{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/22.1-271.4.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/22.1-271.4.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/22.1-271.4.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/22.1-271.4.html"}],"law_id":58904,"edition_id":1,"section_id":58904,"structure_id":13512,"section_number":"22.1-271.4","catch_line":"Health requirements for home-instructed, exempted, and excused children","history":"1993, c. 659; 1999, cc. 488, 552; 2010, c. 605; 2011, c. 125; 2023, c. 183.","full_text":"In addition to compliance with the requirements of subsection B, D, or I of \u00a7 22.1-254 or \u00a7 22.1-254.1, any parent, guardian or other person having control or charge of a child being home instructed, exempted or excused from school attendance shall comply with the immunization requirements provided in \u00a7 32.1-46 in the same manner and to the same extent as if the child has been enrolled in and is attending school.\n\t\tUpon request by the division superintendent, the parent shall submit to such division superintendent documentary proof of immunization in compliance with \u00a7 32.1-46.\n\t\tNo proof of immunization shall be required of any child upon submission of (i) an affidavit to the division superintendent stating that the administration of immunizing agents conflicts with the parent&#8217;s or guardian&#8217;s religious tenets or practices or (ii) a written certification from a licensed physician, licensed advanced practice registered nurse, or local health department that one or more of the required immunizations may be detrimental to the child&#8217;s health, indicating the specific nature of the medical condition or circumstance that contraindicates immunization.","order_by":null,"text":{"0":{"id":215978,"text":"In addition to compliance with the requirements of subsection B, D, or I of \u00a7 22.1-254 or \u00a7 22.1-254.1, any parent, guardian or other person having control or charge of a child being home instructed, exempted or excused from school attendance shall comply with the immunization requirements provided in \u00a7 32.1-46 in the same manner and to the same extent as if the child has been enrolled in and is attending school.\n\t\tUpon request by the division superintendent, the parent shall submit to such division superintendent documentary proof of immunization in compliance with \u00a7 32.1-46.\n\t\tNo proof of immunization shall be required of any child upon submission of (i) an affidavit to the division superintendent stating that the administration of immunizing agents conflicts with the parent&#8217;s or guardian&#8217;s religious tenets or practices or (ii) a written certification from a licensed physician, licensed advanced practice registered nurse, or local health department that one or more of the required immunizations may be detrimental to the child&#8217;s health, indicating the specific nature of the medical condition or circumstance that contraindicates immunization.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":13512,"edition_id":1,"name":"Health Provisions","identifier":"2","label":"article","depth":3,"order_by":1,"parent_id":12850,"metadata":{},"date_created":"2026-06-26 03:45:06","date_modified":"2026-06-26 03:45:06","permalink":{"id":182221,"object_type":"structure","relational_id":13512,"identifier":"2","token":"22.1\/14\/2","url":"\/22.1\/14\/2\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12850,"edition_id":1,"name":"Pupils","identifier":"14","label":"chapter","depth":2,"order_by":1,"parent_id":12823,"metadata":{},"date_created":"2026-06-26 03:43:56","date_modified":"2026-06-26 03:43:56","permalink":{"id":182133,"object_type":"structure","relational_id":12850,"identifier":"14","token":"22.1\/14","url":"\/22.1\/14\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12823,"edition_id":1,"name":"Education","identifier":"22.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:55","date_modified":"2026-06-26 03:43:55","permalink":{"id":180949,"object_type":"structure","relational_id":12823,"identifier":"22.1","token":"22.1","url":"\/22.