State Vaccine Laws in America 2015-2017: What the Media, Medical Commerce and Pharma Don’t Need You to Know

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State Vaccine Laws in America 2015-2017: What the Media, Medical Commerce and Pharma Don’t Need You to Know

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Story at-a-glance

  • Between 2015 and 2017, the Nationwide Vaccine Data Middle (NVIC) monitored state laws, analyzed and issued positions on 454 vaccine-related payments by way of the NVIC Advocacy Portal (NVICAP)
  • NVICAP is a free on-line vaccine selection advocacy community to guard and develop the authorized proper to train knowledgeable consent to vaccination within the U.S.
  • In 2015, 160 vaccine associated payments had been filed throughout 41 states. In 2017, NVIC tracked and revealed data on an all-time file of 184 proposed vaccine payments filed in 42 state legislatures
  • Many biased articles favoring “no exceptions” compelled vaccination legal guidelines have been revealed prior to now three years. People who oppose payments that eradicate vaccine exemptions are nearly all the time portrayed negatively
  • Since 2015, backlash towards efforts to strip public well being legal guidelines of vaccine exemptions have considerably grown. An in depth breakdown of legislative wins and losses for the previous three years is included

By the NVIC Advocacy Crew

State vaccine legal guidelines and the authorized proper to vaccine exemptions are scorching matters in America. Between 2015 and 2017, the Nationwide Vaccine Data Middle (NVIC), a nonprofit charity, intently monitored state laws and analyzed and issued positions on 454 vaccine-related payments by way of the NVIC Advocacy Portal (NVICAP).  

The NVICAP is a free on-line vaccine selection advocacy community launched by NVIC in 2010 to guard and develop the authorized proper to train knowledgeable consent to vaccination within the U.S. NVIC’s mission since 1982 has been to stop vaccine accidents and deaths by way of public schooling and to safe and defend knowledgeable consent protections in vaccine insurance policies and legal guidelines, together with defending versatile medical, spiritual and conscientious perception vaccine exemptions.

In 2015, the NVICAP crew responded to extra vaccine associated payments than had been filed in any earlier 12 months: 160 payments throughout 41 states. This file was shattered two years later in 2017 when NVIC tracked and revealed data on an all-time file of 184 proposed vaccine payments filed in 42 state legislatures.

Mainstream media continues to quote the passage of two 2015 payments, California SB277, which eradicated the private perception and spiritual vaccine exemption, and Vermont H98, which eliminated solely the philosophical exemption, as proof that public assist for vaccine exemptions is waning.1 This can be a fable simply refuted by taking a look at the true proof.

Bias and Misdirection by Mainstream Media

During the last three years it has been simple to seek out biased articles and newspaper OpEds in favor of “no exceptions” compelled vaccination legal guidelines. Articles that includes people advocating for the removing of vaccine exemptions and opposing the growth of exemptions are portrayed in a constructive gentle.2,three There may be additionally a definite development to painting people who oppose payments that eradicate vaccine exemptions and assist payments increasing exemptions in a destructive gentle.Four,5

Nonetheless, this clear media bias fails to inform the reality about what actually occurred in state legislatures across the nation since 2015, when solely two states eliminated private perception vaccine exemptions. The American Academy of Pediatrics (AAP), which has adopted and actively promoted by way of their state chapters the acute place to “eradicate nonmedical exemptions for varsity entry,” acknowledges the backlash attributable to pushing payments that suggest to strip public well being legal guidelines of vaccine exemptions.6

At a debate held on the AAP’s annual convention in September 2017, there was dialogue about the truth that the place of outright elimination of non-public perception exemptions might “embolden” mother and father.7 A current article within the Journal of the American Medical Affiliation admits there’s uncertainty concerning the effectiveness of insurance policies to take away a father or mother’s potential to acquire a spiritual or conscientious perception exemption so a baby can attend day care or be educated in a public or non-public faculty.eight

Neither of those medical commerce associations precisely depicts the extent to which passage of the 2 payments eliminating exemptions in California and Vermont have impressed grassroots vaccine knowledgeable consent advocates in each state to grow to be much more energetic and efficient.

The medical commerce and Pharma foyer, in addition to public well being officers selling heavy-handed implementation of the federally advisable childhood vaccine schedule, don’t need to acknowledge there’s a robust rising backlash towards rigid implementation of vaccine legal guidelines.

Observe the Cash

Whereas it’s uncommon to seek out registered lobbyists for vaccine producers straight testifying in favor of a invoice eliminating vaccine exemptions, Pharma’s fingerprints are throughout lobbying efforts to affect the end result of proposed vaccine payments severely proscribing or eradicating vaccine decisions.

There are a variety of vocal advocacy organizations selling compelled vaccination which obtain monetary contributions and assist from pharmaceutical firms that make large income from necessary vaccination legal guidelines requiring all kids to get federally advisable vaccines.

