6 Colo. Code Regs. § 1009-2-I

Current through Register Vol. 47, No. 20, October 25, 2024

Section 6 CCR 1009-2-I - Definitions

A. Advisory Committee on Immunization Practices (ACIP) - a group of medical and public health experts that develops recommendations on how to use vaccines to control diseases in the United States. ACIP was established under Section 222 of the Public Health Service Act (42 U.S.C. § 217a).

B. Child - any student less than 18 years of age.

C. College or university student - any student who is enrolled for one or more classes at a college or university and who is physically present at the institution. This includes students who are auditing classes but does not include persons taking classes online or by correspondence only.

D. Delegated physician assistant - a licensed physician assistant authorized under section 12-240-107(6), C.R.S., to execute Certificates of Immunization, Certificates of Medical exemptions and/or supervise a public health or school nurse, as authorized by part 9 of article 4 of title 25, C.R.S.

E. Department (the) - the Colorado Department of Public Health and Environment.

F. Dose - a measured quantity of an immunizing agent; quantity and frequency of administration determined by recognized health authorities and the manufacturer of each agent.

G. Emancipated student - any student who has reached 18 years of age; a lawfully married child of any age; a child 15 years of age or older who is managing his/her own financial affairs and who is living separate and apart from his/her parent.

H. Immunization information system - a comprehensive immunization tracking system the Department is required to maintain pursuant to section 25-4-2403(2), C.R.S. that enables the collection of epidemiological information from the sources delineated in section 25-4-2403(2), C.R.S. and the investigation and control of communicable diseases. Individuals, parents and legal guardians may provide information to the immunization information system; however, pursuant to section 25-4-2403(7), C.R.S., they have the option to exclude their or their student's immunization information from the immunization information system at any time.

I. Indigent child - any child whose parent cannot afford to have the child immunized or if emancipated, who cannot himself/herself afford immunization and who has not been exempted.

J. Infant - any child up to twenty four months of age or any child eligible for vaccination and enrolled under the Colorado Medical Assistance Act, Articles 4, 5, and 6 of Title 25.5, C.R.S.

K. In-process student - a student may be considered in-process if:

1. Within fourteen days after receiving direct personal notification that the Certificate of Immunization is not up-to-date according to the requirements of the State Board of Health, the parent or emancipated student submits documentation that the next required immunization has been given and a signed written plan for obtaining the remaining required immunizations. The scheduling of immunizations in the written plan shall follow medically recommended minimum intervals consistent with the ACIP. If the student does not fulfill the plan, the student shall be suspended or expelled from school for noncompliance per section 25-4-907, C.R.S. If the next dose is not medically indicated within fourteen days, then the medically approved minimum intervals would apply.

2. College or university students, as defined in section I (C), present to the appropriate school official either (I) a signed written authorization requesting local health officials to administer required immunizations or (II) a plan for receipt of the required immunization or the next required immunization in a series within either 30 days or the medically approved minimum interval. If this does not occur, the college or university student will not be allowed to enroll, remain enrolled, or audit for the current term or session. Such written authorizations and plans must be signed by one parent or guardian or the emancipated student or the student 18 years of age or older.

L. Nonmedical exemption - an immunization exemption based upon a religious belief whose teachings are opposed to immunizations or a personal belief that is opposed to immunizations.

M. Parent - the person or persons with parental or decision-making responsibilities for a child.

N. Practitioner - a duly licensed physician, advanced practice nurse, or other person who is permitted and otherwise qualified to administer vaccines under Colorado law.

O. School - all child care facilities licensed by the Colorado Department of Human Services including: child care centers, school-age child care centers, preschools, day camps, resident camps, day treatment centers, family child care homes, foster care homes, and head start programs; public, private, or parochial kindergarten, elementary or secondary schools through grade twelve, or a college or university. Schools do not include a public services short-term child care facility as defined in section 26-6-102(30), C.R.S., a guest child care facility as defined in section 26-6-102(16), C.R.S., a ski school as defined in section 26-6-103.5(6), C.R.S., or college or university classes which are: offered off-campus; offered to nontraditional adult students as defined by the governing board of the institution; offered at colleges or universities which do not have residence hall facilities, or; a school whose normal course of student instruction is delivered online only.

P. School health authority - an individual working for or on behalf of the child care facility or school who is knowledgeable about child care/school immunizations.

Q. School official - the school's chief executive officer or any person designated by him/her as his/her representative.

R. Student - any person enrolled in a Colorado school as defined in section I (O), except:

1. A child who enrolls and attends a licensed child care center, as defined in section 26-6-102(5), C.R.S., which is located at a ski area, for up to fifteen days or less in a fifteen- consecutive-day period, no more than twice in a calendar year, with each fifteen- consecutive-day period separated by at least sixty days, and

2. College and university students as defined in section I (C).

S. Titer - laboratory test that measures the presence and amount of antibodies in blood. Antibody titers can be used to show that a person is immune to some diseases.

T. Up-to-date - all school-required vaccines have been administered to the student in accordance with Section II.

6 CCR 1009-2-I

37 CR 18, September 25, 2014, effective 10/15/2014

38 CR 09, May 10, 2015, effective 7/1/2015

38 CR 18, September 25, 2015, effective 10/15/2015

39 CR 12, June 25, 2016, effective 7/15/2016

40 CR 13, July 10, 2017, effective 7/30/2017

41 CR 14, July 25, 2018, effective 8/14/2018

43 CR 23, December 10, 2020, effective 1/14/2021

45 CR 01, January 10, 2022, effective 2/14/2022

46 CR 08, April 25, 2023, effective 5/15/2023