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Immunization Requirements

Senate Bill 276

Approved by Governor on September 09, 2019. Filed with Secretary of State on September 09, 2019.

  • Requires the Department of Public Health (DPH) to annually review immunization reports from all schools and institutions to identify medical exemptions (ME) subject to review.
  • Requires a clinically trained DPH staff member to review MEs from schools or institutions with an immunization rate of less than 95% or a physician who submits five or more ME in a calendar year.
  • Permits DPH to deny or revoke a ME determined to be inappropriate of invalid.
  • Establishes an appeals process for ME’s that are denied or revoked and create an independent review panel appointed by the Department of California Health and Human Services.
  • Requires all ME obtained on or after January 1, 2021, to be submitted electronically, using a DPH developed form, to the California Immunization Registry (CAIR) databank. 

Senate Bill 714

Approved by Governor on September 09, 2019. Filed with Secretary of State on September 09, 2019.

  • Medical exemptions (ME) issued before January 1, 2020, will be allowed to continue enrollment until the child enrolls in the next grade span.
  • Prohibits schools on or after July 1, 2021, from unconditionally admitting, readmitting or advancing any pupil to 7th grade level unless the pupil has been immunized pursuant to existing law or the parent files a ME form, as specified.
  • Department of Public Health’s review of MEs submitted by physicians who submit five or more medical exemptions in a calendar year begins January 1, 2020.
  • Prohibits DPH from accepting a ME from a physician who is on probation for action relating to immunization standards of care unless and until the probation has been terminated.
  • Prohibits ME issued prior to January 1, 2020, from being revoked unless it was issued by a physician who has been subject to disciplinary action by a licensing board.

Senate Bill 277

Approved by Governor on June 30, 2015. Filed with Secretary of State on June 30, 2015.

  • No longer permit immunization exemptions based on personal beliefs for children in child care and public and private schools;
  • Permit personal belief exemptions submitted before January 1, 2016, to remain valid until a pupil reaches kindergarten or 7th grade;
  • Remove immunization requirements for:
    • Students in home-based private schools
    • Students enrolled in an independent study program who do not receive classroom-based instruction
    • Access to special education and related services specified in an individualized education program
    • Students in the above categories will still need to provide immunization records to their schools before entry, and schools will still need to report to the California Department of Public Health (CDPH) the immunization status of all students at the existing checkpoints of child care, kindergarten, and 7th grade