44:81:01:01.  Definitions. Terms used in this chapter mean:

          (1)  "ACIP," the Advisory Committee on Immunization Practices;

          (2)  "Department," the South Dakota Department of Health;

          (3)  "DTaP," Diphtheria, Tetanus, and Pertussis vaccine;

          (4)  "Early childhood program," a program that is run by or held in the facilities of a school or school district;

          (5)  "MCV4" Meningococcal Conjugate vaccine (A,C,Y, W);

          (6)  "MMR," Measles, Mumps, and Rubella vaccine;

          (7)  "Poliovirus vaccine," Vaccine to protect against Polio disease;

          (8)  "SDIIS," South Dakota Immunization Information System;

          (9)  "Td," Tetanus and Diphtheria vaccine;

          (10)  "Tdap," Tetanus, Diphtheria, and Pertussis vaccine;

          (11)  "Transfer student," any student transferring into a school; and

          (12)  "Varicella," chickenpox vaccine.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.

          44:81:02:01.  Immunization requirements. Any full time or part time student entering an early childhood program in South Dakota shall present certification that the student has received the following immunizations:

          (1)  Four or more doses of DTaP, with at least one dose administered on or after age four. A child receiving six doses before age four does not require any additional doses for school requirements;

          (2)  Four or more doses of poliovirus vaccine, at least one dose on or after age four;

          (3)  Two doses of MMR vaccine or the submission of serological evidence of immunity. Minimum age for the first dose is twelve months with the second dose routinely administered between the ages of four and six. The second dose may be administered prior to age four provided at least twenty-eight days have elapsed since the first dose; and

          (4)  Two doses of varicella vaccine. The minimum age for the first dose of varicella vaccine is twelve months. History of disease is acceptable in lieu of vaccination with parent or guardian signature.

          A child under the age of four only requires three DTaP, three Polio, one MMR, and one varicella vaccine. At age four the above rules apply.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.

          44:81:02:02.  Documentation requirements. Each early childhood program shall collect and maintain proof of immunization for each student entering the program. Acceptable proof is a signed Immunization Record from SDIIS, a vaccination card from the parent or guardian, or a Certificate of Immunization form. If a card is presented, the immunizations shall be entered in to SDIIS or a Certificate of Immunization form shall be completed.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.

          44:81:03:01.  Immunization requirements. Any full time or part time student entering kindergarten in South Dakota shall present certification that the student has received the following immunizations:

          (1)  Four or more doses of DTaP vaccine, with at least one dose administered on or after age four. A child seven years and older requiring the primary series only needs three doses. The first dose of the primary series shall be Tdap and the second and third doses shall be Td, with at least six months between dose two and three. A child receiving six doses before age four does not require any additional doses for school requirements;

          (2)  Four or more doses of poliovirus vaccine, at least one dose on or after age four;

          (3)  Two doses of MMR vaccine or the submission of serological evidence of immunity. Minimum age for the first dose is twelve months with the second dose routinely administered between ages of four and six. The second dose may be administered prior to age four provided at least twenty-eight days have elapsed since the first dose; and

          (4)  Two doses of varicella vaccine. The minimum age for the first dose of varicella vaccine is twelve months. History of disease is acceptable in lieu of vaccination with parent or guardian signature.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.

          44:81:03:02.  Documentation requirements. Each school shall collect proof of immunization for each student entering a kindergarten in South Dakota. Acceptable proof is a signed Immunization Record from SDIIS, a vaccination card from the parent or guardian, or a Certificate of Immunization. If a card is presented, the immunizations shall be entered in to SDIIS or a Certificate of Immunization form shall be completed.

          Each school shall submit proof of student immunization to the department no later than November 1 of the current school year. If the records are from SDIIS, only an alphabetized roster of students is required. If the proof of immunization is in the form of Certificates of Immunization, the certificates shall be alphabetized and submitted to the department. A complete alphabetized roster of students entering kindergarten shall be submitted along with the required proof of immunization.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.

          44:81:04:01.  Immunization requirements. Any full time or part time student age eleven or older entering sixth grade in South Dakota shall present certification that the student has received the Tdap and MCV 4 vaccine. A student who turns eleven during the sixth grade shall provide certification that the student has received these vaccinations within forty-five days following the student's eleventh birthday. If the student is medically contraindicated for Tdap, a dose of Td vaccine is required.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.

          44:81:04:02.  Documentation requirements. Each school shall collect proof of immunization for each student entering the sixth grade in South Dakota. Acceptable proof is a signed Immunization Record from SDIIS, a vaccination card from the parent or guardian, or a Certificate of Immunization. If a card is presented, the immunizations shall be entered in to SDIIS or a Certificate of Immunization form shall be completed.

          Each school shall submit proof of student immunization to the department no later than November 1 of the current school year. If the records are from SDIIS, only an alphabetized roster of students is required. If the proof of immunization is in the form of a Certificate of Immunization, the certificates shall be alphabetized and submitted to the department. A complete alphabetized roster of students entering sixth grade shall be submitted along with the required proof of immunization.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.

          44:81:05:01.  Immunization requirements. Any full time or part time transfer student shall present certification that the student has received required age appropriate immunizations pursuant to this Article.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.

          44:81:05:02.  Documentation requirements. Each school shall collect proof of immunization for each transfer student. Acceptable proof is a signed Immunization Record from SDIIS, a vaccination card from the parent or guardian, or a Certificate of Immunization. If a card is presented, the immunizations shall be entered into SDIIS or a Certificate of Immunization form shall be completed.

          Each school shall submit proof of immunization for students to the department no later than November 1 of the current school year, or within 45 days of the date of transfer. If the records are from SDIIS, only an alphabetized roster of students is required. If the proof of immunization is in the form of a Certificate of Immunization, the certificates shall be alphabetized and submitted to the department. A complete alphabetized roster of all transfer students shall be submitted along with the required proof of immunization.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.

          44:81:06:01.  Documentation requirements. A medical exemption pursuant to SDCL 13-28-7.1 requires the signature of a physician licensed pursuant to SDCL chapter 36-4. The signature shall be on the South Dakota Department of Health - Certificate of Immunization form.

          A religious exemption pursuant to SDCL 13-28-7.1 requires the signature of the parent or guardian on the South Dakota Department of Health - Certificate of Immunization form or a signed statement by the parent or guardian stating that child is adherent to a religious doctrine whose teachings are opposed to immunization.

          The school or early childhood program is required to collect the exemption documents and submit to the department no later than November 1 of the current school year or within 45 days of transferring into the school district.

          Source: 42 SDR 173, effective July 1, 2016.

          General Authority: SDCL 13-28-7.1.

          Law Implemented: SDCL 13-28-7.1.