{"id":355840,"date":"2019-04-17T13:32:18","date_gmt":"2019-04-17T18:32:18","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/healthcare\/patient-rights\/vaccination-laws.html"},"modified":"2025-08-01T16:15:40","modified_gmt":"2025-08-01T21:15:40","slug":"vaccination-laws","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/vaccination-laws.html","title":{"rendered":"Vaccination Laws"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-8f761849 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n<div class=\"fl-page-articles fl-section-main fl-section-main-full-width\"><h1 class=\"fl-no-margin-top\">Vaccination Laws<\/h1>\n\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/melissa-mccall-j-d\/\">Melissa McCall, J.D.<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/jordan-walker-j-d\/\">Jordan Walker, J.D.<\/a>\n                | Last updated\n        <time>\n                            August 01, 2025\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n\n\n<div class=\"fl-key-takeaways fl-mb30\" data-testid=\"fl-key-takeaways\">\n    <div class=\"fl-card-content\">\n        <div class=\"fl-card-body fl-card-bg-teal fl-flex fl-flex-column\">\n                            <h2 class=\"fl-card-title fl-h2 fl-no-margin\">Key Takeaways<\/h2>\n                        <p>Hailed as one of the greatest discoveries in the history of mankind, vaccines help our immune system protect us from diseases. They are especially effective against\u00a0<a class=\"editor-rtfLink\" href=\"https:\/\/www.afro.who.int\/health-topics\/communicable-diseases\" target=\"_blank\" rel=\"noopener\">communicable or infectious diseases,\u00a0<\/a>which are easily spread among populations.<\/p>\n\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<p>Mandatory vaccination laws help halt the spread of communicable diseases by ensuring that a critical mass of persons enjoys immunity from vaccine-preventable diseases. Before the invention of vaccines,\u00a0infectious diseases claimed countless lives.<\/p>\n<p>Mandatory vaccine laws aim to ensure everyone has a similar level of immunity from vaccine-preventable diseases. The\u00a0COVID-19 pandemic, along with\u00a0subsequent vaccines,\u00a0offer\u00a0proof of their effectiveness. Enforced by public health officials, mandatory vaccinations\u00a0helped this\u00a0vaccine to achieve a critical mass.<\/p>\n<p>The following article explores U.S. vaccination laws, including exemptions to such mandates and key court cases.<\/p>\n<h2><strong data-redactor-tag=\"strong\">Understanding Vaccines<\/strong><\/h2>\n<p>Your immune system consists of\u00a0<a href=\"https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/white-blood-cell\" target=\"_blank\" rel=\"noopener\">white blood cells<\/a>\u00a0and organs that protect you from external germs and diseases. If you fall and scrape your knee,\u00a0the resulting\u00a0open wound\u00a0leaves\u00a0you vulnerable to a host of germs. Your white blood cells will rush to the wound to protect you from a possible infection.<\/p>\n<p>Although your immune system is quite powerful, it often needs help to protect you. Vaccines help your immune system fight\u00a0dangerous diseases like measles and\u00a0smallpox. Dr. Edward Jenner, a British physician, created the first successful smallpox vaccine in 1796. Scientists have built on Jenner&#8217;s\u00a0success and developed\u00a0vaccines to combat\u00a0communicable diseases like measles and polio.<\/p>\n<h3><strong data-redactor-tag=\"strong\">Communicable Diseases<\/strong><\/h3>\n<p>The following are examples of communicable diseases:<\/p>\n<ul>\n<li>Measles<\/li>\n<li>Mumps<\/li>\n<li>Varicella<\/li>\n<li>Rubella<\/li>\n<li>Pertussis<\/li>\n<li>Pneumococcal disease<\/li>\n<li>Meningococcal disease<\/li>\n<li>Mandatory Vaccination Law<\/li>\n<\/ul>\n<p>This is not an exhaustive list.<\/p>\n<h2><strong data-redactor-tag=\"strong\">Mandatory Vaccination Requirements<\/strong><\/h2>\n<p>Mandatory vaccine laws date back to 1855,\u00a0when Massachusetts required all schoolchildren to get a smallpox vaccine to attend school. The purpose of this law was to protect\u00a0children from catching smallpox. As scientists discovered and\u00a0developed different vaccines, school immunization requirements grew.<\/p>\n<p>Due to school vaccination requirements, parents start developing their children&#8217;s immunization records soon after birth. By age five, most children have received the vaccines needed for school, child care,\u00a0or daycare.