A paper published online on January 20, 2015 in the Journal of the American Medical Association explores 24 legislative options in five categories currently being used by states. The paper also offers evidence-based suggestions within each category for how to impact the strength of the vaccination requirement and the number of exemptions.
The five categories are:
- The type of exemption
- The populations impacted by the law
- The documentation and filing process required for submitting exemption applications
- The review process for exemption applications
- The availability of appeals and penalties