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Which states require newborn vitamin K? Verified examples and refusal rules

Current official sources confirm newborn vitamin K requirements in New York, Maine and Oregon, but their wording and refusal provisions differ. The examples below were checked in September 2026 and are not an exhaustive fifty-state legal survey. A medical recommendation, an injection requirement and a facility policy should not be treated as identical.

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Supplement Science Insights Editorial Team

Published September 23, 2026

New York: a six-hour provider requirement

The New York State Department of Health states that the baby’s medical provider must give vitamin K within six hours of birth. This official statement supports the existence of the requirement. It does not, by itself, establish every consequence or procedure when a parent refuses. [1]

Maine: injection plus a refusal-form provision

Maine Title 22, section 1531 requires weight-based intramuscular vitamin K within six hours. The same section directs the department to provide a parental refusal form. Omitting that provision would give an incomplete picture of what the law says. [2]

Oregon: twenty-four hours and a specified objection

ORS 433.306 makes the attending licensed professional responsible for vitamin K within twenty-four hours by the most effective means. It describes a signed religious objection, while section 433.312 assigns dose and procedure details to rulemaking. The statute’s wording should not be casually rewritten as a route-specific rule without checking the implementing regulations. [3]

Do not assume an unlisted state has no requirement

This comparison confirms three examples; it does not establish absence of requirements in every other state. State rules, professional duties and facility policies may address different parts of newborn care. Check the current health-department guidance and birth-facility process for the actual location and date. [1][2][3]

Keep the medical recommendation separate

CDC recommends the newborn shot to prevent serious deficiency bleeding regardless of whether a family is comparing state laws. Imagine a family moves from Maine to another state: its prior refusal form does not settle the new location’s rules, and the change of address does not change the biological reason for prophylaxis. [4][2]

Hypothetical example — compare verified state sources
StateKey distinction
New YorkOfficial six-hour provider requirement
MaineSix-hour IM requirement and refusal-form provision
OregonTwenty-four-hour statute with religious objection
Other statesNot audited here; verify current local sources
Which states require newborn vitamin K? Verified examples and refusal rules — original article outline diagram
Original editorial diagram of this article’s sections; no product photograph or clinical finding is depicted.

Sources for this article

  1. Vitamin K Shot: Why does my newborn need it? - New York State Department of Health
    Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product.
  2. Title 22, §1531: Care of infants after birth
    Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product.
  3. Oregon Revised Statutes
    Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product.
  4. Frequently Asked Questions About Vitamin K Deficiency Bleeding | Vitamin K Deficiency Bleeding | CDC
    Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product.