The Facilities for Illness Management’s (CDC) childhood vaccine schedule of 69 doses of 16 vaccines alone is value billions of to drug corporations advertising and marketing vaccines. Each vaccine state mandates ensures vaccine producers legal responsibility free income below the 1986 Nationwide Childhood Vaccine Damage Act and a U.S. Supreme Court docket ruling in 2011 that successfully eradicated all product legal responsibility for vaccine accidents and deaths attributable to authorities licensed vaccines advisable for kids.9,10,11

Each Little one By Two (ECBT) identifies a number of vaccine producers amongst sources of funding, together with GlaxoSmithKline, Merck, Pfizer and Sanofi Pasteur.12 A nonprofit group, ECBT actively lobbies in state legislatures and in Congress to advertise necessary vaccination and the elimination of vaccine exemptions, as properly to safe elevated funding for the CDC and different authorities businesses growing, licensing, making coverage for and selling common use of federally advisable vaccines.13

Who Are Behind the Removing of Private Perception Exemptions?

An ECBT board member, who’s govt director of the California Immunization Motion Coalition, was instrumental in lobbying efforts within the California legislature to go the invoice (SB277) that eliminated California’s private perception vaccine exemption in 2015.14,15

The California Immunization Coalition is a community member of the nonprofit Immunization Motion Coalition (IAC), which is funded by Astra Zeneca, GlaxoSmithKline, Merck, Pfizer, Sanofi Pasteur and the CDC.16,17 Amongst members of IAC’s Advisory Board are vaccine builders and present or former CDC officers and necessary vaccination proponents, together with builders of Merck’s rubella and rotavirus vaccines, Dr. Stanley Plotkin and Dr. Paul Offit.18,19,20,21

Voices for Vaccines, which has lobbied in Colorado, Virginia and different state legislatures for the removing of vaccine exemptions, is an administrative program of the Atlanta-based nonprofit Process Pressure for World Well being (TFGH), which was based in 1984 by a former director of the CDC to boost childhood vaccination charges globally.22

Amongst TFGH funders are Merck, GlaxoSmithKline, Pfizer and the CDC, the World Well being Group and the Invoice and Melinda Gates Basis.23 Scientific Advisory Board members of Voices for Vaccines embody the founder and director of the Immunization Motion Coalition (IAC), Plotkin, Offit and a former CDC director of immunization. 24

The Immunization Partnership (TIP) is a Texas-based coalition devoted to eradicating ailments by way of the common use of vaccines facilitated by digital vaccine monitoring registries and implementation of necessary vaccination legal guidelines.

TIP is funded partially by Merck, GlaxoSmithKline and Pfizer and counts as certainly one of its greatest accomplishments that it “screened greater than 50,00zero immunization information and recalled greater than 14,00zero sufferers again into clinics to get up-to-date on their vaccines by way of the Immunization Champions undertaking.”25

Dr. Peter Hotez, a vaccine developer and well-known compelled vaccination proponent, serves as a director for TIP.26,27,28 Throughout the 2017 legislative session in Texas, TIP representatives straight gave testimony and lobbied for payments that will make it more durable for households to say no vaccines or select to vaccinate their kids utilizing a schedule that differs from the CDC’s advisable schedule.29,30

Opposite to what the company and authorities dominated media are reporting and would really like the general public to consider, many enlightened state legislators are listening to involved constituents. They’re supporting parental rights and the moral precept of knowledgeable consent, that are protected in vaccine legal guidelines that comprise versatile medical and private perception exemptions.

What has largely been ignored or misrepresented by the media, medical commerce and Pharma through the 2015-2017 timeframe is a rising public consciousness about vaccine dangers and failures and the rising variety of well-informed Individuals who’re advocating for vaccine freedom of selection as a result of they perceive the necessity to shield knowledgeable consent rights by securing and defending vaccine exemptions in public well being legal guidelines.

The Fact by Numbers



117 (

71 (

116 (



22/117 (18.eight%)

eight/71 (11.2%)

7/116  (



19 (11.eight%)

18 (

45 (



24 (

17 (

23 (12.5%)












In 2014, the NVIC Advocacy Portal tracked 91 payments throughout 28 states. Over the course of the 2015-2017 legislative classes, the variety of vaccine associated payments for which NVIC issued place statements and the variety of states affected by payments proposing to limit or eradicate vaccine freedom of selection dramatically elevated.

Nonetheless, the numbers additionally clearly present that because the grassroots vaccine security and knowledgeable consent motion grows, a decrease proportion of dangerous payments require opposition as a result of the next proportion of fine payments are being filed by legislators that deserve assist.

Most significantly, the numbers and percentages of payments passing that negatively have an effect on vaccine exemptions and threaten knowledgeable consent rights are considerably lowering as a result of extra legislators are resisting aggressive lobbying efforts by medical commerce and Pharma to make the vaccination system extra oppressive than it already is within the U.S.

In a nutshell, slowly however certainly on account of years of exhausting work, grassroots vaccine schooling and knowledgeable consent advocacy within the U.S. are attaining tangible outcomes.

To maintain this development transferring in the correct route, everybody must become involved and proceed to teach and personally talk along with his or her personal legislators. One of the simplest ways to get actual time correct details about what actions you’ll be able to take to assist shield vaccine knowledgeable consent rights in your state is to register as a consumer of the free on-line NVIC Advocacy Portal.

