Required Immunizations

Information about SB 277

In June 2015, Gov. Jerry Brown signed Senate Bill 277 (SB 277) into law. The legislation provides that parents and guardians will no longer be able to refuse to vaccinate their children based on personal belief exemptions if their children attend public or private school. The law went into effect January 1, 2016.

MEDICAL EXEMPTIONS 2021 (SB 276 and SB 714: An act to amend Sections 120370, 120372, and 120372.05 of the Health and Safety Code, relating to public health.)

  • For admissions on or after January 1, 2021, what is required for a medical exemption to a required immunization?
  • Starting January 1, 2021:

    • Medical exemptions can only be issued through the California Immunization Registry – Medical Exemption website (CAIR-ME) by physicians licensed in California. 
    • Schools and child care facilities may only accept from parents new medical exemptions that are issued using CAIR-ME.
  • Are medical exemptions filed for children in attendance at a California child care facility or school before 2021 valid in later years?
  • A medical exemption filed at a pre-kindergarten facility or school remains valid until the earliest of:

    • When the child enrolls in the next grade span (TK/K-6th grade, 7th-12th grade)
    • The expiration date specified in a temporary medical exemption
    • Revocation of the exemption because the issuing physician has been subject to disciplinary action from the physician’s licensing entity.

Personal belief exemptions filed with Gateway Community Charters before January 1, 2016 will remain in effect until the student enters transitional kindergarten/kindergarten or seventh grade, according to grade spans defined by the law.

Students who do not have proof of required immunizations when called for (at time of enrollment in Gateway Community Charters, at time of promotion to transitional kindergarten/kindergarten and/or at time of promotion to seventh grade) will not be allowed to attend school until proof is provided.

Helpful Links:

California Department of Public Health’s website dedicated to school immunizations - Shots for School 
EdSource article about California Vaccination Laws 
California Immunization Handbook

Immunization Requirements

Ed.Code § 49403 and 48216, District Policy 5141.3

State law requires that for unconditional admission to school, all students under 18 shall be fully immunized according to requirements of the California Department of Health Services.

Immunizations required for admission to kindergarten:

  • Polio
  • DPT - Diphtheria/Pertussis(whooping cough)/Tetanus
  • MMR - Measles(rubeola)/Mumps/Rubella(3-day measles)
  • Hepatitis-B
  • Varicella (Chickenpox)

Admission to 7th grade requires proof of immunization for:

  • MMR - booster (if not received at a younger age)
  • Varicella- booster (if not received at a younger age)
  • Tdap - booster (1 dose on or after the 7th birthday)

All other entering students not fully immunized according to district policy and the schedule provided by the state Department of Health Services may be admitted only on the condition that they obtain any additional immunization(s) within specified time periods.

Helpful Links:

CDC Recommended Immunizations for Children, Birth to 6 Years (PDF)
CDC Recommended Immunizations for Children, 7 to 18 Years (PDF)

Immunization Resources

Those who have health insurance can visit their health care provider for immunizations. However, we recognize that not all of our families have adequate access to health care, and have made sure there are low-cost and free options for families that need them. Please consider the following options:

  • The Health on Wheels mobile health clinic operated by Elica Health Centers provides free physical exams and immunizations to uninsured students. They also accept most insurances, including Medi-Cal. For more information about the Health on Wheels clinic, call Elica Health Centers at (916) 454-2345, email This email address is being protected from spambots. You need JavaScript enabled to view it. or click here.
  • Rite-Aid provides immunizations for a fee, unless insurance can be billed. Locations within the Gateway Community Charters boundaries include 2214 El Camino Ave., Sacramento; 4701 Whitney Ave., Carmichael; and 1309 Fulton Ave., Sacramento. More information at
  • Sacramento County’s Immunization Assistance Program might be able to help your family. Please call (916) 875-7468 for more information.

Click here for a full list of fee-based and low-cost options across the Sacramento region.


Medical Exemptions