AUTHORITY: Implementing and authorized by the College Student Immunization Act [110 ILCS 20].

SOURCE: Adopted at 14 Ill. Reg. 1609, effective January 19, 1990; emergency amendment at 14 Ill. Reg. 5882, effective March 30, 1990, for a maximum of 150 days; amended at 14 Ill. Reg. 14551, effective August 27, 1990; amended at 16 Ill. Reg. 5916, effective March 31, 1992; amended at 17 Ill. Reg. 2306, effective February 11, 1993; amended at 19 Ill. Reg. 3584, effective February 10, 1996; amended at 26 Ill. Reg. 10784, effective July 1, 2002; amended at 40 Ill. Reg. 10715, effective July 21, 2016.

SUBPART A: GENERAL PROVISIONS

 

Section 694.10  Purpose (Repealed)

 

(Source:  Repealed at 40 Ill. Reg. 10715, effective July 21, 2016)

 

Section 694.20  Definitions

 

            "Act" means the College Student Immunization Act.

 

"Advanced practice nurse" means a person who is licensed as an advanced practice nurse under the Nurse Practice Act.

 

            "Certificate of immunity" means a form acceptable to a post-secondary educational institution signed by a health care provider who has administered an immunizing agent to a student (or has reviewed health records evidencing such administration), specifying the vaccine administered and the date of administration.

 

            "Department" means the Illinois Department of Public Health.  (Section 1(a) of the Act)

 

            "Designated recordkeeping office" means the office designated by a post-secondary educational institution as responsible for maintaining student immunization records.  In institutions with health services, that office shall be the designated office of record.

 

            "Enroll" means the student is a bona fide member of the post-secondary educational institution's student body receiving academic credit for on-campus instruction.

 

            "Health care provider" means a physician licensed to practice medicine in all of its branches (M.D. or D.O.), advanced practice nurse, physician assistant, pharmacist, local health authority, registered nurse employed by a school, college or university, or a Department recognized vaccine provider.

 

"Pharmacist" means a person who is licensed to practice pharmacy under the Pharmacy Practice Act.

 

            "Physician" means a physician licensed to practice medicine in all of its branches (M.D. or D.O.).

 

"Physician assistant" means a person who is licensed as a physician assistant under the Physician Assistant Practice Act of 1987.

 

            "Post-secondary educational institution" means a public or private college or university offering degrees and instruction above the high school level, and shall include, but not be limited to,

 

            Any and all private colleges and universities; the University of Illinois; Southern Illinois University; Chicago State University; Eastern Illinois University; Governors State University; Illinois State University; Northeastern Illinois University; Northern Illinois University; Western Illinois University; and any other public university now or hereafter established or authorized by the General Assembly; except that a post-secondary educational institution does not mean or include any public college or university that does not provide on-campus housing for its students in dormitories or equivalent facilities that are owned, operated, and maintained by the public college or university.

 

            The term shall not include any public or private junior or community college (i.e., any public or private degree-granting institution at which the highest degree offered is an associate degree or an undergraduate certificate of two years or less), or any post-secondary educational institution at which the highest award offered is a diploma or certificate of two years or less, or any institution offering degrees and instruction which utilizes correspondence as its primary mode of student instruction. (Section 1(b) of the Act)

 

            "Proof of immunity" means evidence of appropriate immunization or laboratory evidence of immunity documented in writing by a health care provider in accordance with the requirements of this Part.  Laboratory evidence applies to measles, mumps and rubella only.  The content of the immunization record form used by an institution shall  include, as a minimum, the basic elements listed in Appendix C.

 

            "Student health record" means a record containing the immunization status of a student relating to the vaccine-preventable diseases covered by this Part.  The content of the immunization record form used by an institution shall include, as a minimum, the basic elements listed in Appendix C.

 

            "Summary report" means a form developed by the Department for gathering statistical information on the number of students enrolled at a post-secondary educational institution, the number with proof of immunity, the number with medical or religious exemptions, and the number without proof of immunity or such exemptions.

 

            "Term" means any period of on-campus instruction offered by a post-secondary educational institution.  Students enrolling for the first time during a special term of less than the traditional duration (Summer Session, Interim, Intersession, etc.) may be permitted to enroll in an immediate following term of traditional length before providing proof of immunity in accordance with this Part.