The Actual Story: Few Unhealthy Vaccine Payments Handed

What occurred in 2015:

In 2015, there was a major enhance in state legislative motion so as to add extra vaccine mandates and assault the authorized proper to make voluntary vaccine selections. Payments had been launched to:

  • Get rid of or severely prohibit vaccine exemptions
  • Add and develop vaccine mandates for each kids and adults within the faculty or office settings
  • Broaden police powers associated to vaccination throughout authorities declared public well being emergencies
  • Broaden intrusive digital vaccine monitoring and medical information knowledge sharing with out consent to extra simply implement use of presidency advisable vaccines
  • Publish and publicly submit detailed details about vaccine exemptions and vaccination charges in a lot smaller geographical boundaries like particular person faculties

In some states, laws was handed permitting pharmacists to manage extra vaccines. Spurred on by studies of a measles outbreak in Disneyland, a lot of the media consideration centered the lack of the private perception and spiritual exemptions in California and the lack of the philosophical exemption in Vermont, and there was no acknowledgement of the robust pushback by residents that thwarted a number of assaults on vaccine exemptions and knowledgeable consent rights in lots of different states.

Throughout the 2015 legislative cycle, the next states derailed legislative makes an attempt to outright eradicate the conscientious/philosophical vaccine exemptions: Maine, Minnesota, Oklahoma, Oregon, Pennsylvania, Texas and Washington.

Moreover, the next states got here out on high of assaults on freedom of conscience and faith that will have eradicated or severely restricted the spiritual exemption: Connecticut, Maryland, New Jersey, New Mexico, North Carolina, Oklahoma, Pennsylvania, Rhode Island, Texas and Vermont.  

Payments to mandate vaccines for baby care workers handed in California in 2015. Nonetheless, payments to require vaccination of well being care employees in Connecticut, Missouri and New Jersey and to require vaccination of college workers in Texas all failed.

Taking a more in-depth take a look at the payments NVIC opposed that did go, there was one Illinois invoice in 2015 that weakened vaccine freedom of selection. Illinois SB 1410 added the requirement for fogeys to finish state authorised vaccine schooling and safe a doctor’s signature previous to submitting a spiritual exemption for kids to attend faculty.

Oregon handed SB 895A, which required faculties to publicly submit vaccine exemption charges. New vaccine mandates grew to become legislation in Illinois for kids attending day care, as did new vaccine mandates for varsity kids in Indiana, Louisiana and Montana.

It was clear that 2015 marked a turning level, each for pharmaceutical and medical commerce lobbyists pushing for extra oppressive vaccine legal guidelines and for residents who assist knowledgeable consent and the authorized proper to versatile medical, spiritual and conscientious perception vaccine exemptions.

What occurred in 2016:

There was a pointy decline in 2016 within the whole variety of vaccine-related payments filed in state legislatures in comparison with the earlier 12 months: from 160 payments filed in 2015 right down to 106 payments filed in 2016, however, once more, this was nonetheless extra payments than had been filed in 2014. It is vitally vital that in 2016, NO payments had been handed by state legislatures that restricted or eradicated vaccine exemptions.

The NVIC Advocacy crew helped households and enlightened well being care professionals defeat payments proposing to limit or eradicate vaccine exemptions that had been filed in Colorado, Connecticut, Hawaii, Illinois, New York, Ohio, Rhode Island, South Dakota and Virginia. Payments in three states tried to fully take away the spiritual exemption, and payments in 4 states tried to eradicate the private, philosophical or conscientious perception exemption.

In Virginia, the place NVIC has been headquartered since 1982, a invoice was proposed to intestine the medical exemption by confining it to CDC vaccine contraindications solely and to eradicate the spiritual vaccine exemption for all faculty aged kids, together with dwelling schooled kids.

This assault on freedom of conscience and faith was met with robust opposition from a whole lot of fogeys, grandparents, well being care professionals and allied well being freedom teams, who responded to NVIC’s name to motion and attended Joint Fee on Well being Care public hearings with their kids and flooded the legislature with emails, cellphone calls and private visits to legislators’ workplaces.

NVIC ready a 90-page referenced report defending the spiritual and medical vaccine exemptions and NVIC’s co-founder and president gave an oral presentation within the legislature defending freedom of faith and conscience, which was outlined within the Virginia Structure and Invoice of Rights by authors of the U.S. Structure and Invoice of Rights.31,32 The invoice didn’t go out of committee.

This nationwide rejection by state legislatures of lobbying makes an attempt to remove extra vaccine exemptions was a powerful and definitive response by residents and legislators to the assault on and lack of private perception vaccine exemptions in two states within the 2015 legislative session.

In 2016, solely eight vaccine payments handed out of the 71 payments that NVIC actively opposed on the NVIC Advocacy Portal. Colorado SB 146 proposed to permit minor kids to obtain vaccines for sexually transmitted ailments, comparable to hepatitis B and HPV vaccines, with out their mother and father’ data or consent.

By way of well-organized grassroots motion utilizing the Advocacy Portal community and NVIC speaking factors, this offensive provision was stripped from the invoice earlier than remaining passage, pushing it right into a “win” class for supporters of parental rights and knowledgeable consent. Of the seven remaining payments that NVIC opposed however went on to go in 2016, three added meningococcal vaccine necessities in Delaware, Iowa and South Dakota.

