Vaccination Exemption Rates Among Kindergartners
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2024-2025
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.034 0.002 0.036 Alabama 0.022 0.001 0.023 Alaska 0.09 0.004 0.094 Arizona 0.09 0.001 0.091 Arkansas 0.035 0.001 0.036 California N/A 0.001 0.001 Colorado 0.041 0.002 0.042 Connecticut 0.001 0.004 0.004 Delaware 0.026 0.001 0.026 District of Columbia 0.025 0.003 0.027 Florida 0.048 0.003 0.051 Georgia 0.047 0.001 0.048 Hawaii 0.054 0.002 0.055 Idaho 0.151 0.003 0.154 Illinois 0.025 0.003 0.028 Indiana 0.026 0.001 0.026 Iowa 0.038 0.002 0.039 Kansas 0.033 0.003 0.036 Kentucky 0.02 0.001 0.022 Louisiana 0.03 0.001 0.031 Maine N/A 0.008 0.008 Maryland 0.017 0.005 0.022 Massachusetts 0.013 0.001 0.015 Michigan 0.065 0.003 0.068 Minnesota 0.058 0.002 0.059 Mississippi 0.011 0.001 0.012 Missouri 0.05 0.002 0.052 Montana NR NR NR Nebraska 0.035 0.005 0.04 Nevada 0.067 0.005 0.071 New Hampshire 0.039 0.002 0.041 New Jersey 0.046 0.001 0.047 New Mexico 0.019 0.001 0.02 New York N/A 0.003 0.003 North Carolina 0.031 0.001 0.032 North Dakota 0.067 0.002 0.07 Ohio 0.045 0.002 0.047 Oklahoma 0.054 0.003 0.057 Oregon 0.097 0.001 0.098 Pennsylvania 0.056 0.003 0.06 Rhode Island 0.017 0.002 0.019 South Carolina 0.045 0.001 0.046 South Dakota 0.067 0.001 0.068 Tennessee 0.037 0.001 0.038 Texas 0.04 0.003 0.043 Utah 0.1 0.003 0.103 Vermont 0.037 0.002 0.039 Virginia 0.024 0.003 0.027 Washington 0.039 0.004 0.048 West Virginia NR NR NR Wisconsin 0.063 0.005 0.076 Wyoming 0.057 0.002 0.059
2023-2024
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.031 0.002 0.033 Alabama 0.021 0.001 0.022 Alaska 0.092 0.003 0.095 Arizona 0.081 0.004 0.085 Arkansas 0.034 0.001 0.035 California N/A 0.001 0.001 Colorado 0.04 0.002 0.042 Connecticut 0.001 0.004 0.005 Delaware 0.024 0.001 0.025 District of Columbia 0.021 0.002 0.023 Florida 0.045 0.003 0.048 Georgia 0.035 0.001 0.036 Hawaii 0.053 0.001 0.053 Idaho 0.139 0.004 0.143 Illinois 0.023 0.003 0.025 Indiana 0.024 0.001 0.024 Iowa 0.032 0.002 0.034 Kansas 0.027 0.003 0.03 Kentucky 0.02 0.002 0.023 Louisiana 0.027 0.001 0.028 Maine 0.001 0.009 0.01 Maryland 0.015 0.007 0.022 Massachusetts 0.012 0.002 0.014 Michigan 0.054 0.002 0.056 Minnesota 0.052 0.002 0.054 Mississippi 0.005 0.001 0.007 Missouri 0.045 0.002 0.047 Montana NR NR NR Nebraska 0.028 0.007 0.035 Nevada 0.062 0.009 0.071 New Hampshire 0.039 0.003 0.041 New Jersey 0.037 0.001 0.039 New Mexico 0.014 0.001 0.016 New York N/A 0.001 0.001 North Carolina 0.028 0.001 0.029 North Dakota 0.062 0.002 0.064 Ohio 0.04 0.002 0.042 Oklahoma 0.055 0.002 0.057 Oregon 0.088 0.001 0.089 Pennsylvania 0.039 0.003 0.042 Rhode Island 0.015 0.001 0.017 South Carolina 0.042 0.002 0.044 South Dakota 0.054 0.002 0.057 Tennessee 0.034 0.001 0.036 Texas 0.036 0.002 0.039 Utah 0.091 0.002 0.093 Vermont 0.038 0.002 0.04 Virginia 0.021 0.003 0.024 Washington 0.039 0.004 0.048 West Virginia N/A 0.001 0.001 Wisconsin 0.076 0.004 0.08 Wyoming 0.054 0.002 0.056
