vaccine after the student’s fourth birthday is not required to have additional doses administered. No further doses of polio vaccine are required if the student has not met minimum polio vaccine requirements by the eighteenth birthday.
DHS 144.03 (2) (d) The fourth or fifth dose of DTP/DT/DTaP/Td/Tdap shall be administered no sooner than 4 days before the student’s fourth birthday. Students receiving a third dose of DTP/DT/DTaP/Td/Tdap after the fourth birthday are not required to have additional doses administered.
DHS 144.03 (2) (e) For students age 5 years or older who attend a school that does not use grades, the immunization requirements are those for the grade which would normally correspond to the individual’s age. Immunizations are required for all students age 19 years or older, as prescribed for Grade 12 in table DHS 144.03-A.
DHS 144.03 (2) (f) Students who begin the Hib series at 12 to 14 months of age are only required to receive 2 doses of Hib, at least 2 months apart. Students who receive 1 dose of Hib 4 days before 15 months of age, or after, are not required to receive additional doses of Hib.
DHS 144.03 (2) (g) The first dose of Var shall be administered no sooner than 4 days before the first birthday. A second dose of Var shall be received no sooner than 4 weeks after the first dose. Students who have a reliable history of varicella disease are not required to receive Var. A physician, physician assistant, or an advanced practice nurse prescriber, must document a reliable history of varicella disease by indicating on the department’s student immunization record form that the student has had varicella disease.