The remaining 4 payments weren’t as threatening: HB 313 in Virginia expanded classes of medical employees who may give vaccines; S 1294 in Idaho lowered the age of kids who could be vaccinated by pharmacists; SB 512 in New Hampshire expanded vaccine monitoring of flu photographs for well being care employees, and SB 5143 in Washington state added mandated vaccine schooling for expectant mother and father earlier than start of a kid.

In 2016, folks across the nation contacted NVIC and expressed concern that they didn’t need to see what occurred in California occur of their state too, and dedicated to actively educating their legislators.

Many grew to become customers of the NVIC Advocacy Portal to study extra about changing into an efficient vaccine selection advocate and the best way to community with legislators and neighborhood leaders. The wonderful numbers popping out of the 2016 legislative session present simply how dedicated and efficient they had been. NVIC supported 18 payments in 2016 together with:

  • Massachusetts S 317 so as to add a private perception vaccine exemption
  • Michigan HB 5126 to take away restrictions positioned on vaccine exemptions by the Division of Well being by way of rule making authority
  • New Hampshire HB 1463 to supply safety for workers towards being compelled to get an annual flu shot as a situation of employment
  • Ohio HB 170 to ban an employer from taking punitive motion towards an worker who chooses to not get an annual flu shot

Whereas these constructive payments didn’t go, alternatives to teach legislators about vaccines and knowledgeable consent rights gained momentum, with a few of these payments being carried by way of to 2017.

What occurred in 2017:

2017 was a file breaking 12 months on many fronts beginning with NVIC’s Advocacy Portal crew monitoring an unprecedented 184 vaccine associated payments throughout 42 states. The nice information popping out of 2017 was that there was little or no progress made by compelled vaccination lobbyists throughout this 12 months’s legislative session. Of the 116 payments that NVIC opposed, solely 16 payments handed and, out of these 16, solely seven had parts that had been focused for robust opposition.

Indiana took the toughest hit with a complete of three undesirable vaccine payments passing: HB 1069 mandated meningococcal vaccinations for school college students; HB 1540 allowed for quarantine and isolation of kids with private perception vaccine exemptions throughout a declared public well being emergency involving illness outbreaks, and SB 51 added new vaccines that pharmacists can administer below standing orders and expanded medical information knowledge sharing with the state’s digital vaccine monitoring registry.

Arkansas additionally handed a invoice (SB 301) to develop medical information knowledge sharing with the state’s digital vaccine monitoring registry. Tennessee handed the one different invoice (SB393) affecting vaccine mandates, which required faculty boards and the state Division of Well being to undertake guidelines regarding vaccine necessities that successfully delegated the authority so as to add new vaccine mandates for school college students to the well being division.

The one state to go a invoice (HB 308) proscribing current vaccine exemption rights was Utah, which added the requirement that oldsters both full a vaccine schooling module to acquire a vaccine exemption type on-line or attend an in-office session on the native well being division if an exemption type for a kid to attend faculty is picked up at a well being division workplace.

The unique statute solely required the native well being division to make the exemption type accessible to oldsters on request, however some mother and father reported that there have been native well being departments making that course of too tough for fogeys. Including any extra codified restrictions to acquiring a vaccine exemption is a place that NVIC has constantly opposed.

In Washington State, a invoice (HB 1641) was handed that considerably undermined parental knowledgeable consent rights by authorizing faculty nurses to provide consent for vaccines to be administered to kids whose households had been homeless.

Of the remaining 9 payments that NVIC opposed however had been handed in 2017, none of them affected vaccine exemptions. In Alabama (HB 381), Georgia (HB 198), Nebraska (HB 1481) and Tennessee (HB 388 and SB 598), legal guidelines had been handed to require vaccine promotion and advertising and marketing by faculties or well being care suppliers.

Hawaii (SB 514), Kansas (HB 2030) and Montana (HB 177) licensed pharmacists to provide vaccines or develop the forms of vaccines and ages of kids pharmacists may vaccinate.

On the constructive facet, New Hampshire scored an enormous win with the passage of a invoice (HB 362) that prohibits faculty vaccine necessities for ailments that aren’t transmitted from individual to individual in a public setting, principally gutting hepatitis B vaccine necessities and placing a highway block in the way in which of any future rule to mandate HPV vaccine or different vaccines for sexually transmitted ailments.

Parental rights in Texas had been affirmed when a invoice (HB 7) was handed defending households from having their kids vaccinated by Little one Protecting Companies (CPS) with out mother and father’ knowledgeable consent. Of the 184 payments that the NVIC Advocacy Portal crew tracked in 2017, 23 had been in Texas.

Among the many Texas payments NVIC opposed, there have been three payments proposing to make use of tax to advertise vaccination; one invoice eradicating parental consent by permitting minor kids to consent to HPV vaccination; 4 payments mandating public vaccine exemption disclosure leading to shaming of colleges with excessive vaccine exemption charges; two payments eradicating the correct to opt-in knowledgeable consent for private medical data to be entered into the vaccine monitoring system; two payments to limit vaccine exemptions; and one invoice to eradicate conscientious and spiritual exemptions.

