Alarmed by this trend, lawmakers again stepped in last year to shore up the law. Senate Bill 276 (Pan), enacted Jan. 1, 2020, allows the state some oversight of medical exemptions written after Jan. 1, 2020, for students attending public and private schools and day care centers. The law requires a clinically trained physician, surgeon or registered nurse from the CDPH to annually review immunization reports from schools and institutions to identify those with an overall immunization rate of less than 95 percent; doctors who submitted five or more medical exemption forms in a calendar year; and schools and institutions that do not report immunization rates to the department. The law also prohibits doctors from charging any fees for vaccination-related exams or forms related to such dispensation.
If a CDPH staff member finds that a medical exemption is inappropriate or otherwise invalid, it will be reviewed by the State Public Health Officer or a physician and surgeon designated by the State Public Health Officer, and revoked by the State Public Health Officer or physician and surgeon designee, under prescribed circumstances. Medical exemptions written before Jan. 1, 2020, are not under state review, but new medical exemptions are required when a child enters kindergarten, seventh grade or changes schools.
By January 2021, the state will create a standardized form and new submission process so that immunization records will go directly to the CDPH; for the 2020–21 school year, parents will still submit medical exemption letters from their child’s doctor to their school.
It is important to note that medical exemptions will still be accepted unless CDPH staff determine otherwise. In addition, the CDPH directs that, “students who have an individualized education program (IEP) may continue to receive all necessary services identified in their IEP regardless of their immunization status.”
August is National Immunization Awareness Month in the United States and serves as a reminder of the important role vaccines play in preventing serious, sometimes deadly, diseases across one’s lifespan. The National Public Health Information Coalition offers a toolkit containing key messages, vaccine information and helpful links to web resources from the CDC and other organizations at www.nphic.org/niam.