2022-2023
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.028 0.002 0.030 Alabama 0.019 0.001 0.02 Alaska 0.05 0.007 0.057 Arizona 0.074 0.001 0.074 Arkansas 0.03 0.001 0.031 California N/A 0.002 0.002 Colorado 0.04 0.003 0.043 Connecticut 0.005 0.003 0.008 Delaware 0.02 0.001 0.021 District of Columbia 0.009 0.003 0.013 Florida 0.041 0.004 0.045 Georgia 0.037 0.001 0.038 Hawaii 0.058 0.006 0.064 Idaho 0.115 0.005 0.121 Illinois 0.019 0.002 0.021 Indiana 0.025 0.002 0.028 Iowa 0.028 0.002 0.03 Kansas 0.026 0.003 0.029 Kentucky 0.016 0.002 0.017 Louisiana 0.021 0.001 0.023 Maine 0.001 0.008 0.009 Maryland 0.014 0.005 0.019 Massachusetts 0.012 0.002 0.014 Michigan 0.052 0.002 0.054 Minnesota 0.043 0.001 0.045 Mississippi N/A 0.002 0.002 Missouri 0.036 0.002 0.038 Montana NR NR NR Nebraska 0.021 0.005 0.026 Nevada 0.052 0.004 0.056 New Hampshire 0.032 0.001 0.034 New Jersey 0.03 0.001 0.032 New Mexico 0.014 0.001 0.015 New York N/A 0.001 0.001 North Carolina 0.023 0.001 0.024 North Dakota 0.049 0.002 0.051 Ohio 0.036 0.002 0.038 Oklahoma 0.043 0.004 0.047 Oregon 0.081 0.001 0.082 Pennsylvania 0.035 0.004 0.038 Rhode Island 0.014 0.001 0.015 South Carolina 0.039 0.002 0.041 South Dakota 0.04 0.001 0.041 Tennessee 0.03 0.002 0.032 Texas 0.033 0.002 0.035 Utah 0.08 0.001 0.081 Vermont 0.033 0.002 0.036 Virginia 0.019 0.003 0.022 Washington 0.032 0.004 0.04 West Virginia N/A 0 0 Wisconsin 0.067 0.005 0.072 Wyoming 0.046 0.002 0.048
2021-2022
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.023 0.002 0.026 Alabama 0.015 0.002 0.017 Alaska 0.041 0.005 0.046 Arizona 0.065 0.004 0.068 Arkansas 0.025 0 0.025 California N/A 0.003 0.002 Colorado 0.03 0.001 0.032 Connecticut 0.021 0.003 0.023 Delaware 0.012 0.001 0.012 District of Columbia 0.005 0 0.005 Florida 0.035 0.004 0.039 Georgia 0.045 0.002 0.047 Hawaii 0.033 0.001 0.034 Idaho 0.092 0.005 0.098 Illinois NR NR 0.017 Indiana 0.022 0.002 0.024 Iowa 0.023 0.001 0.024 Kansas 0.021 0.002 0.023 Kentucky 0.011 0.002 0.013 Louisiana 0.011 0 0.011 Maine 0.003 0.015 0.018 Maryland 0.01 0.005 0.015 Massachusetts 0.009 0.002 0.01 Michigan 0.043 0.002 0.045 Minnesota 0.036 0.001 0.037 Mississippi N/A 0.001 0.001 Missouri 0.028 0.002 0.03 Montana NR NR NR Nebraska 0.022 0.003 0.025 Nevada 0.044 0.004 