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