 

(Source:  Amended at 40 Ill. Reg. 10715, effective July 21, 2016)

 

Section 694.30  Referenced Materials

 

The following materials are referenced in this Part:

 

a)         Nurse Practice Act [225 ILCS 65]

 

b)         Pharmacy Practice Act [225 ILCS 85]

 

c)         Physician Assistant Practice Act of 1987 [225 ILCS 95]

 

d)         Family Educational Rights and Privacy Act of 1974 (20 USC 1232g) and 34 CFR 99.36.

 

(Source:  Added at 40 Ill. Reg. 10715, effective July 21, 2016)

SUBPART B: IMMUNIZATION REQUIREMENTS

 

Section 694.100  Proof of Immunity

 

a)         Beginning with the Fall term 2016-2017, students who enroll at a post-secondary educational institution shall present to the designated recordkeeping office proof of immunity evidencing the following immunizations:  

 

1)         Diphtheria, Tetanus, Pertussis

 

A)        Students shall provide dates of any combination of three or more doses of Diphtheria, Tetanus, and Pertussis containing vaccine.  One dose must be Tdap vaccine.  The last dose of vaccine (DTP, DTaP, DT, Td, or Tdap) must have been received within 10 years prior to the term of current enrollment.

 

B)        The minimum time interval between the first and second dose must have been at least four weeks (28 days), with the third dose having been received at least six months after the second or last dose of the basic series.

 

C)        Receipt of Tetanus Toxoid (T.T.) vaccine is not acceptable in fulfilling this requirement.

 

2)         Measles

 

A)        Students shall provide documentation of receipt of two doses of live measles virus vaccine on or after the first birthday. The minimum time interval between each dose must have been at least four weeks (28 days). If either dose was received prior to 1968, proof must be provided that a live virus vaccine, without gamma globulin, was administered.

 

B)        Students who cannot provide proof of immunization may provide laboratory (serologic) evidence of measles immunity.

 

3)         Rubella

 

A)        Students shall provide documentation of receipt of two doses of live rubella virus vaccine on or after the first birthday.  The minimum time interval between each dose must have been at least four weeks (28 days).

 

B)        Students who cannot provide proof of immunization may provide laboratory (serologic) evidence of rubella immunity.

 

4)         Mumps

 

A)        Students shall provide documentation of receipt of two doses of live mumps virus vaccine on or after the first birthday.  The minimum time interval between each dose must have been at least four weeks (28 days).

 

B)        Students who cannot provide proof of immunization may provide laboratory (serologic) evidence of mumps immunity.

 

5)         Meningococcal vaccine.  Beginning Fall term 2016-2017, all new admissions under the age of 22 shall show proof of having at least one dose of meningococcal conjugate vaccine on or after 16 years of age.

 

b)         For measles, mumps and rubella vaccines only, in lieu of proof of immunity as defined in this Part, evidence of birth on or before January 1, 1957, such as a birth certificate, drivers license, or personal identification card issued by the Secretary of State.

 

c)         Additional immunization entries made in a student health record by a post-secondary educational institution shall be based upon a certificate of immunity which complies with the requirements of this Part.

 

d)         A student who enrolls at a post-secondary educational institution without providing proof of immunity shall be precluded from enrolling at that institution in a subsequent term unless the student provides proof of immunity acceptable to the designated recordkeeping office or is granted a medical or religious exemption by the institution.

 

e)         Students shall provide proof of immunity each time they transfer to another post-secondary educational institution.

 

(Source:  Amended at 40 Ill. Reg. 10715, effective July 21, 2016)

 

Section 694.110  Record Keeping

 

a)         The designated recordkeeping office shall maintain records containing the required elements (as in Appendix C) of the immunization status of each student.   The student health records shall be maintained by the post-secondary educational institution.

 

b)         If an exemption has been granted for medical or religious reasons, or if laboratory evidence of immunity has been submitted, a copy of the request for exemption or the laboratory report must be kept with the student health record.

 

c)         A post-secondary educational institution shall keep susceptibility lists by disease category indicating the names of all students who are granted medical or religious exemptions by the institution or who have not provided proof of immunity.  Those lists shall be disclosed to the Department in health and safety emergencies in accordance with the Family Educational Rights and Privacy Act of 1974 (20 USC 1232g) and 34 CFR 99.36.

