Vaccinations

Citizens Count Editor

Vaccines required by NH state law

New Hampshire law requires any child enrolled in public school, private school, or child care to get vaccinated against the following diseases:

  • Diphtheria
  • Mumps
  • Pertussis
  • Poliomyelitis
  • Rubella
  • Rubeola
  • Tetanus

Vaccines required by DHHS rules – and why that’s controversial

State law allows the Department of Health and Human Services (DHHS) to require other vaccinations through a rulemaking process outside the legislature.  DHHS can add or subtract from this list without any changes to state law.

Some argue that it is inappropriate to give bureaucrats the power to require certain vaccines without democratic input through the legislature.  On the other hand, the current system gives health experts the ability to respond quickly to disease outbreaks.

Right now DHHS requires vaccines for the following diseases:

  • Hepatitis B
  • Varicella (chickenpox)
  • Haemophilus influenza Type b (leads to bacterial meningitis)

The debate over the hepatitis B vaccine requirement

State law forbids DHHS from requiring a vaccine for any disease “that is not infectious or transmissible from person-to-person.”  Some opponents argue that hepatitis B is so rare among children that it is inappropriate to require that vaccine.

Learn more about the Department of Health and Human Services requirements for childhood vaccinations

Financial aid for meeting state vaccination recommendations

If a family cannot afford a recommended childhood vaccine, the state will pay for it through the Immunization Program.  That program is funded through a combination of federal grants, health insurer contributions, and the state general fund of tax dollars.

Learn more about the state program to provide vaccines at no cost

Exemptions from vaccine requirements

New Hampshire law allows an exemption from vaccine requirements for medical or religious reasons.

New Hampshire does not allow parents to reject childhood vaccinations just because the parent believes vaccines are harmful.

In the event of a disease outbreak, children exempted from vaccine requirements may not attend school.

Llearn more about the medical and religious exemptions from childhood vaccination requirements

Vaccine requirements for adults

New Hampshire state law does not require adults to get vaccinated.  However, employers – particularly in the health care field – may require vaccinations as a condition of employment.  Colleges may also require students to get vaccinated. 

Some states, such as Oregon, have passed laws that forbid employers from requiring that workers get vaccinated. 

Immunization Information System

Health care providers in New Hampshire report a record of every vaccination they administer to the state Immunization Information System (IIS). 

Health providers must give patients the opportunity to opt-out of the IIS.

The IIS is used to track immunization records and identify unvaccinated people in the event of a disease outbreak.

Health providers are able to make changes to the IIS.  Schools, licensed child care agencies, and public health offices in Manchester and Nashua have limited access to read records in the IIS.

Vaccines at pharmacies

In New Hampshire, pharmacists may administer flu, pneumonia, chickenpox, hepatitis A, hepatitis B, Tdap (tetanus, diphtheria, pertussis), MMR (measles, mumps, rubella), and meningitis vaccines to adults.  Pharmacists must complete certain training to administer vaccines.

Almost all other states allow pharmacists to administer these vaccines.  However, some opponents argue that vaccines should only be administered by an individual’s primary health care provider, who has complete information about a patient’s medical history and is more aware of possible adverse reactions.

PROS & CONS

"For" Position

By Citizens Count Editor

“NH should maintain current vaccine requirements.”

  • If the New Hampshire Legislature takes over the list of required vaccines, the Department of Health and Human Services (DHHS) will not be able to respond as quickly and effectively to a disease outbreak.
  • The DHHS rulemaking process for adding vaccine requirements includes an opportunity for public comment, just like the public hearings in the legislature.
  • National and international organizations, from DHHS to the World Health Organization, all agree the vaccines required in New Hampshire are safe and recommended for all children.  According to the Centers for Disease Control, there is no evidence linking vaccines and autism. On the other hand, as more parents have chosen to opt-out of vaccinations, there have been more outbreaks of vaccine-preventable diseases
  • Private employers should have the liberty to require vaccinations as a matter of workplace safety – particularly in health care settings.  If an employee does not want to get a vaccination, the employee can always negotiate with the employer or find a new job.
  • Vaccinating children saves on health costs in the long-term, since those children do not become sick with vaccine-preventable diseases as adults.  According to the International Vaccine Access Center at Johns Hopkins, increasing the number of children vaccinated against hepatitis B could save billions of dollars in lost productivity and treatment costs. 

