• Governor Brown signed Senate Bill (SB) 277 on June 30, 2015. Starting in 2016, SB 277 will: 

    • 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. 

    QUESTIONS AND ANSWERS ABOUT SB 277

    WHAT DOES THE LAW SAY?

    Private or public child care centers, preschools, elementary schools and secondary schools cannot admit children unless they are immunized against 10 diseases: diphtheria, Haemophilus influenzae type b (bacterial meningitis), measles, mumps, pertussis (whooping cough), polio, rubella, tetanus, hepatitis B and chicken pox.

    If the California Department of Public Health decides to add other vaccination requirements, parents will be allowed to obtain personal belief exemptions for those new vaccinations, the law says.  

    WHAT DID THE LAW CHANGE?

    The law eliminated the personal belief exemption for required vaccinations. This exemption allowed parents to opt out of vaccinating their children by completing a form, signed by a health care practitioner, attesting that vaccinations were counter to their personal beliefs.

    The law also overrides an allowance for a religious exemption to vaccinations that Brown had inserted three years ago in previous legislation. The religious exemption was not part of state statute.

    ARE THERE EXEMPTIONS TO THE NEW LAW?

    Yes, there are three: medical, special education and homeschooling or independent study.

    Young children and students may obtain a written medical exemption to vaccinations from a licensed physician. The reason for the medical exemption may include family medical history.

    A child who has an individualized education program (IEP), as required under the Individuals with Disabilities Education Act, will be allowed to obtain special education services regardless of whether the child is vaccinated or not.

    The law states that the vaccination requirements do not apply to students who are enrolled in a home-based private school or an independent study program. Some questions remain about whether students enrolled in independent study through publicly funded district or charter schools would be exempt from complying with the law; the issue will be clarified in guidance from the California Department of Public Health.

    New law (SB277) for 2016 and future years

    (Source: www.ShotsForSchool.org)  

    In 2016, what are the changes to the immunization requirements for children entering child care or school?

    Starting January 1, 2016:

    • Parents or guardians of students in any school or child-care facility, whether public or private, will no longer be allowed to submit a personal beliefs exemption to a currently-required vaccine.
    • Students will no longer be required to have immunizations for entry if they attend:
      ♦ A home-based private school or
      ♦ An independent study program with no classroom-based instruction.

    However, parents or guardians must continue to provide immunization records for these students to their schools, and schools must continue to maintain and report records of immunizations that have been received for these students.

    • The immunization requirements do not prohibit pupils from accessing special education and related services required by their individualized education programs.

    When does the law take effect?

    January 1, 2016.

    Where can I review the new law?

    The language of Senate Bill 277 (Pan, 2015) is available at:
    https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277.

    Which facilities are affected by the new law in 2016 and future years?

    Whether public or private, all California schools and child-care facilities, including child-care centers, day nurseries, nursery schools, family day care homes, and development centers, are subject to new and existing laws in California.
     

    Personal Beliefs Exemptions Ending 

    In the new law on immunization requirements, are religious beliefs distinguished from other personal beliefs?

    No distinction is made between exemptions based on religious beliefs and other personal beliefs. Starting in 2016, exemptions for religious or other personal beliefs will no longer be an option for the vaccines that are currently required for entry into school or child care in California.

    Will personal beliefs exemptions filed during or after 2016 be valid?

    No. Starting in 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into school or child care in California.

    Will personal beliefs exemptions, including those based on religious beliefs, filed in California before 2016 remain valid in later years?

    Personal beliefs exemptions (PBEs) filed at a school or child-care facility before January 1, 2016 will remain valid until the student enrolls in the next grade span, typically at kindergarten (or transitional kindergarten) or 7th grade.

    A PBE filed before 2016 at:

    • A child-care facility will remain valid until the child first enters the span between transitional kindergarten through 6th grade.
    • Entry to any grade from transitional kindergarten/kindergarten through 6th grade will remain valid until the child completes 6th grade.
    • Entry to any grade from 7th through 12th will remain valid through 12th grade.

    PBEs filed in 2015 are only valid when signed by both an authorized health care provider and a parent/guardian no more than 6 months prior to first entry into school or child care or a  new grade span. Therefore, PBEs filed in 2015 are invalid for children first entering child care or school in California in the fall of 2016.

    Is a personal beliefs exemption still valid if a child transfers between child-care facilities in California after 2015?

    Yes, a personal beliefs exemption filed with a child-care facility before January 1, 2016 is valid until entry into the next grade span (transitional kindergarten through 6th grade). Personal beliefs exemptions may be transferred between child-care facilities in California.