0.048 New Hampshire 0.032 0.002 0.034 New Jersey 0.025 0.001 0.026 New Mexico 0.011 0.003 0.014 New York N/A 0.001 0.001 North Carolina 0.018 0.001 0.019 North Dakota 0.051 0.003 0.053 Ohio 0.028 0.002 0.03 Oklahoma 0.033 0.002 0.035 Oregon 0.069 0.001 0.07 Pennsylvania 0.03 0.003 0.033 Rhode Island 0.011 0.001 0.012 South Carolina 0.032 0.002 0.034 South Dakota 0.034 0.001 0.035 Tennessee 0.023 0.001 0.024 Texas 0.027 0.002 0.029 Utah 0.071 0.003 0.074 Vermont 0.032 0.001 0.033 Virginia 0.015 0.003 0.018 Washington 0.025 0.005 0.037 West Virginia N/A 0.001 0.001 Wisconsin 0.06 0.003 0.063 Wyoming 0.037 0.002 0.039
2020-2021
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.019 0.002 0.022 Alabama 0.011 0.001 0.013 Alaska 0.038 0.002 0.04 Arizona 0.054 0.001 0.055 Arkansas 0.019 0.001 0.02 California N/A 0.005 0.005 Colorado 0.04 0.002 0.042 Connecticut 0.023 0.002 0.026 Delaware 0.024 0.001 0.024 District of Columbia 0.003 NR 0.003 Florida 0.027 0.004 0.031 Georgia 0.028 0.001 0.029 Hawaii 0.035 0.002 0.037 Idaho 0.079 0.003 0.082 Illinois NR NR NR Indiana 0.017 0.002 0.019 Iowa 0.021 0.002 0.022 Kansas 0.018 0.002 0.02 Kentucky 0.008 0.002 0.01 Louisiana 0.01 0.001 0.011 Maine 0.041 0.005 0.045 Maryland 0.008 0.002 0.009 Massachusetts 0.009 0.002 0.011 Michigan 0.035 0.002 0.037 Minnesota 0.027 0.001 0.028 Mississippi N/A 0.001 0.001 Missouri 0.024 0.002 0.025 Montana 0.033 0.002 0.035 Nebraska 0.016 0.006 0.022 Nevada 0.036 0.008 0.044 New Hampshire 0.026 0.002 0.028 New Jersey 0.021 0.001 0.022 New Mexico 0.008 0.001 0.009 New York N/A 0.001 0.001 North Carolina 0.014 0.001 0.015 North Dakota 0.04 0.002 0.042 Ohio 0.024 0.002 0.025 Oklahoma 0.023 0.002 0.024 Oregon 0.053 0.001 0.054 Pennsylvania 0.025 0.003 0.027 Rhode Island 0.009 0.001 0.01 South Carolina 0.023 0.002 0.024 South Dakota 0.032 0.001 0.034 Tennessee 0.018 0.001 0.019 Texas 0.021 0.002 0.023 Utah 0.05 0.001 0.051 Vermont 0.031 0.001 0.032 Virginia 0.012 0.002 0.015 Washington 0.021 0.005 0.033 West Virginia N/A NR NR Wisconsin 0.049 0.002 0.052 Wyoming NR NR 0.03
2019-2020
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.022 0.003 0.025 Alabama 0.011 0.001 0.012 Alaska 0.054 0.005 0.059 Arizona 0.054 0.002 0.055 Arkansas 0.019 0.001 0.019 California N/A 0.008 0.008 Colorado 0.047 0.002 0.049 Connecticut 0.023 0.002 0.025 Delaware NR NR NR District of Columbia NR NR NR Florida 0.03 0.004 0.034 Georgia 0.029 0.001 0.03 Hawaii 0.059 0.002 0.061 Idaho 0.072 0.003 0.076 Illinois 0.017 0.003 0.02 Indiana 0.019 0.002 0.022 Iowa 0.023 0.002 0.025 Kansas 0.019 0.003 0.021 Kentucky 0.014 0.005 0.018 Louisiana 0.013 0.002 0.015 Maine 