Exemptions Permitted for State Childcare and School (K–12) Immunization Requirements

Requirements are current as of May 2025

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Exemptions Permitted for State Childcare and School (K–12) Immunization Requirements as of May 2025
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An empty box in this table indicates a “NO” answer
Jurisdiction TYPE OF EXEMPTION PERMITTED Comment
Medical Religious Personal Belief
Alabama yes yes    
Alaska yes yes    
Arizona yes yes yes religious: childcare only
personal belief: K–12 only
Arkansas yes yes yes  
California yes      
Colorado yes yes yes religious and personal belief combined under category of "nonmedical exemption"
Connecticut yes     religious exemption repealed in 2021, but students enrolled in K–12 with valid exemption on file when law passed (April 28, 2020) allowed to maintain exemption through Gr 12 
Delaware yes yes    
District of Columbia yes yes yes personal belief: allowed for HPV only
Florida yes yes    
Georgia yes yes    
Hawaii yes yes    
Idaho yes yes yes  
Illinois yes yes    
Indiana yes yes    
Iowa yes yes   requirement for notary signature for religious exemption removed July 1, 2024
Kansas yes yes    
Kentucky yes yes    
Louisiana yes yes yes  
Maine yes      
Maryland yes yes    
Massachusetts yes yes    
Michigan yes yes yes  
Minnesota yes   yes childcare only: centers have option not to enroll child with non-medical exemption
Mississippi yes yes    
Missouri yes yes yes personal belief: childcare only
Montana yes yes    
Nebraska yes yes yes personal belief: childcare only
Nevada yes yes    
New Hampshire yes yes    
New Jersey yes yes    
New Mexico yes yes    
New York yes      
North Carolina yes yes    
North Dakota yes yes yes  
Ohio yes yes yes  
Oklahoma yes yes yes  
Oregon yes yes yes  
Pennsylvania yes yes yes  
Rhode Island yes yes    
South Carolina yes yes    
South Dakota yes yes    
Tennessee yes yes    
Texas yes yes yes  
Utah yes yes yes  
Vermont yes yes    
Virginia yes yes yes personal belief: allowed for HPV only
Washington yes yes yes personal belief: not allowed for MMR
West Virginia yes yes yes  
Wisconsin yes yes yes  
Wyoming yes yes    
This table was compiled by Immunize.org using information provided by state health departments. If you have updated information concerning this table, please call (651) 647-9009 or email admin@immunize.org.

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