
In December 2020, the District of Columbia passed a bill allowing children aged 11 and above to receive certain vaccinations without parental consent. The bill, known as the Minor Consent for Vaccinations Amendment Act of 2020, was introduced in response to the country's 2019 measles outbreak and aimed to increase access to vaccines for minors whose parents may refuse to vaccinate them. The bill faced opposition from some parents and organizations, who argued that it violated parental rights and medical consent rights. However, supporters of the bill, including the D.C. chapter of the American Academy of Pediatrics, believed it was necessary to protect the health and well-being of children in the district.
| Characteristics | Values |
|---|---|
| Name of the bill | B23-0171 |
| Other names | Minor Consent for Vaccinations Amendment Act of 2020 |
| Passed by | Council of the District of Columbia (D.C. Council) |
| Passed on | 17 November 2020 |
| Passed with | 10-3 vote |
| Applicable to | Minors 11 years of age or older |
| Applicable if | The minor is capable of meeting the informed consent standard and the vaccination is recommended by the United States Advisory Committee on Immunization Practices |
| Other requirements | The vaccination must be provided in accordance with the recommended vaccination schedule |
| Requirements for consent | The minor should be able to comprehend the need for, the nature of, and any significant risks ordinarily inherent in the medical care |
| Requirements for doctors | Submit the immunization record directly to the school if the parent is utilizing a religious exemption or is opting out of receiving the Human Papillomavirus vaccine |
| Requirements for schools | Keep the immunization record confidential and share it with the Department of Health or the school-based health centre |
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What You'll Learn
- The bill allows children 11 years or older to receive vaccines without parental consent
- Doctors can vaccinate children if they are deemed capable of giving informed consent
- The bill was passed in response to the 2019 measles outbreak
- The bill requires insurance companies, vaccine providers, and schools to conceal the fact that the child has been vaccinated from parents
- The bill was passed by the DC Council and signed into law by the mayor

The bill allows children 11 years or older to receive vaccines without parental consent
In late 2020, the District of Columbia Council passed a bill that permits children 11 years of age or older to receive certain vaccines without parental consent. The bill, known as the Minor Consent for Vaccinations Amendment Act of 2020, was introduced in response to the country's 2019 measles outbreak.
Under this legislation, minors 11 and older can receive vaccinations if they are deemed capable of giving informed consent by a doctor. The US Advisory Committee on Immunization Practices' recommended vaccinations schedule must be followed, and the minor must be able to comprehend the need for, the nature of, and any significant risks associated with the medical treatment.
The bill also addresses the handling of immunization records. It requires doctors to submit these records directly to the child's school, bypassing the parents, if the parents have claimed a religious exemption from vaccinations. Additionally, the bill mandates that insurance companies, schools, and medical personnel keep the child's vaccination status confidential from parents.
Supporters of the bill, such as the D.C. chapter of the American Academy of Pediatrics, argue that it helps increase vaccination rates in public schools, which range from 87 to 93 percent but can drop below 85 percent in some charter schools. However, critics view the bill as a violation of parental rights and argue that it removes parents from their children's healthcare decision-making processes.
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Doctors can vaccinate children if they are deemed capable of giving informed consent
In late December 2020, the District of Columbia Council passed a law that allows minors aged 11 and older to receive certain vaccinations without parental approval. This law is called the "Minor Consent for Vaccinations Amendment Act of 2020" or Bill No. B23-0171.
For a minor to be vaccinated under this law, they must be deemed capable of giving informed consent by a doctor. The minor must be able to comprehend the need for, the nature of, and any significant risks ordinarily inherent in the medical care. The vaccination must also be recommended by the United States Advisory Committee on Immunization Practices (ACIP) and provided according to ACIP's recommended immunisation schedule.
If a minor is utilising a religious exemption for vaccinations, the health care provider must submit the immunisation record directly to the minor's school, rather than to the parents. The school must then keep the immunisation record confidential, although it may be shared with the Department of Health or the school-based health centre.
The bill was introduced in early 2019 in response to an outbreak of measles and to circumvent parents who subscribe to anti-vaccine conspiracy theories and refuse to vaccinate their children. It was supported by the D.C. chapter of the American Academy of Pediatrics, which stated that vaccination rates at the city's public schools range from 87 to 93 percent but have fallen below 85 percent at some charter schools.
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The bill was passed in response to the 2019 measles outbreak
In 2019, the United States experienced a measles outbreak, with several states reporting cases and outbreaks. In response to this, the District of Columbia (DC) Council passed a bill, known as B23-0171 or the Minor Consent for Vaccinations Amendment Act of 2020, to allow minors aged 11 and older to receive certain vaccinations without parental approval. The bill was designed to circumvent parents who subscribe to anti-vaccine conspiracy theories and refuse to vaccinate their children, thereby enabling outbreaks of vaccine-preventable diseases such as measles.