0.056 0.003 0.059 Maryland 0.01 0.004 0.014 Massachusetts 0.011 0.002 0.013 Michigan 0.042 0.002 0.044 Minnesota 0.034 0.002 0.038 Mississippi N/A 0.002 0.002 Missouri 0.025 0.002 0.027 Montana 0.04 0.002 0.043 Nebraska 0.018 0.004 0.022 Nevada 0.035 0.005 0.04 New Hampshire 0.029 0.002 0.031 New Jersey 0.024 0.002 0.026 New Mexico 0.013 0.002 0.015 New York N/A 0.001 0.001 North Carolina 0.016 0.001 0.017 North Dakota 0.036 0.003 0.039 Ohio 0.026 0.002 0.028 Oklahoma 0.025 0.001 0.027 Oregon 0.069 0.002 0.071 Pennsylvania 0.026 0.004 0.03 Rhode Island 0.01 0.002 0.013 South Carolina 0.025 0.002 0.026 South Dakota 0.026 0.001 0.027 Tennessee 0.019 0.001 0.02 Texas 0.022 0.002 0.025 Utah 0.052 0.001 0.054 Vermont 0.035 0.001 0.037 Virginia 0.014 0.003 0.017 Washington 0.05 0.007 0.046 West Virginia N/A 0.001 0.001 Wisconsin 0.055 0.002 0.057 Wyoming 0.032 0.003 0.035
2018-2019
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.022 0.003 0.025 Alabama 0.009 0.001 0.008 Alaska 0.066 0.005 0.071 Arizona 0.059 0.001 0.06 Arkansas 0.018 NR 0.018 California N/A 0.006 0.006 Colorado 0.047 0.002 0.049 Connecticut 0.025 0.002 0.027 Delaware 0.01 0.003 0.012 District of Columbia NR NR NR Florida 0.029 0.004 0.032 Georgia 0.024 0.001 0.025 Hawaii 0.044 0.001 0.044 Idaho 0.074 0.004 0.077 Illinois 0.015 0.002 0.018 Indiana 0.01 0.003 0.013 Iowa 0.021 0.002 0.024 Kansas 0.018 0.003 0.021 Kentucky 0.012 0.003 0.014 Louisiana 0.011 0.001 0.012 Maine 0.056 0.006 0.062 Maryland 0.011 0.004 0.015 Massachusetts 0.011 0.003 0.014 Michigan 0.043 0.002 0.045 Minnesota 0.035 0.002 0.037 Mississippi N/A 0.001 0.001 Missouri 0.025 0.002 0.027 Montana 0.042 0.002 0.045 Nebraska 0.016 0.005 0.021 Nevada 0.032 0.002 0.033 New Hampshire 0.031 0.002 0.033 New Jersey 0.023 0.002 0.025 New Mexico 0.012 0.003 0.015 New York 0.011 0.001 0.013 North Carolina 0.015 0.001 0.016 North Dakota 0.039 0.003 0.043 Ohio 0.026 0.002 0.029 Oklahoma 0.025 0.001 0.026 Oregon 0.075 0.001 0.077 Pennsylvania 0.026 0.004 0.029 Rhode Island 0.011 0.001 0.013 South Carolina 0.024 0.002 0.026 South Dakota 0.024 0.002 0.026 Tennessee 0.018 0.002 0.019 Texas 0.022 0.002 0.024 Utah 0.055 0.002 0.057 Vermont 0.044 0.003 0.047 Virginia 0.014 0.003 0.017 Washington 0.045 0.008 0.05 West Virginia N/A 0.008 0.008 Wisconsin 0.056 0.002 0.059 Wyoming 0.027 0.002 0.029
2017-2018