All of those payments trampling on parental and knowledgeable consent rights FAILED, due to the work of NVIC’s volunteer state administrators, supporters and allied teams in Texas.

2017 Invoice Evaluation by Class

Due to the file variety of vaccine payments filed in 2017, it’s helpful to take a look at tendencies throughout the states. The 4 fundamental areas that NVIC focuses on when monitoring proposed payments are: (1) vaccine exemptions and knowledgeable consent rights; (2) new vaccine mandates; (three) digital vaccine monitoring and reporting registries and (Four) vaccines on the whole.

The breakout and evaluation of payments in these totally different classes is attention-grabbing and might function a information to those that need to grow to be energetic in educating their legislators and neighborhood about defending vaccine knowledgeable consent rights in 2018.

Exemptions and Knowledgeable Consent (81 associated payments)

Nearly all of vaccine payments filed in state legislatures in 2017 affected vaccine exemptions and knowledgeable consent rights: 81 associated payments. NVIC opposed 42 of those payments and supported 39 payments. A few of the place statements NVIC posted on the Advocacy Portal had been listed as payments to “WATCH” as a result of our evaluation indicated they had been unlikely to maneuver ahead; nevertheless, NVIC acknowledged opposition to all the payments within the “watch” class that negatively affected vaccine exemptions and knowledgeable consent rights.

This 12 months, 2017, was a giant 12 months for vaccine selection advocates:  ALL lobbying makes an attempt to eradicate vaccine exemptions failed in each state the place payments had been proposed to do this. Payments had been filed in Arkansas (HB1043), Iowa (H 261), New York (A 1810), Pennsylvania (SB 217) and Rhode Island (H 5681) to eradicate vaccine exemptions.  

Texas (HB120) tried to take away the phrases “conscientious” and “spiritual” from vaccine exemption language in state legislation and discuss with exemptions solely in medical phrases (i.e., “nonmedical”). The Arkansas invoice was withdrawn by the sponsor and the remainder of the payments failed to maneuver ahead. This is excellent information.

On the opposite facet, there have been 17 payments filed in Hawaii, Iowa, Mississippi (Four), New Jersey, New York (three), Rhode Island (three), Tennessee and West Virginia (three) that NVIC supported as a result of they proposed to develop vaccine exemptions. Sadly, none of these payments handed however their introduction offered a wonderful alternative for residents to teach legislators about vaccine science, coverage and legislation and knowledgeable consent rights.

Of the 15 payments filed in Connecticut (2), Iowa, Minnesota (2), New Jersey, New York, Ohio (three), Oklahoma, Texas (2) and Utah (2) that tried to limit vaccine exemptions, just one invoice in Utah handed (HB 308). Utah mother and father now should acquire a vaccine exemption type after finishing an internet academic module or having in an “inperson session” with a well being official or different designated individual at a neighborhood well being division workplace, the place mother and father could be charged as much as $25 to do this.

In Mississippi and Texas, there have been proposed payments to develop the forms of medical employees who may signal a medical vaccine exemption, however they didn’t go.

Many extra payments in 2017 had been filed that attempted to mandate the general public disclosure of vaccine exemption charges for particular person faculties. Such a legislation serves to publicly disgrace faculties with increased scholar vaccine exemption charges and creates a local weather of concern and stigmatization of kids attending faculty with vaccine exemptions.

There have been payments making an attempt to do that filed in Arizona, Connecticut, Nevada, New York, Oklahoma, Texas (Four) and Virginia. NVIC opposed each certainly one of these payments and we’re pleased to say NONE of them handed.

This was the second session in a row legislator in Texas was unsuccessful in passing any such laws and customers of the NVIC Advocacy Portal fought exhausting to cease it from passing. There was a whole lot of media consideration generated by pro-forced vaccination teams prematurely of the 2017 legislative session in Texas to attempt to sway public opinion and persuade the legislature to go coercive vaccine payments, however these efforts failed.

There have been six payments filed within the states of Minnesota (Four), New York and Texas that tried to take away vaccine knowledgeable consent rights from mother and father and delegate them to the minor kids themselves. Thankfully, NONE of those payments handed. Nonetheless, Washington State did go a invoice (HB1641) that enables faculty nurses to provide consent to vaccinating kids whose households are homeless.

Being “homeless” doesn’t imply kids don’t have mother and father who look after them and are legally chargeable for their welfare. Faculty nurses shouldn’t be given the facility to vaccinate kids for whom they aren’t authorized guardians. NVIC is urging households in Washington State to contact legislators to repeal this legislation, which units a nasty precedent and threatens parental knowledgeable consent rights.

A brand new class of laws that emerged in 2017: Six payments had been filed in Colorado, Idaho, Michigan, Oregon and Washington that highlighted the pressing have to rein in overzealous authorities businesses the place officers are appropriating authority they don’t have by ignoring present statutes and including faulty restrictions and kinds to vaccine exemptions.

