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Ambulatory care facilities — outpatient settings such as birth centers, dialysis facilities and surgical centers — may face vaccination rules for workers and patients that differ by state. This summary, part of a series from CDC's Public Health Law Program (PHLP), covers pneumococcal vaccination.
Why it matters
Streptococcus pneumoniae (pneumococcus) causes many illnesses, some life-threatening, and is one of the most common causes of severe pneumonia. Each year in the U.S., invasive pneumococcal disease causes thousands of infections — meningitis, bloodstream infections, pneumonia. The vaccines are very good at preventing severe disease, hospitalization and death. In health care settings, the bacteria can pass between workers and patients through respiratory secretions.
Who should be vaccinated: the page's current summary says CDC recommends pneumococcal vaccine for adults 50 or older; its older text says 65 or older. See CDC's pneumococcal vaccination page for the current recommendation.
What states require
- Workers: no state requires pneumococcal vaccination of health care workers in ambulatory care facilities.
- Patients: only Texas has requirements, and only for end-stage renal disease (ESRD) dialysis facilities. The research found no other state laws for ambulatory care in general or for birth or surgical centers.
The Texas law
| Element | What it says |
|---|---|
| Facility | ESRD facilities, which give dialysis treatment or training, must "offer, to the extent possible as determined by the facility, the opportunity to receive the pneumococcal" vaccine |
| Patients | "elderly" people, defined as "65 years of age or older," who receive ongoing care there |
| Assessment | whoever gives the vaccine must "ask whether the elderly person is currently vaccinated against the influenza virus or pneumococcal disease, as appropriate" |
| Offer | as above |
| Medical exemption | once a patient chooses vaccination, the provider must check for contraindications before giving it "under institution-approved or physician-approved protocols." Even without an explicit exemption, patients with a contraindication are likely not required to be vaccinated |
Citations: V.T.C.A., Health & Safety Code § 161.0052 and § 251.001; 25 TAC § 117.33 and § 117.2. No religious or philosophical exemptions are specified.
About this summary
- Method: state laws collected from WestlawNext, October 19–27, 2016; published April 2017, updated October 2017 (the "ensure" definition was reworded without changing results).
- Not legal advice: PHLP cannot advise on specific cases; the findings are the authors', not necessarily CDC's.
- Tables: PDF. Related: flu vaccination laws for ambulatory care facilities.
Sources
Based on "Pneumococcal Vaccination Laws for Ambulatory Care Facilities," Public Health Law Program, Centers for Disease Control and Prevention, produced with CDC's National Center for Immunization and Respiratory Diseases; a work of the United States government in the public domain.
Licence : CC0 1.0 (domaine public) · Adapté de www.cdc.gov
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