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.019 0.003 0.023 Alabama 0.008 0.001 0.009 Alaska 0.057 0.008 0.07 Arizona 0.053 0.005 0.058 Arkansas 0.016 0.001 0.017 California N/A 0.007 0.007 Colorado 0.045 0.002 0.047 Connecticut 0.02 0.003 0.023 Delaware 0.013 0.001 0.014 District of Columbia NR NR NR Florida 0.024 0.005 0.029 Georgia 0.026 0.001 0.027 Hawaii 0.031 0.001 0.031 Idaho 0.067 0.004 0.071 Illinois 0.014 0.002 0.016 Indiana 0.007 0.002 0.009 Iowa 0.018 0.002 0.02 Kansas 0.014 0.003 0.017 Kentucky 0.011 0.003 0.014 Louisiana 0.01 0.001 0.011 Maine 0.05 0.003 0.053 Maryland 0.009 0.006 0.015 Massachusetts 0.011 0.003 0.013 Michigan 0.04 0.002 0.042 Minnesota 0.034 0.002 0.035 Mississippi N/A 0.001 0.001 Missouri 0.021 0.002 0.023 Montana 0.039 0.004 0.043 Nebraska 0.015 0.007 0.022 Nevada 0.031 0.001 0.032 New Hampshire 0.027 0.002 0.029 New Jersey 0.02 0.002 0.022 New Mexico 0.015 0.002 0.017 New York 0.01 0.002 0.011 North Carolina 0.018 0.002 0.02 North Dakota 0.031 0.003 0.034 Ohio 0.023 0.002 0.026 Oklahoma 0.018 0.002 0.022 Oregon 0.075 0.001 0.076 Pennsylvania 0.024 0.005 0.028 Rhode Island 0.01 0.001 0.011 South Carolina 0.018 0.002 0.02 South Dakota 0.02 0.002 0.022 Tennessee 0.014 0.001 0.015 Texas 0.018 0.002 0.02 Utah 0.052 0.002 0.053 Vermont 0.036 0.002 0.038 Virginia 0.011 0.004 0.015 Washington 0.039 0.007 0.047 West Virginia N/A 0.002 0.002 Wisconsin 0.052 0.002 0.054 Wyoming NR NR NR
2016-2017
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.018 0.003 0.021 Alabama 0.006 0.001 0.007 Alaska 0.052 0.015 0.068 Arizona 0.049 0.002 0.051 Arkansas 0.013 0.001 0.014 California 0.006 0.005 0.011 Colorado NR 0.002 0.036 Connecticut 0.018 0.003 0.021 Delaware 0.012 0.001 0.012 District of Columbia 0.005 0.006 0.011 Florida 0.021 0.004 0.025 Georgia 0.027 0.001 0.028 Hawaii 0.027 0.001 0.028 Idaho 0.062 0.004 0.065 Illinois NR 0.002 0.014 Indiana 0.008 0.001 0.01 Iowa 0.016 0.002 0.018 Kansas 0.015 0.003 0.018 Kentucky 0.007 0.004 0.011 Louisiana 0.007 0.001 0.008 Maine 0.048 0.002 0.05 Maryland 0.009 0.005 0.014 Massachusetts 0.01 0.003 0.013 Michigan 0.035 0.002 0.037 Minnesota NR 0.002 0.033 Mississippi N/A 0.001 0.001 Missouri NR 0.002 0.022 Montana 0.033 0.004 0.037 Nebraska 0.014 0.007 0.02 Nevada 0.043 0.001 0.044 New Hampshire 0.03 0.002 0.032 New Jersey 0.017 0.002 0.019 New Mexico 0.022 0.001 0.023 New York 0.009 0.002 0.01 North Carolina 0.016 0.001 0.018 North Dakota 0.031 0.002 0.034 Ohio 0.021 0.003 0.024 Oklahoma 0.017 0.002 0.019 Oregon 0.065 0.001 0.067 Pennsylvania 0.019 0.004 0.023 Rhode Island 0.01 0.002 0.012 South Carolina 0.019 0.001 0.02 South Dakota 0.018 0.002 0.02 Tennessee 0.011 0.001 0.013 Texas 0.016 0.002 0.018 Utah 0.049 0.002 0.051 Vermont 0.037 0.002 0.039 Virginia 0.01 0.002 0.012 Washington 0.04 0.009 0.048 West Virginia N/A 0.003 0.003 Wisconsin 0.052 0.003 0.055 Wyoming NR NR NR
2015-2016