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":83399,"structure_id":13512,"section_number":"22.1-270","catch_line":"Preschool physical examinations","url":"\/22.1-270\/","token":"22.1\/14\/2\/22.1-270","metadata":false},{"id":57306,"structure_id":13512,"section_number":"22.1-271","catch_line":"Repealed","url":"\/22.1-271\/","token":"22.1\/14\/2\/22.1-271","metadata":false},{"id":68537,"structure_id":13512,"section_number":"22.1-271.1","catch_line":"Definitions","url":"\/22.1-271.1\/","token":"22.1\/14\/2\/22.1-271.1","metadata":false},{"id":54801,"structure_id":13512,"section_number":"22.1-271.10","catch_line":"Guidelines and policies on student-athlete extreme heat safety and protection","url":"\/22.1-271.10\/","token":"22.1\/14\/2\/22.1-271.10","metadata":false},{"id":68882,"structure_id":13512,"section_number":"22.1-271.2","catch_line":"Immunization requirements","url":"\/22.1-271.2\/","token":"22.1\/14\/2\/22.1-271.2","metadata":false},{"id":80851,"structure_id":13512,"section_number":"22.1-271.3","catch_line":"Guidelines for school attendance for children infected with human immunodeficiency virus; school personnel training required; notification of school personnel in certain cases","url":"\/22.1-271.3\/","token":"22.1\/14\/2\/22.1-271.3","metadata":false},{"id":58904,"structure_id":13512,"section_number":"22.1-271.4","catch_line":"Health requirements for home-instructed, exempted, and excused children","url":"\/22.1-271.4\/","token":"22.1\/14\/2\/22.1-271.4","metadata":false},{"id":58468,"structure_id":13512,"section_number":"22.1-271.5","catch_line":"Guidelines and policies and procedures on concussions in student-athletes","url":"\/22.1-271.5\/","token":"22.1\/14\/2\/22.1-271.5","metadata":false},{"id":62863,"structure_id":13512,"section_number":"22.1-271.6","catch_line":"School division policies and procedures on concussions in students","url":"\/22.1-271.6\/","token":"22.1\/14\/2\/22.1-271.6","metadata":false},{"id":74380,"structure_id":13512,"section_number":"22.1-271.7","catch_line":"Public middle and high school student-athletes; pre-participation physical examination","url":"\/22.1-271.7\/","token":"22.1\/14\/2\/22.1-271.7","metadata":false},{"id":64618,"structure_id":13512,"section_number":"22.1-271.8","catch_line":"Sudden cardiac arrest prevention in student-athletes","url":"\/22.1-271.8\/","token":"22.1\/14\/2\/22.1-271.8","metadata":false},{"id":61392,"structure_id":13512,"section_number":"22.1-271.9","catch_line":"Cardiac emergency response or emergency action plans required","url":"\/22.1-271.9\/","token":"22.1\/14\/2\/22.1-271.9","metadata":false},{"id":60318,"structure_id":13512,"section_number":"22.1-272","catch_line":"Contagious and infectious diseases","url":"\/22.1-272\/","token":"22.1\/14\/2\/22.1-272","metadata":false},{"id":63093,"structure_id":13512,"section_number":"22.1-272.1","catch_line":"Responsibility to contact parent of student at imminent risk of suicide; notice to be given to social services if parental abuse or neglect; Board of Education to develop guidelines for parental contact","url":"\/22.1-272.1\/","token":"22.1\/14\/2\/22.1-272.1","metadata":false},{"id":64351,"structure_id":13512,"section_number":"22.1-272.1:1","catch_line":"School-connected student overdose policies; parental notification; guidelines","url":"\/22.1-272.1_1\/","token":"22.1\/14\/2\/22.1-272.1_1","metadata":false},{"id":84018,"structure_id":13512,"section_number":"22.1-272.2","catch_line":"Department; model memorandum of understanding; partnerships with community mental health services providers or a nationally recognized school-based telehealth provider","url":"\/22.1-272.2\/","token":"22.1\/14\/2\/22.1-272.2","metadata":false},{"id":73957,"structure_id":13512,"section_number":"22.1-272.3","catch_line":"Student access to telehealth services; school division policies","url":"\/22.1-272.3\/","token":"22.1\/14\/2\/22.1-272.3","metadata":false},{"id":68681,"structure_id":13512,"section_number":"22.1-273","catch_line":"Vision and hearing of student to be tested; exceptions","url":"\/22.1-273\/","token":"22.1\/14\/2\/22.1-273","metadata":false},{"id":82468,"structure_id":13512,"section_number":"22.1-273.1","catch_line":"Annual screening for scoliosis","url":"\/22.1-273.1\/","token":"22.1\/14\/2\/22.1-273.1","metadata":false},{"id":80414,"structure_id":13512,"section_number":"22.1-273.2","catch_line":"Parent educational information regarding eating disorders","url":"\/22.1-273.2\/","token":"22.1\/14\/2\/22.1-273.2","metadata":false},{"id":66325,"structure_id":13512,"section_number":"22.1-273.3","catch_line":"Parent educational information regarding tobacco and nicotine vapor products","url":"\/22.1-273.3\/","token":"22.1\/14\/2\/22.1-273.3","metadata":false},{"id":54479,"structure_id":13512,"section_number":"22.1-273.4","catch_line":"Department of Education; guidance and resources; applied behavior analysis services","url":"\/22.1-273.4\/","token":"22.1\/14\/2\/22.1-273.4","metadata":false},{"id":82301,"structure_id":13512,"section_number":"22.1-274","catch_line":"School health