Proposed Amendments to HAR 11-157, Examination and Immunization

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Current Situation

Amendments to HAR 11-157 have been signed by Governor Ige. The revised rules now conform with current, national recommendations and reflect what is already occurring in healthcare providers’ offices and clinics in Hawaii as standard medical practice. To access an electronic copy of the signed rules, visit

Beginning July 1, 2020, additional immunizations will be required for students entering childcare or preschool, kindergarten, 7th grade, and post-secondary schools, and all students entering school in Hawaii for the first time. For a complete list of required vaccines, visit

For more information about the amendment process for HAR 11-157, visit


As of January 28, 2019

The Department of Health is proposing updates to the Hawaii Administrative Rules (HAR) Title 11, Chapter 157.  The proposed amendments conform with current national recommendations and update Hawaii’s administrative rules to reflect what is already occurring in healthcare provider offices and clinics in Hawaii and elsewhere as standard medical practice.

For more information, visit

Last Updated

August 27, 2019