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.019 0.002 0.021 Alabama 0.007 0.001 0.008 Alaska 0.047 0.012 0.059 Arizona 0.045 0.002 0.047 Arkansas 0.012 0.001 0.013 California 0.024 0.002 0.025 Colorado 0.043 0.001 0.043 Connecticut 0.017 0.003 0.02 Delaware 0.011 0.001 0.012 District of Columbia 0.004 0.005 0.01 Florida 0.019 0.003 0.022 Georgia 0.018 0.001 0.019 Hawaii 0.025 0.004 0.029 Idaho 0.058 0.003 0.061 Illinois 0.011 0.002 0.014 Indiana 0.011 0.005 0.012 Iowa 0.015 0.003 0.018 Kansas 0.014 0.002 0.016 Kentucky 0.007 0.002 0.009 Louisiana 0.006 0.001 0.008 Maine 0.04 0.005 0.045 Maryland 0.008 0.005 0.013 Massachusetts 0.01 0.003 0.013 Michigan 0.034 0.002 0.036 Minnesota 0.031 0.002 0.034 Mississippi N/A 0.001 0.001 Missouri 0.017 0.002 0.018 Montana 0.034 0.004 0.038 Nebraska 0.014 0.006 0.02 Nevada 0.019 0.001 0.02 New Hampshire 0.024 0.002 0.026 New Jersey 0.016 0.002 0.018 New Mexico 0.012 0.001 0.013 New York 0.007 0.001 0.009 North Carolina 0.01 0.001 0.011 North Dakota 0.03 0.003 0.033 Ohio 0.02 0.002 0.023 Oklahoma 0.015 0.001 0.016 Oregon 0.062 0.001 0.063 Pennsylvania 0.018 0.004 0.022 Rhode Island 0.009 0.002 0.011 South Carolina 0.016 0.001 0.016 South Dakota 0.014 0.002 0.016 Tennessee 0.009 0.001 0.011 Texas 0.014 0.002 0.016 Utah 0.044 0.002 0.046 Vermont 0.055 0.001 0.057 Virginia 0.009 0.003 0.012 Washington 0.036 0.01 0.045 West Virginia N/A 0.002 0.002 Wisconsin 0.029 0.003 0.033 Wyoming 0.022 0.002 0.027
2014-2015
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.020 0.002 0.022 Alabama 0.007 0.001 0.008 Alaska 0.045 0.013 0.058 Arizona 0.046 0.001 0.048 Arkansas 0.012 0.001 0.013 California 0.025 0.002 0.027 Colorado 0.054 0.001 0.054 Connecticut 0.016 0.003 0.019 Delaware 0.009 0.004 0.013 District of Columbia 0.005 0.006 0.011 Florida 0.018 0.003 0.021 Georgia 0.02 0.001 0.021 Hawaii 0.033 0.001 0.033 Idaho 0.062 0.003 0.065 Illinois 0.011 0.003 0.014 Indiana 0.008 0.005 0.011 Iowa 0.014 0.003 0.018 Kansas 0.011 0.003 0.014 Kentucky 0.007 0.002 0.009 Louisiana 0.006 0.001 0.006 Maine 0.039 0.005 0.044 Maryland 0.008 0.004 0.012 Massachusetts 0.011 0.003 0.014 Michigan 0.05 0.003 0.053 Minnesota 0.028 0.002 0.03 Mississippi N/A 0.001 0.001 Missouri 0.018 0.002 0.02 Montana 0.036 0.003 0.039 Nebraska 0.011 0.006 0.016 Nevada 0.011 0.003 0.013 New Hampshire 0.027 0.002 0.029 New Jersey 0.016 0.002 0.018 New Mexico 0.012 0.001 0.012 New York 0.007 0.001 0.008 North Carolina 0.009 0.001 0.01 North Dakota 0.024 0.003 0.027 Ohio 0.018 0.003 0.021 Oklahoma 0.014 0.001 0.015 Oregon 0.058 0.002 0.06 Pennsylvania 0.018 0.003 0.021 Rhode Island 0.009 0.002 0.011 South Carolina 0.01 0.001 0.012 South Dakota 0.015 0.002 0.017 Tennessee 0.009 0.002 0.011 Texas 0.013 0.001 0.014 Utah 0.041 0.002 0.043 Vermont 0.059 0.002 0.061 Virginia 0.008 0.003 0.011 Washington 0.035 0.012 0.046 West Virginia N/A 0.002 0.002 Wisconsin 0.049 0.004 0.053 Wyoming 0.022 0.003 0.025
