The Minnesota Department of Health is proposing some changes to the school immunization rules.

Health officials want to add the hepatitis A and B vaccine for children enrolled in child care or school-based early childhood learning programs. They would also replace the seventh-grade tetanus-diphtheria vaccine with one that also includes pertussis. They also propose requiring a meningococcal vaccination beginning in seventh grade.

State infectious disease director Kris Ehresmann says the changes are recommended by the Centers for Disease Control and Prevention's immunization advisory committee.

The department plans to adopt the changes without a public hearing but would hold one if 25 or more people request it in writing. The changes would take effect in September 2014.