<\/p>\n<p>Failure to comply with vaccination requirements by the given deadline can\u00a0result\u00a0in\u00a0being prohibited from attending school or daycare.\u00a0There are some\u00a0legal exemptions available.<\/p>\n<h3><strong data-redactor-tag=\"strong\">State Power To Set Immunization Laws<\/strong><\/h3>\n<p>The U.S. Supreme Court has long recognized that vaccine laws and mandates are a legitimate exercise of a state&#8217;s power to protect the health of its citizens.\u00a0<em data-redactor-tag=\"em\"><a href=\"https:\/\/caselaw.findlaw.com\/court\/us-supreme-court\/197\/11.html\" target=\"_blank\" rel=\"noopener\">Jacobsen v. Massachusetts<\/a><\/em>\u00a0is the first Supreme Court case that addressed mandatory vaccines.\u00a0<\/p>\n<p>In\u00a0<em data-redactor-tag=\"em\">Jacobson v. Massachusetts<\/em>, the City of Cambridge adopted a vaccine mandate against smallpox. Under this mandate, they offered free vaccines to Massachusetts residents. Henning\u00a0Jacobson, a Massachusetts citizen, refused to follow this law. The Supreme Court\u00a0ruled the\u00a0law as a proper exercise of Massachusetts&#8217;s power to protect public health.<\/p>\n<p>Every state establishes its own vaccination requirements and vaccination exemptions. School vaccination requirements may differ from those for healthcare workers. Check\u00a0with your healthcare provider or local Department of Health and Human Services if you have any specific questions.<\/p>\n<h3><strong data-redactor-tag=\"strong\">State Immunization Laws<\/strong><\/h3>\n<p><a href=\"https:\/\/www.cdc.gov\/vaccines\/php\/requirements-laws\/state-vaccination-requirements.html?CDC_AAref_Val=https:\/\/www.cdc.gov\/vaccines\/imz-managers\/laws\/state-reqs.html\" target=\"_blank\" rel=\"noopener\">State laws<\/a>\u00a0can\u00a0vary\u00a0on which vaccinations are mandated.\u00a0\u00a0The following are common inclusions:<\/p>\n<ul>\n<li>Poliovirus vaccine (IPV)<\/li>\n<li>Two doses of the Measles, Mumps, and Rubella vaccine (MMR)<\/li>\n<li>Hepatitis B vaccine<\/li>\n<li>Two doses of Varicella (chicken pox) vaccine<\/li>\n<li>DTaP (Diphtheria, Tetanus, Acellular, and Pertussis vaccine)<\/li>\n<li>Meningitis vaccine (by age 11)<\/li>\n<li>Tetanus Diphtheria Acellular Pertussis vaccine, or Tdap (by age 11)<\/li>\n<\/ul>\n<p>In the U.S., the\u00a0<a href=\"https:\/\/www.cdc.gov\/about\/index.html\" target=\"_blank\" rel=\"noopener\">Centers for Disease Control and Prevention<\/a>(CDC) helps states set vaccination policies and create public health laws. The CDC is a federal public health agency that uses science to protect public health. Many state public health officials rely on advice from the CDC&#8217;s advisory committee in developing vaccination requirements and public health laws.<\/p>\n<h3><strong data-redactor-tag=\"strong\">Federal Vaccination Laws<\/strong><\/h3>\n<p>The federal government can only set national mandates for populations under its jurisdiction. During the COVID-19 pandemic, the\u00a0<a class=\"editor-rtfLink\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8672957\/#:~:text=On%20September%209%2C%202021%2C%20the,reimbursement%20(including%20nursing%20homes).\" target=\"_blank\" rel=\"noopener\">federal government\u00a0<\/a>established COVID-19 vaccine requirements for the following populations:<\/p>\n<ul>\n<li>Government workers (including contractors)<\/li>\n<li>Health care facilities that receive Medicaid or Medicare reimbursements<\/li>\n<li>Employers with more than 100 employees<\/li>\n<\/ul>\n<p>Federal COVID-19 mandates also applied to\u00a0<a href=\"https:\/\/www.boundless.com\/immigration-resources\/u-s-visa-vaccination-requirements\/\" target=\"_blank\" rel=\"noopener\">international travelers<\/a>, who had to carry proof of vaccination to enter the U.S.<\/p>\n<h2><strong data-redactor-tag=\"strong\">Mandatory Vaccine Laws Exemptions<\/strong><\/h2>\n<p>Most state vaccination laws provide limited\u00a0<a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/vaccine-exemption-laws-by-state.html\">exemptions from vaccination requirements<\/a>. States can restrict children under\u00a0these exemptions from attending school during an outbreak. Common exemptions to these requirements include the following:<\/p>\n<ul>\n<li>Medical<\/li>\n<li>Religious<\/li>\n<li>Philosophical<\/li>\n<\/ul>\n<p>Some states, such as\u00a0California, New York, and Maine,\u00a0only allow medical exemptions for school vaccines. Medical exemptions apply when a physician determines a child&#8217;s health issues would be worsened by\u00a0vaccination.