• 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.

    Although SB 277 does not allow for personal belief exemptions, it does allow for medical and home schooling/independent study exemptions. The medical exemption can only be obtained from a licensed medical doctor (M.D.) or a doctor of osteopathic medicine (D.O.). There is not a specific form for the medical exemption. Instead, a doctor must generate a letter on official letterhead with the following information:

    • Confirmation that immunization is not recommended based on the child’s physical or medical condition.
    • Identification of which vaccines are being exempted.
    • Astatement of whether the medical exemption is permanent or temporary (and if temporary, the expiration date).
    • Signed and dated by the medical provider.

    Personal belief exemptions filed with San Juan Unified before Dec. 31 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 San Juan Unified, 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:



  • 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 or click here.
    • Rite-Aid provides immunizations for a fee, unless insurance can be billed. Locations within the San Juan Unified 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.
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Last Modified on October 1, 2020