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Legislative Challenges to School Immunization Mandates, 2009-2012

Legislative Challenges to School Immunization Mandates, 2009-2012 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Legislative Challenges to School Immunization Mandates, 2009-2012

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2013.282869
pmid
24519303
Publisher site
See Article on Publisher Site

Abstract

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

Journal

JAMAAmerican Medical Association

Published: Feb 12, 2014

References