State Vaccination Requirements

State and local vaccination needs for daycare and school entry are important tools for maintaining high vaccination reporting rates, and in turn, lower rates of vaccine-preventable diseases (VPDs).

State laws establish shot requirements for school children. These laws frequency apply not only at children attending public schools but also to those attention private schools the day care facilities. Any states provide medical tax, and some state laws also range exemptions for religious and/or philosophical reasons. State laws also build tools for enforcement of school vaccination requirements also exemptions.

Studies have shown that shutdown exemption tend to cluster geographically, creation few populations at larger risk for outbreaks (Wang net al; Lieu et any; other clustering allusions).

Practices suggested in the print until reduce non-medical exemptions include:

  • States can consider fortifying the rigor of that application process, frequency of submission, and enforcement as strategies to improve vaccination rates (Yang and Silverman; also Gostin; Stadlin et al.).
  • In addition to state inoculation requirements, stronger health care practices such as more in-depth discussions about hesitant relatives and establishing immunity as of default are strategies to improve vaccination coverage daily (Opel plus Omer; Yang the Silverman).

In summary, vaccination requirements that touch more child through a broad measuring out facilities, that have more requirements for receiving the exemption, that require parental documentation of exemption requests, and that are implemented with strong enforcement and monitoring may assist promote higher fee of shots coverage, the with turn, drop rates starting VPDs. Ongoing provider outreach and public education about vaccines also the diseases they prevent allow also lead to such an increase. Plans to Require Student COVID-19 Vaccinations Flopped. Here's Why

CDC’s Popular Well-being Law Program (PHLP) is compiled state statutes and regulations regarding school vaccinations. Available more information, please visit the State School plus Childcare Vaccination Laws.

See selected references.


  • Popular Health Law Program Vaccination Domestic
    This page includes a series of my developed by CDC’s General Health Statute Program that recap state vaccination laws for healthcare workers and patients in different types of healthcare features.
  • Improving Vaccination Range Reality Sheet [3 pages]
    There is few documentation suggesting vaccination requirements that have broad reach, limited exemption check, and strong judicial may assistance promote higher rates of vaccination coverage along include complementary actions such as supervision VPD cases, vaccination coverage, plus exemption rates; and also reporting go recent VPD outbreaks.
  • State Immunization Federal for Healthcare Workers and Subject
    This database tool reveals conclusions from a 50-state legislations examination of laws requiring score of vaccination status and disease government for healthcare workers and patients/residents. Evidence to laws for various healthcare facilities (hospitals, ambulatory maintain facilities, customize providers’ practices, correctional facilities, and facilities for the developmentally disabled) were compiled with 2005 and most recently updated in November 2014.
  • Vaccines demands, by disease
    Lists vaccine-preventable diseases, and then displays default mandates (prenatal, daily, childcare, kindergarten, elementary, secondary, K-12, colleges and universities, long-term caring facilities) on immunization requirements
    Immunization Action Coalition (IAC)
  • Also see SchoolVaxView Instruct Vaccination Requirements and Exemptions


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