TY - JOUR AU - Orenstein, Walter A. AB - Letters RESEARCH LETTER For our study, we counted each bill introduced from 2009 through 2012 by the year it was first introduced. We Legislative Challenges to School Immunization first classified the bills into 2 groups: bills introduced in Mandates, 2009-2012 states that either did or did not have a personal belief School immunization mandates, implemented through state- exemption (PBE). We then listed administrative require- level legislation, have played an important role in maintain- ments included in each bill. An administrative requirement ing high immunization coverage in the United States. Immu- was defined as one that would require action from the nization mandates permit exemptions that vary from state to child’s parent or guardian beyond merely signing an exemp- state in terms of type of exemption (eg, religious, personal be- tion form (see Table footnote a). lief, medical), and administrative ease of obtaining these ex- Bills were also classified as expanding exemptions or re- emptions. Certain types of exemptions (especially personal be- stricting exemptions. Bills considered as expanding exemp- lief exemptions) and the ease of obtaining them are predictive tions either introduced a PBE that was not already in place or of high rates of vaccine exemptions and increased disease TI - Legislative Challenges to School Immunization Mandates, 2009-2012 JF - JAMA DO - 10.1001/jama.2013.282869 DA - 2014-02-12 UR - https://www.deepdyve.com/lp/american-medical-association/legislative-challenges-to-school-immunization-mandates-2009-2012-InUuoNtFM7 SP - 620 EP - 621 VL - 311 IS - 6 DP - DeepDyve ER -