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Immunization Action Coalition

State Information

State mandates on immunization and vaccine-preventable diseases

DTaP/Td/Tdap Influenza Rotavirus
Hepatitis A Meningococcal Varicella
Hepatitis B MMR Exemptions
Hib Pneumococcal - PCV Pharmacists -- vax laws
HPV Polio Other resources   
All of the above links move you down this page
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Hepatitis A

IAC INFORMATION
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State mandates for daycare and K-12
This table was compiled by IAC using information provided by state health departments.
[View map]
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Hepatitis B

IAC INFORMATION
map
State mandates for daycare and K-12
This table was compiled by IAC using information provided by state health departments.
[View map]
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State mandates for colleges and universities
This table was compiled by IAC using information provided by state health departments.
[View map]
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Hib

CDC INFORMATION
Requirements for childcare
The data in these reports are provided by state immunization programs through the annual school assessment report submitted to CDC by April 30 each year.
 
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Human Papillomavirus Virus (HPV)

IAC INFORMATION
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State mandates for secondary schools
This table was compiled by IAC using information provided by state health departments.
[View map]
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Influenza

IAC INFORMATION
map
State mandates for childcare
This table was compiled by IAC using information provided by state health departments.
[View map]
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Meningococcal

IAC INFORMATION
map
State mandates for colleges and universities
This table was compiled by IAC using information provided by state health departments.
[View map]
map
State mandates for elementary and secondary schools
This table was compiled by IAC using information provided by state health departments.
[View map]
#mmr

MMR

CDC INFORMATION
Requirements for childcare
The data in these reports are provided by state immunization programs through the annual school assessment report submitted to CDC by April 30 each year.
Requirements for kindergarten
The data in these reports are provided by state immunization programs through the annual school assessment report submitted to CDC by April 30 each year.
Requirements for middle school
The data in these reports are provided by state immunization programs through the annual school assessment report submitted to CDC by April 30 each year.
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Pneumococcal (PCV)

IAC INFORMATION
map
State mandates for daycare
This table was compiled by IAC using information provided by state health departments.
[View map]
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Polio

CDC INFORMATION
Requirements for childcare
The data in these reports are provided by state immunization programs through the annual school assessment report submitted to CDC by April 30 each year.
Requirements for kindergarten
The data in these reports are provided by state immunization programs through the annual school assessment report submitted to CDC by April 30 each year.
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Rotavirus

IAC INFORMATION
map
State mandates for childcare
This table was compiled by IAC using information provided by state health departments.
[View map]

DTap/Td/Tdap

IAC INFORMATION
map
Tdap booster requirements for secondary schools
This table was compiled by IAC using information provided by state health departments.
[View map]
CDC INFORMATION
DTaP requirements for childcare
The data in these reports are provided by state immunization programs through the annual school assessment report submitted to CDC by April 30 each year.
DTaP requirements for kindergarten
The data in these reports are provided by state immunization programs through the annual school assessment report submitted to CDC by April 30 each year.
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Varicella (chickenpox)

IAC INFORMATION
map
Varicella requirements for elementary and secondary schools
This table was compiled by IAC using information provided by state health departments.
[Varicella requirements for childcare and/or school map]
[Two-dose varicella requirements for elementary and secondary schools map]
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Exemptions

IAC INFORMATION
map
Exemptions permitted for state immunization requirements
This table was compiled by IAC using information provided by state health departments.
[View map]
Personal belief exemptions for vaccination put people at risk. Examine the evidence for yourself.
Journal articles that provide evidence that personal belief exemptions play a role in vaccine-preventable disease outbreaks;
includes citations, summaries, key findings, and links to abstracts.
CDC INFORMATION
Exemptions allowed for childcare and school mandates
The data in these reports are provided by state immunization programs through the annual school assessment report submitted to CDC by April 30 each year.
AMERICAN ACADEMY OF FAMILY PHYSICIANS
Immunization Exemptions
A policy statement of the American Academy of Family Physicians (AAFP)
AMERICAN ACADEMY OF PEDIATRICS
Non-Medical Exemptions to Immunizations
A policy statement of the American Academy of Pediatrics (AAP)
AMERICAN COLLEGE OF PHYSICIANS
State Immunization Laws Should Eliminate Non-Medical Exemptions Say Internists
Statement of the American College of Physicians (ACP)
AMERICAN MEDICAL ASSOCIATION
Non-Medical Exemptions from Immunizations
A policy statement of the American Medical Association (AMA)
ASSOCIATION OF IMMUNIZATION MANAGERS
AIM Position Statement on Personal Belief Exemptions from State Vaccination Mandates
A position statement of the Association of Immunization Managers (AIM)
EVERY CHILD BY TWO
Daycare Center and School Immunization Mandates
A position statement of Every Child By Two – Carter/Bumpers Champions for Immunization
INFECTIOUS DISEASES SOCIETY OF AMERICA
Infectious Diseases Society of America's Policy on State Immunization Mandates
A policy statement of Infectious Diseases Society of America (IDSA)
INSTITUTE FOR VACCINE SAFETY, JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH
Map of US states allowing religious, personal belief, or medical exemptions
Religious exemptions and personal belief exemptions for daycare and school
MINNESOTA MEDICAL ASSOCIATION
Non-Medical Exemptions to School-Required Vaccines
A position statement of the Minnesota Medical Association (MMA)
NATIONAL ASSOCIATION OF COUNTY & CITY HEALTH OFFICIALS
Eliminating Personal Belief Exemptions from Immunization Requirements for Child Care and School Attendance
NACCHO Statement of Policy
NATIONAL CONFERENCE OF STATE LEGISLATURES INFORMATION
States with religious and philosophical exemptions from school immunization requirements
Table of religious and philosophical exemptions by state, with links to statutes
PEDIATRIC INFECTIOUS DISEASES SOCIETY
A Statement Regarding Personal Belief Exemption from Immunization Mandates
Position statement of the Pediatric Infectious Diseases Society (PIDS)
WISCONSIN MEDICAL SOCIETY
Vaccine Exemptions
A policy statement of the Wisconsin Medical Society
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Pharmacists

IAC INFORMATION
map
States authorizing pharmacists to vaccinate
This table was compiled by IAC using information provided by state health departments.
[View map]
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Other Resources

CDC INFORMATION
Childcare and School Immunization State Requirements
Each year, states and other grantees are asked to provide an update of any changes in childcare and school entry
vaccination requirements. This annual update reflects state laws, regulations, or rules that impose vaccination requirements
for enrollment and attendance in childcare facilities, kindergartens, middle schools, and colleges. Allowable vaccination
exemptions are included.
School and Child Care Center Assessments
These state-based surveys are the primary source of information on vaccination coverage of children in childcare,
kindergarten, and middle school.
State Immunization Laws for Healthcare Workers and Patients
Summarizes state immunization laws for healthcare workers, correctional inmates/residents,
hospital inpatients and developmentally disabled facility residents, including administration, assessment and reporting
ASTHO INFORMATION
State Immunization Legislation Resources
Tracking of state immunization legislation, current immunization laws, and other resources
Source: Association of State and Territorial Health Officials
NCSL INFORMATION
School Requirements
Source: National Conference of State Legislatures
This page was updated on February 23, 2017.
This page was reviewed on February 23, 2017.
 
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This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 6NH23IP22550) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.