Public and donor investment in immunization systemsfiscal-institutional
0.70Strengthened55% impact weight
Closing an exemption loophole strengthens the institutional delivery system that sustains high school-entry immunization coverage.
legislationverifiedconfidence: medium
California enacts SB 276, tightening medical exemptions to school vaccination requirements
On September 9, 2019, California Governor Gavin Newsom signed SB 276, authored by pediatrician and state Senator Dr. Richard Pan, which created a standardized statewide medical-exemption form and a state review process for childhood-vaccination exemptions. From 2021 the standardized form became the only acceptable documentation, with the State Public Health Officer empowered to review and revoke inappropriate exemptions - closing a loophole that had emerged after California's 2015 elimination of personal-belief exemptions, when medical exemptions began rising. The bill was co-sponsored by the American Academy of Pediatrics and the California Medical Association and passed amid protests at the State Capitol.
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On September 9, 2019, California Governor Gavin Newsom signed SB 276, authored by pediatrician and state Senator Dr. Richard Pan, which created a standardized statewide medical-exemption form and a state review process for childhood-vaccination exemptions. From 2021 the standardized form became the only acceptable documentation, with the State Public Health Officer empowered to review and revoke inappropriate exemptions - closing a loophole that had emerged after California's 2015 elimination of personal-belief exemptions, when medical exemptions began rising. The bill was co-sponsored by the American Academy of Pediatrics and the California Medical Association and passed amid protests at the State Capitol.
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