Oregon Administrative Code

333-045-0430 Definitions The following definitions apply to OAR 333-045-0410 to 333-045-0440. (1) “Authority” means the Oregon Health Authority. (2) “CDC” means the U.S. Centers for Disease Control and Prevention. (3) “Designated prescriber” means a prescriber who is currently de…

333-045-0440 Prescriber Participation (1) Application. (a) Only a prescriber may apply for or obtain designation as a yellow fever vaccination center as described in 42 CFR Part 71.3. (b) Prior to applying and to be eligible for designation, an applicant must obtain and submit a …

333-046-0010 Purpose of Vaccines for Children (VFC) The Vaccines for Children (VFC) program is a federally funded program established in 1993 through the Omnibus Budget Reconciliation Act (OBRA). Known as section 1928 of the Social Security Act, the VFC program is an entitlement …

333-046-0015 Purpose of Vaccine Access Program (VAP) The Vaccine Access Program (VAP) is designed to provide selected vaccines purchased by the Oregon Health Authority to enrolled clinics. (1) Vaccines purchased using funds provided through the federal Section-317 program may be …

333-046-0020 Adoption by Reference Outside standards, listings and publications referred to in these rules are by reference made a part of these rules as if fully set forth. Statutory/Other Authority: ORS 413.042 & 431.250 Statutes/Other Implemented: ORS 413.042 & 431.250 History…

333-046-0030 Definitions (1) "ACIP" means the Advisory Committee on Immunization Practices, a group of experts convened by the Centers for Disease Control and Prevention to provide guidance and advice on the immunization of the civilian population. (2) "Alaskan Native" means a pe…

333-046-0040 Clinic Enrollment (1) Only prescribers authorized by the Oregon Health Authority (Authority) may receive federally-purchased vaccines provided by the Vaccines for Children (VFC) program and Vaccine Access Program (VAP) or state-purchased vaccines for billable vaccine…

333-046-0050 Vaccine Eligibility (1) Enrolled clinics may only provide Vaccines for Children (VFC) vaccine to children under the age of 19 years. (2) Enrolled clinics may only provide VFC vaccine to children in one of the following categories: (a) Children enrolled in the Oregon …

333-046-0055 Billable Vaccine (1) Clinics that administer billable vaccines will be billed quarterly for the purchase price of the vaccine by the Oregon Health Authority (Authority). (2) The vaccine price list will be updated biannually by the Authority, on January 1 and July 1. …

333-046-0060 Vaccines for Children (VFC) and 317 Vaccine Administration Fees (1) Clinics may not bill any insurer or guarantor for the cost of vaccines provided by the Vaccines for Children (VFC) program or purchased with 317 funds for the Vaccine Access Program (VAP). (2) Clinic…

333-046-0070 Program Compliance (1) Clinics must adhere to all terms detailed in the Vaccines for Children (VFC) or Vaccine Access Program (VAP) Program Agreement. (a) The Oregon Health Authority (Authority) may, at its discretion, revise the VFC or VAP Program Agreement as poste…

333-046-0080 Record Keeping Clinics must keep all records related to the Vaccines for Children (VFC) program or Vaccine Access Program (VAP) for a minimum of three years and make them available to the Oregon Health Authority for review upon request. Statutory/Other Authority: ORS…

333-046-0090 Provider Sanctions The Oregon Health Authority (Authority) may terminate a clinic’s or prescriber’s participation in the Vaccines for Children (VFC) program or Vaccine Access Program (VAP) based on the following: (1) Violation of the terms of the program agreement. (…

333-046-0100 Clinic Probation (1) Except in cases of suspected fraud, when a clinic is sanctioned by the Oregon Health Authority (Authority) for the first time under OAR 333-046-0090 sections (1), (6) or (7), the Authority will offer a clinic the opportunity to voluntarily sign a…

333-046-0110 Removal from the Vaccines for Children (VFC) Program or Vaccine Access Program (VAP) (1) When a clinic is sanctioned by the Oregon Health Authority (Authority) under OAR 333-046-0090 sections (2) through (5), the Authority will immediately remove the clinic, and all …