2013-2014
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.020 0.002 0.021 Alabama 0.006 0.001 0.007 Alaska 0.041 0.012 0.053 Arizona 0.047 0.002 0.049 Arkansas 0.011 0.001 0.012 California 0.031 0.002 0.033 Colorado 0.046 0.001 0.046 Connecticut 0.016 0.003 0.019 Delaware 0.007 0.001 0.008 District of Columbia 0.004 0.011 0.015 Florida 0.017 0.003 0.02 Georgia 0.017 0.001 0.018 Hawaii 0.032 0.001 0.032 Idaho 0.061 0.004 0.064 Illinois 0.01 0.003 0.013 Indiana 0.008 0.004 0.012 Iowa 0.012 0.005 0.017 Kansas 0.019 0.008 0.026 Kentucky 0.006 0.003 0.009 Louisiana 0.007 0.001 0.008 Maine 0.052 0.004 0.055 Maryland 0.007 0.003 0.01 Massachusetts 0.011 0.004 0.015 Michigan 0.054 0.005 0.059 Minnesota 0.017 0.001 0.017 Mississippi N/A 0.001 0.001 Missouri 0.016 0.002 0.018 Montana 0.033 0.003 0.036 Nebraska 0.011 0.006 0.017 Nevada 0.02 0.001 0.02 New Hampshire 0.025 0.004 0.028 New Jersey 0.014 0.002 0.016 New Mexico 0.009 0.002 0.011 New York 0.006 0.001 0.008 North Carolina 0.009 0.001 0.01 North Dakota 0.023 0.003 0.027 Ohio 0.018 0.002 0.02 Oklahoma 0.014 0.001 0.015 Oregon 0.07 0.001 0.071 Pennsylvania 0.017 0.003 0.02 Rhode Island 0.007 0.003 0.01 South Carolina 0.012 0.001 0.014 South Dakota 0.016 0.002 0.018 Tennessee 0.01 0.002 0.011 Texas 0.014 NR NR Utah 0.042 0.002 0.044 Vermont 0.061 0.002 0.062 Virginia 0.004 0.002 0.006 Washington 0.036 0.012 0.047 West Virginia N/A 0.002 0.002 Wisconsin 0.048 0.001 0.049 Wyoming NR NR NR
2012-2013
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.017 0.003 0.019 Alabama 0.006 0.001 0.007 Alaska 0.04 0.016 0.056 Arizona 0.039 0.003 0.042 Arkansas 0.01 0.001 0.011 California 0.028 0.002 0.03 Colorado 0.04 0.003 0.043 Connecticut 0.014 0.003 0.017 Delaware 0.005 0.002 0.007 District of Columbia 0.003 0.013 0.016 Florida 0.014 0.004 0.018 Georgia 0.022 0.001 0.023 Hawaii 0.022 0.003 0.025 Idaho 0.055 0.004 0.059 Illinois 0.048 0.012 0.061 Indiana 0.009 0.004 0.013 Iowa 0.012 0.005 0.017 Kansas 0.009 0.003 0.011 Kentucky 0.005 0.002 0.007 Louisiana 0.005 0.002 0.007 Maine 0.039 0.004 0.043 Maryland 0.007 0.003 0.01 Massachusetts 0.011 0.005 0.015 Michigan 0.053 0.006 0.059 Minnesota 0.016 0 0.016 Mississippi N/A 0.001 0.001 Missouri 0.015 0.003 0.018 Montana 0.03 0.004 0.035 Nebraska 0.011 0.006 0.017 Nevada 0.018 0.007 0.025 New Hampshire 0.023 0.002 0.025 New Jersey 0.012 0.002 0.014 New Mexico 0.002 