services","url":"\/22.1-274\/","token":"22.1\/14\/2\/22.1-274","metadata":false},{"id":87246,"structure_id":13512,"section_number":"22.1-274.01","catch_line":"Repealed","url":"\/22.1-274.01\/","token":"22.1\/14\/2\/22.1-274.01","metadata":false},{"id":62165,"structure_id":13512,"section_number":"22.1-274.01:1","catch_line":"Students who are diagnosed with diabetes; self-care; insertion and reinsertion of insulin pump","url":"\/22.1-274.01_1\/","token":"22.1\/14\/2\/22.1-274.01_1","metadata":false},{"id":62800,"structure_id":13512,"section_number":"22.1-274.02","catch_line":"Certain memorandum of agreement required","url":"\/22.1-274.02\/","token":"22.1\/14\/2\/22.1-274.02","metadata":false},{"id":61298,"structure_id":13512,"section_number":"22.1-274.1","catch_line":"Criteria to identify toxic art materials; labeling; use in certain grades prohibited","url":"\/22.1-274.1\/","token":"22.1\/14\/2\/22.1-274.1","metadata":false},{"id":78246,"structure_id":13512,"section_number":"22.1-274.2","catch_line":"Possession and administration of inhaled asthma medications, epinephrine, glucagon, and seizure rescue medications by certain students or school board employees","url":"\/22.1-274.2\/","token":"22.1\/14\/2\/22.1-274.2","metadata":false},{"id":55245,"structure_id":13512,"section_number":"22.1-274.2:1","catch_line":"Grade nine and grade 10 health education Standards of Learning; severe allergic reaction awareness training","url":"\/22.1-274.2_1\/","token":"22.1\/14\/2\/22.1-274.2_1","metadata":false},{"id":80659,"structure_id":13512,"section_number":"22.1-274.3","catch_line":"Policies regarding medication recommendations by school personnel","url":"\/22.1-274.3\/","token":"22.1\/14\/2\/22.1-274.3","metadata":false},{"id":56415,"structure_id":13512,"section_number":"22.1-274.4","catch_line":"Public elementary and secondary schools; automated external defibrillators required","url":"\/22.1-274.4\/","token":"22.1\/14\/2\/22.1-274.4","metadata":false},{"id":81947,"structure_id":13512,"section_number":"22.1-274.4:1","catch_line":"Opioid antagonist procurement, placement, maintenance, and administration; staff and faculty training; policies and requirements","url":"\/22.1-274.4_1\/","token":"22.1\/14\/2\/22.1-274.4_1","metadata":false},{"id":74919,"structure_id":13512,"section_number":"22.1-274.5","catch_line":"Topical sunscreen","url":"\/22.1-274.5\/","token":"22.1\/14\/2\/22.1-274.5","metadata":false},{"id":78903,"structure_id":13512,"section_number":"22.1-274.6","catch_line":"Seizure management and action plan; training","url":"\/22.1-274.6\/","token":"22.1\/14\/2\/22.1-274.6","metadata":false},{"id":73551,"structure_id":13512,"section_number":"22.1-274.7","catch_line":"Students with disabilities; individualized education programs; individualized accommodations and supports during emergency situations and evacuations","url":"\/22.1-274.7\/","token":"22.1\/14\/2\/22.1-274.7","metadata":false},{"id":70375,"structure_id":13512,"section_number":"22.1-274.8","catch_line":"School boards; bleeding control programs; bleeding control kits","url":"\/22.1-274.8\/","token":"22.1\/14\/2\/22.1-274.8","metadata":false},{"id":79734,"structure_id":13512,"section_number":"22.1-275","catch_line":"Protective eye devices","url":"\/22.1-275\/","token":"22.1\/14\/2\/22.1-275","metadata":false},{"id":81726,"structure_id":13512,"section_number":"22.1-275.1","catch_line":"School health advisory board","url":"\/22.1-275.1\/","token":"22.1\/14\/2\/22.1-275.1","metadata":false}],"previous_section":{"id":80851,"structure_id":13512,"section_number":"22.1-271.3","catch_line":"Guidelines for school attendance for children infected with human immunodeficiency virus; school personnel training required; notification of school personnel in certain cases","url":"\/22.1-271.3\/","token":"22.1\/14\/2\/22.1-271.3","metadata":false},"next_section":{"id":58468,"structure_id":13512,"section_number":"22.1-271.5","catch_line":"Guidelines and policies and procedures on concussions in student-athletes","url":"\/22.1-271.5\/","token":"22.1\/14\/2\/22.1-271.5","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/22.1-271.4\/","history_text":"<p>This law was first created in 1993. The record of its establishment is cataloged in chapter 659 of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. Unfortunately, the 1993 \u201cActs\u201d aren\u2019t available online. It has been modified 4 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 1999, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?991+ful+CHAP0488\">488<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?991+ful+CHAP0552\">552<\/a>; in 2010, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?101+ful+CHAP0605\">605<\/a>; in 2011, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?111+ful+CHAP0125\">125<\/a>; in 2023, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?231+ful+CHAP0183\">183<\/a>.