333-046-0120 Clinic Appeals (1) A clinic may appeal an Oregon Health Authority (Authority) decision in which the clinic is directly adversely affected such as the following: (a) A denial of an application for new or continued participation in the Vaccines for Children (VFC) progr…

333-046-0130 Conditional Re-enrollment (1) Clinics and prescribers that have been removed from the Vaccines for Children (VFC) program or Vaccine Access Program (VAP) under OAR 333-046-0110 may apply for conditional re-enrollment 12 months after the removal. (2) Re-enrollment wil…

333-047-0010 Definitions Used in the Vaccine Accountability Rules (1) All definitions of ORS 433.090 and 433.235 apply to OAR chapter 333,, division 47. (2) In addition to the definitions of ORS 433.090 and 433.235, the following definitions apply: (a) "Authority" means the Orego…

333-047-0030 Training (1) Any entity receiving state supplied vaccine shall require that at least two currently employed staff persons, owners or partners complete immunization related training at least once every two years as follows: (a) Clinical administration of vaccines; and…

333-047-0040 Accounting for Vaccine (1) Any entity receiving state supplied vaccine shall account for all vaccines the clinic administers (state-supplied and privately purchased) through data submission and inventory management via the Authority’s Immunization Registry, as outlin…

333-047-1000 COVID-19 Vaccine Requirements (1) A person or entity receiving, storing, administering, or transferring COVID-19 vaccine must report: (a) All COVID-19 vaccine dose administration and adjuvant (if applicable) within 24 hours of administration. (b) All on-hand inventor…

333-047-2000 COVID-19 Vaccine Guidance and Consent Requirements (1) For purposes of this rule "COVID-19 vaccine administration site" means any location where COVID-19 vaccines are administered. (2) A person or entity receiving state-supplied COVID-19 vaccine must comply with OAR …

333-048-0010 Definitions As used in OAR 333-048-0010 through 333-048-0030: (1) “Division” means the Public Health Division of the Oregon Health Authority. (2) "Local Public Health Authority" means the district or county Board of Health, Public Health Officer, Public Health Admini…

333-048-0020 Plan Development (1) When the State Public Health Officer declares a vaccine shortage emergency, the Division will adopt a Vaccine Education and Prioritization Plan specific for that vaccine shortage. (2) The plan will include, but is not limited to: (a) A timeline t…

333-048-0030 Penalties (1) Penalties will not be levied unless the State Public Health Officer declares a vaccine shortage. (2) If a complaint is made to the Division about a provider and/or sponsor not acting in accordance with the timeline of activities and the targeting of ris…

333-049-0010 Definitions (1) All definitions of ORS 433.090 and 433.235 apply to OAR chapter 333, division 49. (2) In addition to the definitions of ORS 433.090 and 433.235, the following definitions apply: (a) "Authorized user" has the meaning as defined in ORS 433.090. Agents o…

333-049-0020 Purpose and Intent The purpose of these rules is to implement ORS 433.090 through 433.104, which: (1) Authorizes the Public Health Division to develop an IIS for all children and adults born or living in Oregon; and (2) Requires the Public Health Division to adopt ru…

333-049-0030 Enrollment (1) All children born in the state shall be enrolled in the IIS. (2) Any person who receives an immunization in the state may be enrolled in the IIS. (3) Nothing in these rules require the consent of a parent, guardian or client prior to enrollment in the …

333-049-0040 Collection and Release of Information (1) The IIS may collect information for a client's immunization record from any authorized user. Such information to be collected shall be determined by the program and provided to the IIS in a format provided by the program. (2)…

333-049-0050 Reporting to the Immunization Information System (IIS) (1) Any provider who participates in the IIS and who administers immunizations shall report such immunization to the IIS within 14 calendar days of such immunization, or for COVID-19 immunizations, in accordance …

333-049-0060 Access to Immunization Records (1) Clients, parents and guardians of children less than 18 years of age may request a copy of their, or their child's, immunization record by submitting a request for the record, as prescribed by the program. (2) All other authorized u…

