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Immunization Action Coalition

State Laws and Mandates by Vaccine

State mandates on immunization and vaccine-preventable diseases

DTaP Influenza Rotavirus
Hepatitis A Meningococcal ACWY Tdap
Hepatitis B MMR Varicella
Hib Pneumococcal - PCV Exemptions
HPV Polio Other Resources
All of the above links move you down this page
 

DTaP

IAC INFORMATION
map
DTaP Vaccine Mandates for Child Care, Pre-K, and Elementary Schools
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
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Hepatitis A

IAC INFORMATION
map
Hepatitis A Vaccine Mandates for Child Care, Pre-K, and K-12
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
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Hepatitis B

IAC INFORMATION
map
Hepatitis B Vaccine Mandates for Child Care, Pre-K, and K-12
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
map
Hepatitis B Vaccine Mandates for Colleges and Universities
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
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Hib

IAC INFORMATION
map
Hib Vaccine Mandates for Child Care and Pre-K
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
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Human Papillomavirus Virus (HPV)

IAC INFORMATION
map
HPV Vaccine Mandates for Elementary and Secondary Schools
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
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Influenza

IAC INFORMATION
map
Influenza Vaccine Mandates for Child Care and Pre-K
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
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Meningococcal ACWY

IAC INFORMATION
map
MenACWY Vaccine Mandates for Elementary and Secondary Schools
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
 
map
MenACWY Vaccine Mandates for Colleges and Universities
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
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MMR

IAC INFORMATION
map
MMR Vaccine Mandates for Child Care, Pre-K, and K-12
This table was compiled by IAC using information provided by state health departments. 
View U.S. map of mandates (PDF)
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Pneumococcal (PCV)

IAC INFORMATION
map
PCV Vaccine Mandates for Child Care and Pre-K
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
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Polio

IAC INFORMATION
map
Polio Vaccine Mandates for Child Care, Pre-K, and Elementary Schools
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)
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Rotavirus

IAC INFORMATION
map
Rotavirus Vaccine Mandates for Child Care and Pre-K
This table was compiled by IAC using information provided by state health departments.
View U.S. map of mandates (PDF)

Tdap

IAC INFORMATION
map
Tdap Vaccine Mandates for Elementary and Secondary Schools
This table was compiled by IAC using information provided by state health departments.
View U.S. map of Tdap mandates (PDF)
#

Varicella (chickenpox)

IAC INFORMATION
map
Varicella Vaccine Mandates for Child Care, Pre-K, and K-12
This table was compiled by IAC using information provided by state health departments.
View U.S. map of varicella requirements for child care and schools (PDF)
View U.S. map of two-dose varicella requirements for elementary and secondary schools (PDF)
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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 U.S. map of exemptions (PDF)
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.
Leading medical organizations endorse strong school and childcare vaccination requirements and
elimination of non-medical exemptions
One-page handout for policymakers listing medical organizations' policies that endorse childcare and school vaccination
requirements and the elimination of personal belief and religious exemptions.
Sample vaccine policy statement
This sample vaccine policy statement is a template for healthcare settings to modify or use "as is" to explain the importance
of vaccination to patients and parents.
Policy statements from medical organizations endorsing strong school and childcare
vaccination requirements and the elimination of non-medical exemptions
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Other Resources

CDC INFORMATION
School and Child Care Center Assessments
These state-based surveys are the primary source of information on vaccination coverage of children in child care,
kindergarten, and middle school.
State Immunization Laws for Healthcare Workers and Patients
Summarizes state healthcare facility laws for Hepatitis B, Influenza, Measles, Mumps and Rubella (MMR), Pertussis, Pneumococcal disease and Varicella.
NCSL INFORMATION
School Requirements
Source: National Conference of State Legislatures
This page was updated on October 12, 2020.
This page was reviewed on January 2, 2020.
 
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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.