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---
type: "Bill"
title: "Immunizations: medical exemptions."
description: "Existing law prohibits the governing authority of a school or other institution from admitting for attendance any pupil who fails to obtain required immunizations within the time limits prescribed by the State Department of Public Health. Existing law exempts from those requirements a pupil whose parents have filed with the governing authority a written statement by a licensed physician to the effect that immunization is not considered safe for that child, indicating the specific nature and probable duration of their medical condition or circumstances, including, but not limited to, family medical history."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20192020"
identifier: "SB 276"
citation: "California SB 276 (20192020)"
classification: ["bill"]
subjects: ["Immunizations: medical exemptions."]
status: "enacted"
primary_sponsors: ["Pan"]
version_count: 10
action_count: 31
vote_count: 8
first_action: "2019-02-13"
last_action: "2019-09-09"
source: "openstates"
source_identifier: "ocd-bill/244f62ae-bd16-475c-bce8-09f15f352a0d"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200SB276"
source_hash: "d5e2a6d2831d022feadc27d1352bfda37c962c54a46aab86ec2d05fa19fc30f0"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ca"]
---
# California SB 276 (20192020) — Immunizations: medical exemptions.
Existing law prohibits the governing authority of a school or other institution from admitting for attendance any pupil who fails to obtain required immunizations within the time limits prescribed by the State Department of Public Health. Existing law exempts from those requirements a pupil whose parents have filed with the governing authority a written statement by a licensed physician to the effect that immunization is not considered safe for that child, indicating the specific nature and probable duration of their medical condition or circumstances, including, but not limited to, family medical history.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/13/19 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB276&version=20190SB27699INT)
2. **03/25/19 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB276&version=20190SB27698AMD)
3. **04/09/19 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB276&version=20190SB27697AMD)
4. **04/30/19 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB276&version=20190SB27696AMD)
5. **05/17/19 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB276&version=20190SB27695AMD)
6. **06/17/19 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB276&version=20190SB27694AMD)
7. **07/01/19 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB276&version=20190SB27693AMD)
8. **09/09/19 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB276&version=20190SB27691CHP)
9. **SB276** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200SB276)
10. **09/06/19 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB276&version=20190SB27692ENR)
## Votes
- SB 276 Pan Senate Third Reading By GONZALEZ — **4819** (pass) · lower
- Do pass as amended and be re-referred to the Committee on [Appropriations] — **92** (pass) · lower
- Do pass. — **114** (pass) · lower
- Placed on suspense file — **60** (pass) · upper
- Unfinished Business SB276 Pan et al. Concurrence — **2811** (pass) · upper
- 3rd Reading SB276 Pan et al. — **2410** (pass) · upper
- Do pass as amended — **42** (pass) · upper
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **72** (pass) · upper
## Sponsors
- Pan — primary (person)
- Aguiar-Curry — coauthor (person)
- Chiu — coauthor (person)
- Cooper — coauthor (person)
- Gonzalez — principal coauthor (person)
- Quirk — coauthor (person)
- Wiener — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-02-13** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2019-02-14** From printer. May be acted upon on or after March 16.
- **2019-02-21** Referred to Com. on RLS. `referral-committee`
- **2019-03-25** From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS. `reading-1, reading-2, amendment-passage, committee-passage, referral-committee`
- **2019-04-03** Re-referred to Com. on HEALTH. `referral-committee`
- **2019-04-05** Set for hearing April 24.
- **2019-04-09** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `reading-1, reading-2, amendment-passage, committee-passage, referral-committee`
- **2019-04-29** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 7. Noes 2. Page 848.) (April 24). `committee-passage-favorable, committee-passage, amendment-passage`
- **2019-04-30** Read second time and amended. Re-referred to Com. on APPR. `reading-1, reading-2, amendment-passage, referral-committee`
- **2019-05-10** Set for hearing May 13.
- **2019-05-13** May 13 hearing: Placed on APPR. suspense file.
- **2019-05-14** Set for hearing May 16.
- **2019-05-17** From committee: Do pass as amended. (Ayes 4. Noes 2. Page 1094.) (May 16). `committee-passage-favorable, committee-passage, amendment-passage`
- **2019-05-17** Read second time and amended. Ordered to second reading. `amendment-passage, reading-1, reading-2`
- **2019-05-20** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2019-05-22** Read third time. Passed. (Ayes 24. Noes 10. Page 1208.) Ordered to the Assembly. `passage, reading-3, reading-1`
- **2019-05-22** In Assembly. Read first time. Held at Desk. `reading-1`
- **2019-06-10** Referred to Com. on HEALTH. `referral-committee`
- **2019-06-17** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `reading-1, reading-2, amendment-passage, committee-passage, referral-committee`
- **2019-06-27** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 2.) (June 20). `committee-passage-favorable, committee-passage, amendment-passage`
- **2019-07-01** Read second time and amended. Re-referred to Com. on APPR. `reading-1, reading-2, amendment-passage, referral-committee`
- **2019-07-10** July 10 set for first hearing. Placed on APPR. suspense file.
- **2019-08-30** From committee: Do pass. (Ayes 11. Noes 4.) (August 30). `committee-passage-favorable, committee-passage`
- **2019-09-03** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2019-09-03** Assembly Rule 63 suspended. (Ayes 51. Noes 15. Page 2970.)
- **2019-09-03** Read third time. Passed. (Ayes 48. Noes 19. Page 2970.) Ordered to the Senate. `passage, reading-3, reading-1`
- **2019-09-03** In Senate. Concurrence in Assembly amendments pending.
- **2019-09-04** Assembly amendments concurred in. (Ayes 28. Noes 11. Page 2472.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable`
- **2019-09-06** Enrolled and presented to the Governor at 1 p.m.
- **2019-09-09** Approved by the Governor. `executive-signature`
- **2019-09-09** Chaptered by Secretary of State. Chapter 278, Statutes of 2019.
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/244f62ae-bd16-475c-bce8-09f15f352a0d`. Confidence: reported (aggregated from official California legislature records).