Though not one of the six payments handed that will have expressly restricted state company actions the place authorities officers are overstepping their authority, the efforts nonetheless yielded wins in two states: Colorado and Oregon. In Colorado, a invoice (SB 250) proposed to make clear that oldsters can submit a signed letter requesting a spiritual or philosophical exemption to vaccination for kids to attend faculty and fogeys will not be required to fill out a state well being division type.

This invoice was filed as a result of the Colorado Division of Public Well being and Surroundings (CDPHE), the Colorado Division of Training (CDE) and faculties had been telling mother and father they have to use the CDPHE kinds, although Colorado State Legislation 25-Four-903(2)(b) has been in drive since 1978 permitting mother and father or authorized guardians to submit to varsities a signed assertion requesting a vaccine exemption on behalf of a minor baby.

Whereas the invoice didn’t go, the mother and father’ proper to submit a vaccine exemption assertion to the varsity was publicly affirmed in a joint letter signed by the departments of well being and schooling.33

Oregon SB 687 proposed to make clear that the definition of parental baby abuse doesn’t embody delaying or declining vaccination for a kid. Whereas the invoice didn’t go, the Oregon Division of Human Companies issued a memo, which states that not vaccinating a baby by itself doesn’t represent medical neglect. It’s probably there will likely be extra clarification payments filed sooner or later as extra households and legislators develop annoyed with state businesses that don’t comply with the legislation.34

Texas made strides in 2017 in creating laws to guard mother and father, whose kids haven’t obtained all federally advisable and state mandated vaccines, from overreach by Little one Protecting Companies (CPS) and the courts. Already armed with protecting language handed in a 2003 invoice, which amended the federal government code with “Prohibition on Punitive Motion for Failure to Immunize,” the passage of Texas HB 7 in 2017 took this safety to an excellent increased stage.

HB 7 offered for a sweeping revamping of the CPS system and was amended to incorporate protecting language for fogeys submitting a conscientious/spiritual vaccine exemption for his or her kids. Sections 10 and 11 of the invoice prohibit a court docket from ordering the termination of parental rights, and sections 17 and 18 prohibit the Division of Household and Protecting Companies (DFPS) from taking possession of a kid primarily based on a father or mother “declining immunization for a kid for causes of conscience together with a spiritual perception.”

Threatening language additionally was faraway from Texas HB 1549 that focused harmless mother and father, who CPS officers consider are “in danger” of committing baby abuse or neglect in some unspecified time in the future sooner or later.

The unique invoice contained no qualification that households must already be below investigation for baby abuse or neglect to be labeled “in danger” of changing into baby abusers. Relatively, the invoice would have allowed CPS officers to go to the house of any household they believed displayed “threat components” and CPS may schedule month-to-month visits to that household’s dwelling.

Below the invoice’s unique language, a “threat issue” might be something that CPS believed would make a baby vulnerable to abuse or neglect. NVIC despatched an motion alert to oppose the invoice. We’re grateful to all of the organizations that labored collectively in Texas to take away offensive language from the invoice that might have led to labeling mother and father who don’t vaccinate their kids as potential baby abusers.

Seventeen payments in Hawaii, Iowa, Mississippi (Four), New Jersey, New York (three), Rhode Island (three), Tennessee, and West Virginia (three) had been filed to develop vaccine exemptions and payments filed in Minnesota, Oklahoma (Four), Oregon (three), Texas (2) and Washington State proposed to develop vaccine knowledgeable consent rights. Two payments in Mississippi and Texas had been filed to develop which sort of medical employees can signal medical exemptions, plus Texas had a invoice to ban docs from refusing to offer medical care to sufferers for declining vaccinations.

Whereas none of those proactive payments handed, they superior schooling efforts within the legislature about vaccine exemption and knowledgeable consent points affecting households, which finally helped cease among the dangerous vaccine-related payments from passing.

Vaccine Mandates (35 payments)

Twenty-five payments had been filed throughout 11 states so as to add new vaccine mandates, together with in Connecticut (2), Illinois, Indiana (three), Kansas, Kentucky, Maine (2), Missouri, New Jersey (5), New York (5), Tennessee (2) and Virginia (2). Nearly all of these payments tried to require influenza, meningococcal or HPV vaccines for both well being care employees or kids attending faculty.

NVIC opposed all of those payments and the one two that handed had been Indiana HB 1069, which mandated meningococcal vaccinations for school college students, and Tennessee SB 393, which required faculty boards and the Division of Well being to undertake vaccine requirement guidelines.

No elementary or secondary faculty mandates had been handed by any state legislature. Nonetheless, there was an rising development for legislatures to permit public well being officers in state well being departments so as to add faculty vaccine mandates through the use of the executive rule making course of that bypasses the legislative course of, which successfully reduces energetic public participation and scrutiny of those insurance policies.

NVIC tracked 4 payments that proposed to guard workers from vaccine mandates as a situation of employment: one in Mississippi, one in Ohio and two in Oregon. Whereas the payments in Mississippi and Oregon died, in Ohio a invoice (HB 193), which supplies protections for workers who refuse an annual flu shot, continues to be transferring. The invoice handed out of the Financial Growth, Commerce and Labor Committee and, so long as it’s alive, Ohio residents ought to proceed to observe and urge legislators to assist this invoice.