\u00a0<\/p>\n<p>Religious exemptions apply where vaccination requirements go against religious beliefs. Certain states also allow exemptions for philosophical reasons.<\/p>\n<h2><strong data-redactor-tag=\"strong\">Get Help With Vaccination Issues From an Attorney<\/strong><\/h2>\n<p>It&#8217;s challenging to balance public health concerns with personal liberties. A healthcare attorney can help you understand your rights under mandatory vaccine laws. Speak to an experienced\u00a0<a href=\"https:\/\/lawyers.findlaw.com\/health-health-care-law\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">healthcare attorney<\/a>\u00a0for assistance.<\/p>\n\n\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n       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class=\"was-this-helpful__choose-option-message\" role=\"status\">\n            <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n        <\/div>\n        <form class=\"was-this-helpful__feedback-form\">\n            <div class=\"was-this-helpful__feedback was-this-helpful__feedback--positive\">\n                <fieldset>\n                    <legend class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this helpful?<\/legend>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--understandable\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Easy to understand\"\n                        >\n                        <label\n            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<fieldset>\n                    <legend class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this not helpful?<\/legend>\n                    <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n                        <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--missing-info\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Missing Information\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--missing-info\"\n                        >Missing the information I need<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--complicated\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Too complicated\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--complicated\"\n                        >Too complicated \/ too many steps<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--dated\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Out of date\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--dated\"\n                        >Out of date<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--negative-other\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Other\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--negative-other\"\n                        >Other<\/label>\n                    <\/div>\n                <\/fieldset>\n            <\/div>\n            <div class=\"was-this-helpful__form-buttons-container\">\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--positive at-feedback-submit fl-button secondary\"\n                    type=\"submit\"\n                >\n                    <span class=\"fl-button-content\">Submit<\/span>\n                    <i\n                      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class=\"fl-editors-summary\" data-testid=\"fl-editors-summary\">\n    \n    <div class=\"fl-editors-summary-content\" data-testid=\"fl-editors-summary-content\">\n                    <h2>Can I Solve This on My Own or Do I Need an Attorney?<\/h2>\n                <div class=\"fl-editors-summary-content-main\" data-testid=\"fl-editors-summary-content-main\">\n            \n        <\/div>\n        <ul class=\"fl-list-style-none\">\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Medicare and Medicaid issues can often be handled on your own\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Attorneys are helpful when the health care system is complex\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Complex heath care cases (such as medical malpractice, bioethics, or health advocacy) may need the support of an attorney\n\n                <\/li>\n                    <\/ul>\n                    <div class=\"fl-editors-summary-content-description\" data-testid=\"fl-editors-summary-content-description\">\n                <p>Protect your patient rights with an attorney at your side. 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