0.002 0.004 New York 0.006 0.001 0.007 North Carolina 0.007 0.001 0.008 North Dakota 0.018 0.001 0.018 Ohio 0.016 0.004 0.02 Oklahoma 0.012 0.001 0.013 Oregon 0.064 0.002 0.065 Pennsylvania 0.015 0.004 0.02 Rhode Island 0.008 0.004 0.011 South Carolina NR NR NR South Dakota 0.015 0.003 0.018 Tennessee 0.011 0.002 0.012 Texas 0.012 NR NR Utah 0.037 0.002 0.038 Vermont 0.057 0.004 0.061 Virginia 0.004 0.001 0.005 Washington 0.035 0.012 0.046 West Virginia N/A 0.012 0.012 Wisconsin 0.04 0.005 0.045 Wyoming 0.019 0.003 0.023
2011-2012
Location Non-Medical Exemption Rate Medical Exemption Rate Any Exemption Rate
United States 0.014 0.002 0.016 Alabama 0.005 0.001 0.006 Alaska 0.057 0.013 0.07 Arizona 0.035 0.003 0.037 Arkansas 0.008 0.001 0.009 California 0.024 0.002 0.026 Colorado NR NR 0.056 Connecticut 0.01 0.003 0.013 Delaware 0.004 0.002 0.006 District of Columbia 0.008 0.013 0.021 Florida 0.012 0.003 0.015 Georgia 0.012 0.001 0.013 Hawaii 0.038 0.001 0.039 Idaho 0.051 0.003 0.054 Illinois 0.045 0.011 0.055 Indiana 0.009 0.002 0.012 Iowa 0.01 0.005 0.015 Kansas 0.009 0.003 0.013 Kentucky 0.004 0.002 0.006 Louisiana 0.006 0.002 0.008 Maine 0.035 0.004 0.039 Maryland 0.006 0.003 0.009 Massachusetts 0.01 0.004 0.014 Michigan 0.049 0.006 0.055 Minnesota 0.015 0.001 0.016 Mississippi N/A 0.001 0.001 Missouri 0.018 0.006 0.024 Montana 0.026 0.004 0.03 Nebraska 0.01 0.005 0.015 Nevada 0.015 0.002 0.018 New Hampshire 0.019 0.003 0.022 New Jersey 0.011 0.002 0.013 New Mexico 0.02 0.001 0.02 New York 0.005 0.001 0.007 North Carolina 0.007 0.002 0.008 North Dakota 0.01 0.001 0.01 Ohio 0.013 0.002 0.015 Oklahoma 0.01 0.002 0.011 Oregon 0.058 0.002 0.059 Pennsylvania 0.014 0.004 0.018 Rhode Island 0.007 0.003 0.01 South Carolina 0.01 0.001 0.011 South Dakota 0.01 0.002 0.012 Tennessee 0.005 0.002 0.007 Texas 0.01 0.005 0.015 Utah 0.036 0.001 0.038 Vermont 0.054 0.003 0.057 Virginia 0.008 0.003 0.01 Washington 0.042 0.005 0.047 West Virginia N/A 0.002 0.002 Wisconsin 0.041 0.004 0.045 Wyoming NR NR NR
Notes
All states require children to be vaccinated against certain diseases in order to attend public schools, though exemptions are permitted in certain circumstances. All states allow for medical exemptions and most states also allow for religious and/or philosophical (or personal belief) exemptions.
Exemption estimates may include temporary as well as permanent exemptions.
Sources
Vaccination Coverage and Exemptions among Kindergartners. National Center for Immunization and Respiratory Diseases (NCIRD). Updated July 31, 2025.
Definitions
NR : Not reported
N/A : Not applicable; state does not permit non-medical exemptions