There have been 5 proactive payments filed in Mississippi, New Hampshire (2), New Jersey and Rhode Island to limit vaccine mandates. 4 of the 5 payments restricted hepatitis B vaccine mandates. The one certainly one of these payments to go was in New Hampshire (HB 362), the place there’s now a prohibition on faculty vaccine mandates for ailments that aren’t transferred from individual to individual in a public setting.

This invoice went into impact on August 15, 2017. That victory got here after devoted schooling efforts within the legislature by NVIC’s volunteer New Hampshire state advocacy director and Advocacy Portal customers within the state.

Vaccine Monitoring and Reporting (28 payments)

The biggest group of payments below the class of vaccine monitoring and reporting had been 17 payments in 12 states that proposed to develop digital vaccine monitoring programs: Arkansas, California, Connecticut (three), Idaho, Indiana, Kansas, Louisiana, Massachusetts, Nebraska, New York (2), Ohio and Utah. The one two payments that handed had been Arkansas SB 301 and Indiana SB 51.

The following largest class was vaccine monitoring payments that had been filed in Montana, Oregon, Texas (2) and Utah to take away opt-in knowledgeable consent to vaccine information monitoring so the vaccination standing of people could be tracked with out their data or consent by state well being officers. Thankfully, none of those payments handed.

Maryland HB 1481 proposed to not solely require all main well being care suppliers to push federally advisable vaccines for adolescents, comparable to hepatitis B and HPV vaccines, it could have required the documentation of parental refusal of vaccinations within the baby’s everlasting medical file. Thankfully, this invoice stalled and failed to maneuver out of committee.

invoice in Massachusetts (H 1179) proposed to provide people a option to keep away from computerized inclusion within the state’s digital vaccine monitoring system with out consent, however the invoice didn’t go. A invoice in Vermont (H 247), which requires the state well being division file vaccine adversarial response studies to the Common Meeting, continues to be energetic for the upcoming 2018 session. Should you reside in Vermont, you’ll be able to encourage your legislators to assist H 247.

Vaccine Promotion (47 payments)

Vaccine promoting, promotion and advertising and marketing shouldn’t be funded by taxpayers and, but, there have been payments filed in 10 states, together with Alabama, Florida (three), Georgia, Illinois (2), Louisiana (2), Maryland, Nebraska, Oregon, Tennessee (2) and Texas (three) to require the promotion of vaccine use by faculties, medical services and locations of employment.

Faculties shouldn’t be legally compelled to advertise vaccinations. But, payments in Alabama (HB 381), Georgia (HB 198) and Tennessee (HB 388 and SB 598) all handed and require faculties to offer data on influenza and flu photographs to kids and their mother and father. A invoice in Nebraska (LB 267), which additionally handed, requires nursing services to supply workers and residents influenza vaccines.

There have been payments filed in 11 states proposing to authorize pharmacists to manage extra vaccines, together with in California, Hawaii, Indiana, Kansas, Kentucky, Maryland (2), Maine (2), Montana, New York (three) South Dakota and Texas. 4 of those payments handed and among the payments broaden the ages of people who could be given vaccines, whereas others broaden the forms of vaccines that may be given.

Hawaii (SB 514) handed a invoice permitting pharmacists to manage HPV and different vaccines to kids that grew to become efficient July three, 2017. Indiana (SB 51) added new vaccines that pharmacists can administer below standing orders, efficient July 1, 2017. Kansas (HB 2030) now permits pharmacists to manage a vaccine to kids as younger as 12 years previous and this went into impact on July 1, 2017.

Lastly, Montana handed HB 177, which permits pharmacists to provide pneumococcal vaccines to everybody and this legislation went into impact March 1, 2017. California handed a invoice (AB 443) that enables optometrists to provide vaccines, efficient Oct. 7, 2017.

There have been 9 payments in six states proposing to develop vaccine and public well being applications, together with in Florida (three), Georgia, Oklahoma, Oregon, Texas and Washington (2), and two of those payments handed. Whereas two payments in Florida to advertise vaccination of pregnant ladies died, there’s a new invoice (HB 41) that has already been pre-filed for the 2018 legislative session. This invoice makes influenza and tetanus vaccines (most tetanus containing photographs additionally comprise diphtheria and pertussis vaccines) a part of being pregnant wellness applications.

NVIC will proceed to oppose this invoice and encourage Florida residents to contact their legislators and share with them the outcomes of a brand new examine signaling an affiliation between influenza vaccine and miscarriage.35 There have been additionally three payments, all filed in Missouri, which proposed to restrict sure elements in vaccines, however none of them handed.

Authorities Companies Abusing the Rule Making Course of to Circumvent Legislators

As residents in lots of states have grow to be simpler knowledgeable consent advocates and are efficiently blocking coercive vaccine laws, officers in authorities businesses are more and more making an attempt to make use of and stretch the executive rule making course of, which avoids laws, to attempt to get away with placing restrictions on or including extra necessities to the vaccine exemption course of.

