State Vaccination Exemptions for Children Entering Public Schools
No US federal vaccination laws exist, but all 50 states have laws requiring children to be vaccinated against diphtheria, tetanus, and pertussis (generally in a DTaP vaccine); polio (an IPV vaccine); and measles and rubella (49 states also require the mumps vaccination, generally in an MMR vaccine). All 50 states allow medical exemptions, 48 states allow religious exemptions, and 19 states allow philosophical exemptions. DC allows medical and religious exemptions. Missouri and Nebraska offer philosophical exemptions only for children entering childcare and Head Start facilities.
While reasonable effort has been made to ensure the accuracy of the information provided, do not rely on this information without first checking with your local school or government. This chart was last updated on Sep. 1, 2014.
States (and DC) Click on the state to view its statutes on vaccine regulations and exemptions in PDF format
*[Editor's Note: On May 29, 2015 Vermont governor Peter Shumlin signed H.98, eliminating the philosophical (or personal belief) exemption from Vermont's school vaccination requirements. The change in law is set to take effect on July 1, 2016.]
*[Editor's Note: On June 30, 2015 California governor Jerry Brown signed SB277, eliminating the philosophical (or personal belief) exemption from California's school vaccination requirements. The change in law is set to take effect on July 1, 2016.]