State-by-State Requirements

The following table shows state-by-state immunization requirements and the types of exemptions allowed.

This information was last verified 03/10/2019.  Please note that changes may have occurred since the last verified date.

Additional information:

State Immunization Requirements Medical Exemption Permitted Religious Exemption Permitted Personal/Philosophical Exemption Permitted
ALABAMA YES YES NO
ALASKA YES YES NO
ARIZONA YES YES School enrollees only
ARKANSAS YES YES YES
CALIFORNIA YES NO NO
COLORADO YES YES YES
CONNECTICUT YES YES NO
DELAWARE YES YES NO
DISTRICT OF COLUMBIA YES YES NO
FLORIDA YES YES NO
GEORGIA YES YES NO
HAWAII YES YES NO
IDAHO YES YES YES
ILLINOIS YES YES NO
INDIANA YES YES NO
IOWA YES YES NO
KANSAS YES YES NO
KENTUCKY YES YES NO
LOUISIANA YES YES YES
MAINE YES YES YES
MARYLAND YES YES NO
MASSACHUSETTS YES YES NO
MICHIGAN YES YES YES
MINNESOTA YES YES
MISSISSIPPI YES NO NO
MISSOURI YES YES Child care only
MONTANA YES YES NO
NEBRASKA YES YES NO
NEVADA YES YES NO
NEW HAMPSHIRE YES YES NO
NEW JERSEY YES YES NO
NEW MEXICO YES YES NO
NEW YORK YES YES NO
NORTH CAROLINA YES YES NO
NORTH DAKOTA YES YES YES
OHIO YES YES YES
OKLAHOMA YES YES YES
OREGON YES YES YES
PENNSYLVANIA YES YES YES
RHODE ISLAND YES YES NO
SOUTH CAROLINA YES YES NO
SOUTH DAKOTA YES YES NO
TENNESSEE YES YES NO
TEXAS YES YES YES
UTAH YES YES YES
VERMONT YES YES NO
VIRGINIA YES YES YES (HPV only)
WASHINGTON YES YES YES
WEST VIRGINIA YES NO NO
WISCONSIN YES YES YES
WYOMING YES YES NO