    However, if the personal belief exemption documentation is no longer available, children must meet immunization requirements to attend the new child-care facility.

    Is a personal beliefs exemption still valid if a student transfers between schools in California after 2015?

    Yes, a personal beliefs exemption filed with a school before January 1, 2016 is valid until entry into the next grade span (7th through 12th grade). Personal beliefs exemptions may be transferred between schools in California, both within and across school districts.

    However, if the personal beliefs exemption documentation is no longer available, students must meet immunization requirements  or be enrolled in an independent study program with no classroom-based instruction or in a home-based private school .

    Is a personal beliefs exemption from another state or country valid if a student transfers to a California school?

    No.

    What will happen in future years when children with a prior personal beliefs exemption enter their next grade span in primary or secondary school (typically kindergarten or 7th grade)?

    Children with a valid personal beliefs exemption filed before 2016 who enter a new grade span will have to meet all age-appropriate immunization requirements for admission into primary or secondary school (K-12th grade) (see www.shotsforschool.org/k-12) or be enrolled in an independent study program with no classroom-based instruction or in a home-based private school.

    In addition, all immunization requirements for age and grade will need to be met before entering 7th grade.

    Therefore, in order to begin 7th grade, children who had a valid personal beliefs exemption filed before 2016 upon entry between kindergarten and 6th grade need to meet all requirements for children 7-17 years old listed at www.shotsforschool.org/k-12/ (e.g., polio, MMR, chickenpox and primary series for diphtheria, tetanus, and pertussis), including the 7th grade requirements for Tdap and 2 doses of MMR.

    What are the requirements for students entering transitional kindergarten?

    Students entering transitional kindergarten must meet the same immunization requirements as students entering kindergarten. A student who has met the immunization requirements for transitional kindergarten typically has met the requirements for the following year of kindergarten.

    My child was admitted to transitional kindergarten in 2015 with a valid personal beliefs exemption to one of the required vaccines. How long may her exemption remain valid?

    A personal beliefs exemption filed in 2015 at entry into transitional kindergarten may remain valid until the completion of 6th grade.

    What if additional vaccines become required for child care or school?

    Personal beliefs exemptions will be allowed for any new immunization requirement initiated by the California Department of Public Health.
     

    Medical Exemptions

    What’s required for a medical exemption to a required immunization?

    A parent or guardian must submit a written statement from a licensed physician (M.D. or D.O.) which states:

    • That the physical condition or medical circumstances of the child are such that the required immunization(s) is not indicated.
    • Which vaccines are being exempted.
    • Whether the medical exemption is permanent or temporary.
    • The expiration date, if the exemption is temporary.

    May other practitioners, besides licensed physicians (M.D.s and D.O.s), provide a medical exemption to a required immunization?

    No. Only a licensed Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) may provide a medical exemption.

    In contrast, the other categories of licensed or credentialed practitioners in California previously authorized through 2015 to sign requests for personal beliefs exemptions (e.g., Nurse Practitioner, Physician Assistant, Naturopathic Doctor, or School Nurse) may not provide medical exemptions.

    Is there a standardized form for medical exemptions?

    No, but the documentation must include the elements described above.

    Are licensed physicians required to assist in requests for medical exemptions?

    A licensed physician may provide a medical exemption but is not required to do so. Parents or guardians seeking medical exemptions should check with physicians in advance to clarify their policies on medical exemptions.
     

    Conditional Admission

    What is conditional admission?

    Children behind on their required immunizations may be admitted conditionally, if they are not currently due for any doses or have a temporary medical exemption. See http://www.shotsforschool.org/laws/conditional-admission/for further information.


    Students Without Classroom-Based Instruction 

    What are the requirements for students entering a home-based private school or independent study program without classroom-based instruction?

    Students entering:

    • A home-based private school or
    • An independent study program without classroom-based instruction 

    are subject to immunization requirements for entry during 2015 but not in 2016 or future years. Parents or guardians must provide records to the schools of any required immunizations received by these students.

    Will schools still need to record immunization information and report on the immunization status of all students, including students who are exempt from entry requirements in 2016 and future years?

    Yes, schools will still need to:

    • Record immunizations for all students at entry.
    • Report on the immunization status of all students at the checkpoints of child care, kindergarten, and 7th grade.


    Other Topics 

    Are students who are homeless or in foster care subject to the immunization requirements?

    Yes. However, a student who is homeless or in foster care, when transferring into a new school, may be admitted immediately if the student arrives without immunization records. Schools should utilize their resources to make sure these students have received all required immunizations as soon as possible.