 

(Source:  Amended at 40 Ill. Reg. 10715, effective July 21, 2016)

 

Section 694.120  Completion and Submission of the Summary Report

 

a)         Each post-secondary educational institution shall submit an annual summary report on forms provided by the Department to the Department within eight weeks after commencement of the fall term of the academic year.

 

b)         The summary report shall be signed by an official of the designated record keeping office certifying that the information provided is correct.

 

c)         In order to determine compliance with this Part, the Department or its designated representative may audit student health records, as they relate to certification of immunity, from which personal identifiable information has been deleted in accordance with the Family Educational Rights and Privacy Act of 1974 (20 U.S.C. 1232g) and 34 CFR 99.36.

 

(Source:  Amended at 17 Ill. Reg. 2306, effective February 11, 1993)

SUBPART C: EXEMPTIONS

 

Section 694.200  Medical Exemption

 

a)         A student may be exempted from one or more of the specific immunization requirements specified in this Part upon acceptance by the designated record keeping office of a written statement by a physician indicating the nature and probable duration of the medical condition or circumstances that contraindicates those immunizations, identifying the specific vaccines that could be detrimental to the student's health.

 

b)         Female students may be granted temporary exemption from immunization against measles, mumps, and rubella under subsection (a) if pregnancy or suspected pregnancy is certified by a written physician's statement.

 

c)         If a student is on an approved schedule of receipt for any required vaccine, the student will be granted temporary medical exemption for the duration of the approved schedule.

 

d)         If a student's medical condition or circumstances later permit immunization, the exemptions granted under subsection (a), (b) or (c) shall terminate and the student shall be required to obtain the immunizations from which the student has been exempted.

 

(Source:  Amended at 40 Ill. Reg. 10715, effective July 21, 2016)

 

Section 694.210  Religious Exemption

 

A student may be exempted from the immunization requirements specified in this Part upon acceptance by the designated recordkeeping office of a written and signed statement by the student (or the student's parent or guardian, if the student is a minor) detailing the student's objection to immunization on religious grounds. The objection must set forth the specific religious belief that conflicts with the immunization.  The religious objection may be personal and need not be directed by the tenets of an established religious organization. General philosophical or moral reluctance to allow immunizations will not provide a sufficient basis for an exception to statutory requirements.

 

(Source:  Amended at 26 Ill. Reg. 10784, effective July 1, 2002)

 

Section 694.220  Classification Exemption

 

Students are exempt from the immunization requirements of this Part if they are enrolled for:  

 

a)         Less than half-time during a term, semester, quarter; or

 

b)         Instruction solely involving research, field work, or study outside of a classroom environment; or

 

c)         Instruction that utilizes correspondence as its primary mode of delivery.  This includes students who are only enrolled in courses where no direct (physical) interaction occurs between the student and others receiving similar instruction (e.g., telecourses, courses by way of mail).

 

(Source:  Amended at 16 Ill. Reg. 5916, effective March 31, 1992)

 

Section 694.APPENDIX A  Certificate of Immunity Form (Repealed)

 

(Source:  Repealed at 17 Ill. Reg. 2306, effective February 11, 1993)

 

Section 694.APPENDIX B  Summary Report of the Immunization Status of College/University Students (Repealed)

 

(Source:  Repealed at 17 Ill. Reg. 2306, effective February 11, 1993)




 

Section 694.APPENDIX C   Required Elements of Health Record

 

1.         Name

 

2.         Student Identification Number

 

3.         Month, Day and Year of Birth

 

4.         Gender

 

5.         Term and Year of First Entry

 

6.         Dates to Establish Immunity to Measles (Rubeola)

 

7.         Dates to Establish Immunity to Rubella

 

8.         Dates to Establish Immunity to Mumps

 

9.         Dates to Establish Immunity to Tetanus/Diphtheria

 

10.         Date of Most Recent Tetanus/Diphtheria/Pertussis Booster (Tdap)

 

11.         Date of Most Recent Meningococcal Vaccine

 

12.         Phone Number of Certifying Health Care Provider

 

13.         Name and Signature of Health Care Provider

 

(Source:  Amended at 40 Ill. Reg. 10715, effective July 21, 2016)