MA S2623

Creates new Chapter 111P establishing standardized immunization requirements for "covered programs" including child care centers, K-12 schools (public, private, charter), recreational camps, and higher education institutions, effective July 1, 2026

Establishes two exemption types requiring Department of Public Health approval: medical exemptions (certified by a provider with established patient relationship) and religious exemptions (requiring notification to participant's primary care provider); exemptions valid for maximum 1 year

Requires all covered programs to annually report immunization and exemption rates to the Department, which must publish data by program, district, municipality, and county on its website

Designates programs that fail to achieve herd immunity or report data as "elevated risk programs," requiring notification to parents within 10 days, mandatory informational presentations within 45 days, and potential exclusion of unimmunized participants

Mandates daily public reporting of immunization data during declared public health emergencies, broken down by age, geography, and demographic indicators including race, income, disability, and housing status