Nebraska Childcare Immunization Requirements (2026)

Nebraska childcare licensing requires age-appropriate DTaP/DTP/DT/Td/Tdap (diphtheria, tetanus, pertussis) per the Childhood Immunization Schedule - 173 NAC 4-004 (Required Levels of Protection) immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Nebraska childcare licensing requires age-appropriate Polio (IPV) - 173 NAC 4-004 immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Nebraska childcare licensing requires age-appropriate Hepatitis B (Hep B) - 173 NAC 4-004 immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Nebraska childcare licensing requires age-appropriate Haemophilus influenzae type b (Hib) - 173 NAC 4-004 immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Nebraska childcare licensing requires age-appropriate Pneumococcal conjugate (PCV) - 173 NAC 4-004 immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Nebraska childcare licensing requires age-appropriate MMR (measles, mumps, rubella) / MMRV - 173 NAC 4-004 immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Nebraska childcare licensing requires age-appropriate Varicella (chickenpox), unless reliable documented history of disease - 173 NAC 4-004 immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Nebraska childcare licensing requires age-appropriate Minimum number of doses of each vaccine is set by the Childhood Immunization Schedule (Attachment 1) incorporated by reference into 173 NAC 4. Medical exemptions (physician/APRN/PA certification) and parental/religious exemptions (written statement) permitted per 391 NAC 3-006.18 and 173 NAC 4. The licensee/director must obtain a copy of each child's immunization record within 30 days of enrollment (391 NAC 3-006.18), and annual reporting to the Department is required per 391 NAC 3-006.18A and 173 NAC 4. immunization for enrolled children (subject to documented medical or legally permitted exemptions).

Which vaccines does Nebraska require for childcare enrollment?

Nebraska requires age-appropriate immunization records for: DTaP/DTP/DT/Td/Tdap (diphtheria, tetanus, pertussis) per the Childhood Immunization Schedule - 173 NAC 4-004 (Required Levels of Protection), Polio (IPV) - 173 NAC 4-004, Hepatitis B (Hep B) - 173 NAC 4-004, Haemophilus influenzae type b (Hib) - 173 NAC 4-004, Pneumococcal conjugate (PCV) - 173 NAC 4-004, MMR (measles, mumps, rubella) / MMRV - 173 NAC 4-004, Varicella (chickenpox), unless reliable documented history of disease - 173 NAC 4-004, Minimum number of doses of each vaccine is set by the Childhood Immunization Schedule (Attachment 1) incorporated by reference into 173 NAC 4. Medical exemptions (physician/APRN/PA certification) and parental/religious exemptions (written statement) permitted per 391 NAC 3-006.18 and 173 NAC 4. The licensee/director must obtain a copy of each child's immunization record within 30 days of enrollment (391 NAC 3-006.18), and annual reporting to the Department is required per 391 NAC 3-006.18A and 173 NAC 4..

Are immunization exemptions allowed in Nebraska?

Nebraska permits documented medical exemptions and, where state law allows, certain non-medical exemptions. Confirm the current exemption rules with the Nebraska Department of Health and Human Services (DHHS), Division of Public Health, Licensure Unit - Children's Services Licensing (Child Care Centers).

When must immunization records be on file in Nebraska?

Nebraska requires up-to-date immunization documentation at enrollment, with records kept current in each child's file thereafter.