Massachusetts Law Regarding Vaccination in the Daycare Setting
Massachusetts law honors both medical and religious exemptions to vaccination.
Medical exemptions are signed by doctors on a vaccine-by-vaccine basis and reviewed annually. They are granted for medically-recognized contraindications.
Religious exemptions in Massachusetts are honored regardless of tradition, even if you stray from the orthodox teachings of your tradition. Though some school districts will request the signature of clergy with this exemption, no such authorization is required, as this exemption is filed by you and should be respected on that basis. There is no standard exemption letter in use across the state; rather, parents need to write and submit their own letters, including language such as “I am exempting my child from vaccination because it conflicts with my sincerely held religious belief.” We recommend that those claiming a religious exemption include the Mass. General Law language below in their exemption letter, both to serve as a reminder to school authorities of the law as well as to serve notice that you are aware of your rights regarding this issue.
Here is the language of the law:
IMMUNIZATION REQUIREMENTS FOR GROUP DAY CARE AND
SCHOOL AGE CHILD CARE PROGRAMS
Regulations Of The Department of Early Education and Care
102 CMR 7.00: Standards For The Licensure Or Approval Of Group Day Care And School Age Child Care Programs (7/10/97)
Section 102 CMR 7.09(5)(a) Required Medical Examinations in Group Child Care Programs
“The licensee shall require, at admission, a physician’s certificate that each child has been successfully immunized in accordance with the current Department of Public Health’s recommended schedules against diphtheria, tetanus, pertussis (whooping cough), poliomyelitis, measles and such other communicable diseases as may be specified from time to time by the Office. No child shall be required, under 102 CMR 7.00 to have any such immunization if his parent(s) objects thereto, in writing, on the grounds that it conflicts with their religious beliefs or if the child’s physician submits documentation that such a procedure is contraindicated.”
NOTE: While religious and medical exemptions are honored in Massachusetts, school officials retain the authority to exclude unvaccinated students from school for a period of time following the positive identification of a case of a vaccinated disease. Visit the MDPH site for a schedule of exclusion periods.
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