333-049-0065 Fees For the purposes of implementing ORS 433.090 through 433.104 fees may be charged in accordance with this rule: (1) Fees may be charged to authorized users including, but not limited to, the following: health plans, health provider associations, private or non-pr…

333-049-0070 Limitations on Access to Information in the Immunization Information System and Tracking and Recall System (1) An authorized user may only access information in the IIS or Tracking and Recall System as follows: (a) An authorized user may access information on a clien…

333-049-0080 Limitations on the Transfer of Information from the Immunization Information System (1) Any parent or guardian of a child who has a disease or condition that may preclude administration of some or all immunizations may request a limitation on the child's information …

333-049-0090 Notification of Needed Immunizations, Hearing Screening, or Lead Screening (1) The program, authorized user, or public health entity may contact or provide notice to clients or parents and guardians of clients less than 18 years of age when the tracking and recall sy…

333-049-0100 Confidentiality (1) Personal identifying information from the IIS shall only be disclosed to authorized users. (2) An authorized user shall not disclose information from the IIS except to another authorized user. (3) Any request for the limitations on the transfer of…

333-049-0120 Deletion of Information in the Immunization Information System and Tracking and Recall System A client who is 18 years of age or older may request to have their record sealed or removed from the IIS. The election of whether to seal the record or remove the record is …

333-049-0130 Security (1) All authorized users shall abide by such security policies and procedures to safeguard information in the IIS deemed necessary by the program. Such policies and procedures may include, but are not limited to, confidentiality agreements, the use of comput…

333-050-0210 Definitions As used in OAR 333-050-0210 through 333-050-0410: (1) “Administrator” has the meaning given that term in ORS 433.235. (2) “ALERT Immunization Information System” means the system defined and described in OAR chapter 333, division 49. (3) “Attend” or “atte…

333-050-0220 Exempt Children’s Facility and Schools The following schools and children’s facilities are exempt from the requirements in these rules: (1) Schools and facilities whose primary purpose is to supervise the training of children in a specific subject including but not l…

333-050-0230 Documentation Requirements to Attend a Children’s Facility or School (1) Prior to attending any children’s facility or school in Oregon, the parent of a newly entering child must submit to the administrator: (a) Documentation of a minimum of one dose of each vaccine …

333-050-0240 Immunization Requirements (1) The following are required immunizations for children attending a school or children’s facility, along with the required number of doses for the child’s age or grade as described in the Primary Review Table, incorporated by reference and…

333-050-0250 Documentation of Immunizations (1) Documentation of immunization must be on: (a) A Certificate of Immunization Status form with the required signatures, along with evidence of immunization; or (b) A record from the ALERT Immunization Information System with evidence …

333-050-0260 Immunity Documentation (1) If a child has immunity documentation to any of the diseases in this rule such documentation satisfies the immunization requirements for these rules. Immunity documentation must be included with the Certificate of Immunization Status form. …

333-050-0270 Record of Immunization Exemptions (1) Medical Exemptions. (a) A parent may claim a medical exemption from an immunization for a child for one or more of the vaccines required in these rules. (b) A parent claiming a medical exemption on or after August 1, 2025, must s…

333-050-0280 Primary Review of Records (1) At least annually the administrator must conduct a primary review of the immunization records for each child within that children’s facility or school to determine the immunization status of each child. This review shall be completed no …

333-050-0290 Secondary Review of Records (1) The local health department shall conduct a secondary review of records received from the administrator pursuant to OAR 333-050-0280. (2) In conducting secondary review of the records, the local health department shall review the Immun…

333-050-0300 Children’s Facility or School Immunization Tracking Systems (1) A school or children’s facility may use a computer system that contains immunization information for children that accurately calculates compliance with these rules and may use a printout from this syste…

333-050-0310 Child Exclusion from School and Children’s Facility Attendance (1) The local health department shall issue a signed exclusion order for each child who is not in compliance with ORS 433.267(1) and these rules no later than three weeks prior to the Exclusion Day specif…

333-050-0320 Requests to Review Exclusion Orders (1) If a parent believes an exclusion order is in error, the parent may contact the local health department and request that the local health department review and re-check the information to determine the accuracy of the exclusion…