Mandates and Exemptions

Vaccine-Specific Requirements

Exemptions by State

State Immunization Websites

Vaccine-Specific Requirements

DTaP: Child Care, Elementary

HepA: Child Care, K-12

HepB: Child Care, K-12

HepB: College / University

Hib: Child Care

HPV: Elementary / Secondary

Influenza: Child Care

MenACWY: Elementary / Secondary

MenACWY: College / University

MMR: Child Care, K-12

Pneumo (PCV): Child Care

Polio: Child Care, Elementary

Rota: Child Care

Tdap: Elementary / Secondary

Varicella: Child Care, K-12

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

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)

Hepatitis A

IAC INFORMATION

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)

Hepatitis B

IAC INFORMATION

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)

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)

Hib

IAC INFORMATION

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)

Human Papillomavirus Virus (HPV)

IAC INFORMATION

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)

Influenza

IAC INFORMATION

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

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)

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)

MMR

IAC INFORMATION

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

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

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

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)

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Tdap

IAC INFORMATION

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)

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Varicella (chickenpox)

IAC INFORMATION

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

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

AMERICAN ACADEMY OF FAMILY PHYSICIANS
A position statement of the American Academy of Family Physicians (AAFP)

AMERICAN ACADEMY OF PEDIATRICS
A policy statement of the American Academy of Pediatrics

AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS
A policy statement of the American College of Obstetricians and Gynecologists

AMERICAN COLLEGE OF PHYSICIANS
A policy statement of the American College of Physicians

AMERICAN MEDICAL ASSOCIATION
A policy statement of the American Medical Association

AMERICAN NURSES ASSOCIATION
A policy statement of the American Nurses Association

INFECTIOUS DISEASES SOCIETY OF AMERICA
A policy statement of the Infectious Diseases Society of America

NATIONAL ASSOCIATION OF COUNTY & CITY HEALTH OFFICIALS
A policy statement of the National Association of County & City Health Officials

NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS
A policy statement of the National Association of Pediatric Nurse Practitioners

PEDIATRIC INFECTIOUS DISEASES SOCIETY
A policy statement of the Pediatric Infectious Diseases Society

SOCIETY FOR HEALTHCARE EPIDEMIOLOGY OF AMERICA
A policy statement from the Society for Healthcare Epidemiology of America

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Other Resources

VACCINATE YOUR FAMILY INFORMATION

State-by-State Legislation Tracker

This site has a tool that tracks immunization-related legislation in each state and is updated with any new bills.
The site also includes a way to send a message to your state legislators, as well as information about how to
write a letter to the editor or host a town hall meeting in support of immunization.

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 January 23, 2023.

This page was reviewed on January 23, 2023.