"Against" Position

By Citizens Count Editor

“NH should change current vaccine requirements.”

  • Many states allow parents to opt out of vaccine requirements for any personal belief, not just for religious or medical reasons. 
  • Since vaccines impact individual health, the public deserves more of a say over vaccine requirements than other state rules.  The Department of Health and Human Services (DHHS) should not be able to add vaccine requirements without the approval of the New Hampshire Legislature, because the rules process in DHHS does not provide as many opportunities for public input as the legislative process. 
  • Requiring the hepatitis B vaccine, in particular, is an unjustified requirement for children.  Hepatitis B is far more common among adults than among children, often spread through sexual contact or illegal IV drug use.  
  • People should not have to choose between making a living and controlling their own health care.  New Hampshire should therefore prevent employers from requiring employees to get vaccinations.

LEGISLATIVE HISTORY

Killed in the House

Removes tetanus from the list of legally required child vaccinations.

Killed in the House

Adds a defintion of "vaccination" and "vaccine" to the law relating to communicable disease.

Signed by Governor

Allows a pharmacy intern under the supervision of a pharmacist to administer hepatitis A, hepatitis B, Tdap, MMR, and meningococcal vaccines.

Interim Study

Establishes requirements for dispensing and substituting biological products by pharmacists. The bill defines biological products as, "a virus, therapeutic serum, toxin, antitoxin, vaccine, blood, blood component or derivative, allergenic product, protein (except any chemically synthesized polypeptide), or analogous product, or arsphenamine or derivative of arsphenamine (or any other trivalent organic arsenic compound), applicable to the prevention, treatment, or cure of a disease or condition of human beings."

Killed in the Senate

Declares that a parent or legal guardian shall not be required to have their child immunized against hepatitis B or other sexually transmitted diseases.

Killed in the Senate

Limits the court's authority to order that a child be vaccinated over the objection of one of the parents.

Signed by Governor

Requires licensed pharmacies to establish continuous quality improvement programs. The bill was amended to also allow pharmacists to administer hepatitis A, hepatitis B, Tdap, MMR, and meningococcal vaccines. Lastly, the bill was amended to give the Insurance Department more power and flexibility to regulate health insurance costs during federal health care reform.

Signed by Governor

Allows pharmacists to administer hepatitis A, hepatitis B, Tdap, MMR, and meningitis vaccines.

Signed by Governor

Prohibits the state from setting any vaccine requirement "for diseases that are noncommunicable in a child care or school setting, including, but not limited to, hepatitis B." Right now the Department of Health and Human Services requires all school children to be vaccinated against hepatitis B. The House amended the bill to instead forbid an immunization/vaccination requirement for diseases that are noncommunicable.

Signed by Governor

Allows a pharmacy intern to administer vaccines under the direct supervision of a pharmacists.

Killed in the House

Would only allow the state to require vaccines for diphtheria, mumps, whooping cough, polio, rubella, measles, and tetanus. Right now the Department of Health and Human Services is allowed to add other vaccine requirements, and currently requires vaccines for hepatitis B and chickenpox.

Killed in the House

Adds the MMR vaccine to the law which allows licensed pharmacists to administer vaccines. This bill was originally written to also allow pharmacists to administer hepititis, meningitis, and other vaccines.

Interim Study

Forbids employers from requiring employees to receive vaccinations.

Interim Study

Clarifies certain options relating to the immunization/vaccination registry, including the ability to opt-out, and exempts the registry from the right-to-know law.

Tabled in the Senate

Establishes an opt out option for participation in the immunization registry.

Should NH maintain current vaccine requirements?

LEAVE A COMMENT

Log in or register to post comments

Issue Status

A move to drop tetanus from the list of required childhood vaccinations was killed in the House. The Senate killed a bill that would have declared that parents can't be required to give their children the hepatitis B or HPV vaccines.

CONTACT ELECTED OFFICIALS » 

Here in NH, your opinion counts. We make it easy to find and reach out to your elected officials about the issues that matter most to you. Click to search and contact your elected officials!

Join Citizens Count

Join our constantly growing community. Membership is free and supports our efforts to help NH citizens become informed and engaged. 

JOIN TODAY ▸

©2018 Live Free or Die Alliance | The Live Free or Die Alliance is a 501(c)3 nonprofit organization.