The bill was first introduced to the DC Council in early 2019, but it did not gain traction until late 2020. On October 7, 2020, the Health Committee of the DC Council amended and unanimously passed the bill. It was then adopted on first and second readings on October 20 and November 17, 2020, respectively. After mayoral review, it was signed into law on December 23, 2020, and became effective immediately.
The Minor Consent for Vaccinations Amendment Act allows minors aged 11 and older in Washington, DC, to receive vaccines against illnesses such as polio, measles, mumps, and rubella, as well as COVID-19, if a doctor determines they are capable of giving informed consent. The law also requires doctors to send the immunization records directly to the child's school, rather than to the parents, if the parents are claiming a religious exemption from vaccinations.
The bill was met with mixed reactions, with some praising it as a way to increase access to vaccines for minors and protect public health, while others criticized it as a violation of parental rights and a threat to the ability of parents to make healthcare decisions for their children. Despite the controversy, the bill became law in DC, demonstrating the city's commitment to prioritizing public health and vaccine accessibility.
The bill's passage in response to the 2019 measles outbreak highlights the importance of proactive measures to prevent the spread of vaccine-preventable diseases. By enabling minors to make their own vaccination decisions, DC has taken a unique approach to addressing the challenges posed by vaccine hesitancy and anti-vaccine sentiments.
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The bill requires insurance companies, vaccine providers, and schools to conceal the fact that the child has been vaccinated from parents
In late 2020, the District of Columbia Council passed a bill that permits minors aged 11 and older to receive certain vaccinations without parental approval. This bill, known as B23-0171 or the Minor Consent for Vaccinations Amendment Act of 2020, was enacted in response to the country's 2019 measles outbreak.
The bill's proponents argue that it is necessary to circumvent parents who subscribe to anti-vaccine conspiracy theories and refuse to vaccinate their children, thereby enabling disease outbreaks. For example, Council Member Mary Cheh, the primary sponsor of the bill, emphasized that coronavirus vaccines were the main reason for removing parents from the process of vaccinating children. She stated that "it's more important than ever that we reduce any and all barriers to these treatments, and this legislation aims to do just that by increasing access to vaccines for minors who choose to get vaccinated but have not been able to do so."
Opponents of the bill, however, argue that it is a predatory and tyrannical piece of legislation that removes parents from their children's healthcare decision-making. They believe that minor children do not have the emotional maturity or intellectual capacity to make important medical decisions and that the bill violates parental rights.
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The bill was passed by the DC Council and signed into law by the mayor
The "Minor Consent for Vaccinations Amendment Act of 2020" was passed by the DC Council and signed into law by Mayor Muriel Bowser. The bill was first introduced in early 2019 in response to an outbreak of measles in the city. The bill allows minors 11 years of age and older to receive certain vaccinations without parental consent if a doctor determines they are capable of informed consent.
The bill was not without controversy, with some seeing it as a violation of parental rights. There were calls for Mayor Bowser to veto the bill, but it was signed into law nonetheless. The law only applies to the District of Columbia and there is no federal law that allows minors as young as 11 to get vaccinated without parental approval.
The bill was first adopted on October 20, 2020, and November 17, 2020, after which it underwent a mayoral review. It was assigned Act No. 23-532 on December 23, 2020, and transmitted to Congress for its review. The final step before becoming law was for the bill to be sent to the US House of Representatives and the US Senate for a period of 30 days. During this time, Congress could have enacted a joint resolution to prevent the bill from becoming law. However, this did not happen, and the bill became effective in March 2021.
The bill was created in response to the city's 2019 measles outbreak and to increase access to the COVID-19 vaccine. It allows minors 11 and older to receive vaccinations recommended by the US Advisory Committee on Immunization Practices if they meet the informed consent standard. The bill also requires doctors to send immunization records to the child's school, rather than to the parents, if the parents are using a religious exemption to attend school without vaccinations.
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Frequently asked questions
Yes, in December 2020, the DC Council passed a bill that allows children 11 years and older to receive certain vaccinations without parental approval if a doctor deems them capable of informed consent.
The bill number is B23-0171, also known as the Minor Consent for Vaccinations Amendment Act of 2020.
The bill includes vaccines against illnesses such as polio, measles, mumps, rubella, COVID-19, and human papillomavirus.
The primary reason for passing this bill was to increase access to vaccines for minors who want to get vaccinated but have been unable to do so due to parental objections. This was especially relevant during the COVID-19 pandemic.
The bill has been controversial, with some considering it a "predatory bill" that removes parents from their children's healthcare decision-making. There have been petitions and campaigns urging the DC Council to preserve parental choice and vote against the bill.































