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

Requirements are current as of May 2026

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Exemptions Permitted for State Childcare and School (K–12) Immunization Requirements as of May 2026
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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Connecticut yes religious exemption repealed in 2021, but students enrolled in K–12 with valid exemption on file when law passed (April 28, 2020) allowed to maintain exemption through Gr 12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 2026: House Bill (H.B.) 1586, 89th Legislature, Regular Session passed and amended Texas Health and Safety Code §161.0041. DSHS revised the Texas Administrative Code, Title 25, Chapter 97, §97.62 Exclusions from Compliance and §97.64 Required Vaccinations and Exclusions for Students Enrolled in Health-related and Veterinary Courses in Institutions of Higher Education. DSHS now posts a blank immunization exemption affidavit form, stock F11-11755 (PDF) for a person to download, complete, notarize, and submit to their child-care facility, school, or institution of higher education, including students enrolled in health-related or veterinary courses. A person may request DSHS print and mail the form via the United States Postal Service to the requested address.
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 2026: While the West Virginia Department of Health continues to process religious exemption requests, “The West Virginia Board of Education is reinstating its directive to county boards of education not to accept religious exemptions to compulsory vaccination laws. This directive will be in effect until the Supreme Court issues further guidance. Our priority is to ensure compliance with W. Va. Code §16-3-4 “, click here for source.
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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