<\/p>","references":false,"refers_to":[{"id":64677,"section_number":"22.1-254","catch_line":"Compulsory attendance required; excuses and waivers; alternative education program attendance; exemptions from article","order_by":null,"url":"\/22.1-254\/"},{"id":75707,"section_number":"22.1-254.1","catch_line":"Declaration of policy; requirements for home instruction of children","order_by":null,"url":"\/22.1-254.1\/"},{"id":80398,"section_number":"32.1-46","catch_line":"Immunization of patients against certain diseases","order_by":null,"url":"\/32.1-46\/"}],"permalink":{"id":182247,"object_type":"law","relational_id":58904,"identifier":"22.1-271.4","token":"22.1\/14\/2\/22.1-271.4","url":"\/22.1-271.4\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/22.1-271.4\/","token":"22.1\/14\/2\/22.1-271.4","dublin_core":{"Title":"Health requirements for home-instructed, exempted, and excused children","Type":"Text","Format":"text\/html","Identifier":"\u00a7 22.1-271.4","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section><p>In addition to compliance with the requirements of subsection B, D, or I of \u00a7&nbsp;<a class=\"law\" title=\"Compulsory attendance required; excuses and waivers; alternative education program attendance; exemptions from article\" href=\"\/22.1-254\/\">22.1-254<\/a> or \u00a7&nbsp;<a class=\"law\" title=\"Declaration of policy; requirements for home instruction of children\" href=\"\/22.1-254.1\/\">22.1-254.1<\/a>, any <span class=\"dictionary\">parent<\/span>, guardian or other person having control or charge of a child being home instructed, exempted or excused from school attendance shall comply with the immunization requirements provided in \u00a7&nbsp;<a class=\"law\" title=\"Immunization of patients against certain diseases\" href=\"\/32.1-46\/\">32.1-46<\/a> in the same manner and to the same extent as if the child has been enrolled in and is attending school.\n\t\tUpon request by the <span class=\"dictionary\">division superintendent<\/span>, the <span class=\"dictionary\">parent<\/span> shall submit to such <span class=\"dictionary\">division superintendent<\/span> documentary proof of immunization in compliance with \u00a7&nbsp;<a class=\"law\" title=\"Immunization of patients against certain diseases\" href=\"\/32.1-46\/\">32.1-46<\/a>.\n\t\tNo proof of immunization shall be required of any child upon submission of (i) an <span class=\"dictionary\">affidavit<\/span> to the <span class=\"dictionary\">division superintendent<\/span> stating that the administration of immunizing agents conflicts with the <span class=\"dictionary\">parent<\/span>&#8217;s or guardian&#8217;s religious tenets or practices or (ii) a written certification from a licensed physician, licensed advanced practice registered nurse, or local health <span class=\"dictionary\">department<\/span> that one or more of the required immunizations may be detrimental to the child&#8217;s health, indicating the specific nature of the medical condition or circumstance that contraindicates immunization.<\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nHEALTH REQUIREMENTS FOR HOME-INSTRUCTED, EXEMPTED, AND EXCUSED CHILDREN (\u00a7\n22.1-271.4)\n\nIn addition to compliance with the requirements of subsection B, D, or I of \u00a7\n22.1-254 or \u00a7 22.1-254.1, any parent, guardian or other person having control\nor charge of a child being home instructed, exempted or excused from school\nattendance shall comply with the immunization requirements provided in \u00a7\n32.1-46 in the same manner and to the same extent as if the child has been\nenrolled in and is attending school.\n\t\tUpon request by the division superintendent, the parent shall submit to such\ndivision superintendent documentary proof of immunization in compliance with \u00a7\n32.1-46.\n\t\tNo proof of immunization shall be required of any child upon submission of (i)\nan affidavit to the division superintendent stating that the administration of\nimmunizing agents conflicts with the parent&#8217;s or guardian&#8217;s\nreligious tenets or practices or (ii) a written certification from a licensed\nphysician, licensed advanced practice registered nurse, or local health\ndepartment that one or more of the required immunizations may be detrimental to\nthe child&#8217;s health, indicating the specific nature of the medical\ncondition or circumstance that contraindicates immunization.\n\nHISTORY: 1993, c. 659; 1999, cc. 488, 552; 2010, c. 605; 2011, c. 125; 2023, c.\n183.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}