Safety & First Aid State Laws for Child Car Seats By Vincent Iannelli, MD facebook Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. Learn about our editorial process Vincent Iannelli, MD Fact checked by Fact checked by Sean Blackburn on December 03, 2020 linkedin Sean is a fact checker and researcher with experience in sociology and field research. Learn about our editorial process Sean Blackburn Updated on December 03, 2020 Print Betsie Van Der Meer/ GettyImages Many state car seat laws are way behind the times concerning safety. Simply following your state's car seat laws might not get you a ticket, but it won't be the best protection for your child if you are in a car accident. Car Seat Laws Since car seat laws and booster seat laws vary from state to state and most are still inadequate, you are much better off simply following the car seat guidelines of the American Academy of Pediatrics and the National Highway Traffic Safety Administration Keep your child who has outgrown his forward-facing car seat in a belt-positioning booster seat until the child is big enough to fit in a regular seat belt. Keep in mind that, according to the AAP, this is usually not until a child has "reached 4 feet 9 inches in height and are between 8 and 12 years of age." This is because younger children are too small for an adult seat belt. The lap belt rides up over the stomach, and the shoulder belt cuts across the neck. In a crash, this can cause critical or even fatal injuries.' To make it even easier, remember that seat belts don't fit properly until the lap belt lays across your child's upper thighs (not his stomach) and the shoulder belt fits across his chest (not his neck). AAP Car Seat Guidelines If you need some convincing about how important this is, consider that in car seat use reduces the risk of death for infants in an automobile accident by 71% and to toddlers aged 1-4 years by 54%, according to the Centers for Disease Control and Prevention. Booster seat use, compared with using seat belts alone, reduces the risk of serious injury by 45% for children aged 4-8 years. In 2013, more than 97,000 children aged 12 and younger were injured in motor vehicle crashes and 636 died. Of those who died, 33% were not buckled up. Booster Seat Laws State car seat laws have been getting better at keeping up with expert safety recommendations, all 50 states, D.C, and Puerto Rico have booster seat laws for kids who have outgrown car seats. And many of the states that do have ages set well below what experts think is safe. No matter what your state laws are, after your child outgrows his forward-facing car seat with harness straps, be sure to graduate to a belt-positioning booster seat, instead of simply going to seat belts. It can sometimes be hard to convince school-age children about the importance of using a booster seat, especially if many of their friends are already just in seat belts. To help him get on board with using a booster, it can help to be firm about his sitting in a booster seat and use it all of the time. Make using a booster seat one of the non-negotiable rules of your household and don't give in on the issue. Other booster seat safety tips include: Don't refer to it as a car seat or baby seat and, instead, use the terms booster seat, big boy/girl seat, or just safety seat.If your car's back seat has headrests, consider using a backless booster, which to many kids doesn't look like a 'real' car seat.Talk about the benefits of sitting in a booster, which besides safety include being able to look out the window, having cup holders, and being more comfortable with the arm rests, etc. Was this page helpful? Thanks for your feedback! Get expert tips to help your kids stay healthy and happy. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Durbin DR. Child Passenger Safety. Pediatrics. 2011;127(4):788-793. doi:10.1542/peds.2011-0213 National Highway Traffic Safety Administration. Car Seat Recommendations for Children. Updated March 21, 2011. Centers for Disease Control and Prevention. Child Passenger Safety: Get the Facts. Updated October 30, 2020 Governors Highway Safety Association. Child Passenger Safety. 2020. National Highway Traffic Safety Administration. Car Seats and Booster Seats.