Residents have little recourse when administrative guidelines are adopted by authorities businesses that enhance restrictions or add additional necessities not set forth in legislation as a result of, in contrast to elected legislators, voters can not maintain unelected authorities workers accountable on the polls. Within the 2015 to 2017 timeframe, NVIC issued motion alerts to oppose proposed administrative guidelines in Illinois, Pennsylvania and Vermont that have an effect on vaccine exemptions and, in New Hampshire, we urged opposition to a vaccine monitoring system proposed rule.

A neighborhood well being division in Allegheny County, Pennsylvania, tried to mandate HPV vaccines for varsity kids, which is one more instance of presidency overreach that was luckily stopped. These administrative guidelines issued by authorities officers all had one factor in frequent: They went past the authority given to authorities workers within the state legal guidelines they had been presupposed to responsibly implement.

For instance, the Illinois Division of Public Well being adopted administrative guidelines that went into impact on February 27, 2017 associated to the passage of SB 1410 by the legislature in 2015. SB 1410 required the signature of a medical skilled that verified the father or mother was given vaccine schooling, in addition to required new spiritual vaccine exemption kinds to be crammed out by mother and father of kids getting into kindergarten, sixth and ninth grades.

The ultimate rule that was adopted by the well being division went past the scope of what was licensed within the invoice, requiring ALL kids in day care, nursery faculties, pre-Ok, particular schooling, and getting into different grades to file new spiritual exemption kinds. The well being division rule additionally didn’t implement a piece of the invoice clarifying that state designated medical employees giving vaccines might write a medical exemption for a kid with out restrictions. 

In 2017, NVIC issued an alert in Kentucky opposing a proposed rule by the Cupboard for Well being and Household Companies to limit vaccine exemptions by requiring the usage of a state issued type that will require extra father or mother schooling and a notary signature.

An rising variety of public well being officers working in state well being departments are rising bolder by taking motion exterior the scope of the legal guidelines for which they write guidelines. It is vitally necessary to carry public well being officers accountable with legislators who management their funding, and name them out for going past their authority relating to selling and implementing vaccination.  

Dad and mom needs to be very cautious about signing authorities kinds that comprise statements about ailments and vaccines that they don’t agree with, particularly if coercion is concerned, which is known as “compelled speech” and is unconstitutional. Guarantee that the kinds you signal are legally required and don’t embody extra data requests or attestations that aren’t required in state or federal legislation.

Knowledgeable consent advocates in each state, who need to develop or shield vaccine exemptions, ought to actively monitor proposed rulemaking notices revealed of their state by well being businesses and reply with written or oral public remark, as allowed, in addition to contact legislators and specific considerations.

Taking motion will assist cease authorities officers from abusing rule making authority for the aim of coercing people into utilizing all federally advisable and state mandated vaccines quite than respecting knowledgeable consent rights. Hyperlinks are posted to state proposed rulemaking on every state vaccine legislation web page at to help the general public in offering oversight on and holding authorities businesses accountable for legally administrating the rule making course of.

What Can You Do?

NVIC expects many extra vaccine-related payments to be filed within the states in 2018, so please grow to be a registered consumer of the NVIC Advocacy Portal and examine in usually to find out about methods to teach legislators when vaccine payments transferring in your state, and encourage your whole family and friends to do the identical.

Clearly your efforts are making a way more vital distinction than the media and people pushing “no exceptions” compelled vaccination insurance policies and legal guidelines are keen to confess, and your participation is significant to defending knowledgeable consent and vaccine decisions in America.

Additionally, should you see inaccurate data within the media, take the time to reply by a making a remark on-line. You can even electronic mail the journalist or media outlet and supply correct, properly referenced vaccine data, which you will discover on the “Ask eight Vaccine Data Kiosk” on

NVIC’s up to date 2017 illustrated and totally referenced Information to Reforming Vaccine Coverage and Legislation is an efficient vaccine schooling software for legislators and family and friends, too. NOTE: Each invoice mentioned on this report is linked on the NVIC Advocacy Portal.

+ Sources and References
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  • Four Editorial Board. Pennsylvania wants a shot of frequent sense on vaccination exemptions. Lancaster Information Press Feb. 24, 2017.
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  • 29 Lakshmanan R. Rising vaccine resistance and public well being in Texas. Trib Discuss June 22, 2017.
  • 30 Lakashmanan R. TIP OpEd: The Texas Legislature Ought to Have Protected State Well being. The Immunization Partnership June 29, 2017.
  • 31 Fisher BL, Pebsworth V. Evaluation of Proposed Legislative Coverage Choices Re: JCHC Workers Report on Faculty Vaccination within the Commonwealth of Virginia.
  • 32 Fisher BL. Defending Freedom of Faith and Conscience. Virginia Common Meeting Aug. three, 2016.
  • 33 Colorado Dept. of Public Well being & Surroundings and Dept. of Training. Re: Relating to Faculty Accountability and Immunization Exemptions. Apr. 12, 2017.
  • 34 Re: Screening and Little one Protecting Companies Assessments: Mother or father’s Choices Relating to Vaccinations. Workplace of Little one Welfare Applications Apr. 26, 2017.
  • 35 Soucheray S. Research indicators affiliation between flu vaccine, miscarriage. CIDRAP Sept. 13, 2017.

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