State statutes and regulations related to human papillomavirus vaccination

Figures & data

Table 1. Coding questions and sub-questions.

Question	Code
I. Does state law reference HPV Vaccination?	No Yes
II. Does state law mandate HPV vaccination as a requirement for school entry?	No Yes
II.A If no, does state law exclude HPV vaccination as a requirement for school entry?	No Yes
II.B If no, does state law recommend HPV vaccination or require the development and distribution of materials regarding the HPV vaccination to or for parents?	Offer Recommend Education
III. Does state law incorporate HPV vaccination into its educational curriculum?	No Yes
IV. Does state law establish other HPV vaccination requirements for children?	Youth Camp Assessment Foster Care
V. Does state law establish laws related to consent by minors for STI vaccination?	No Yes
VI. Does state law expressly provide pharmacists with the authority to vaccinate for HPV?	No Yes
VII. Under state law, is HPV vaccination explicitly required to be covered by individual or group insurance plans?	No Yes
VIII. Does state law establish other mechanisms to cover, fund, or reimburse for HPV vaccination?	No Yes
IX. Does state law require the reporting of HPV vaccination data?	No Yes
X. Does state statute or regulation establish special measures, task forces, or special awareness activities related to cervical cancer vaccination?	Public Awareness State Agency Program Strategic Plan

Table 2. Reference to HPV vaccination in relevant statutes and regulations by U.S. States and the District of Columbia, 2018.

State	State Law References HPV Vaccination	# of Statutes*	# of Regulations*
Alabama	No	0	0
Alaska	Yes	0	1
Arizona	Yes	1	0
Arkansas	Yes	0	2
California	No	0	0
Colorado	Yes	5	1
Connecticut	No	0	0
Delaware	Yes	0	1
Florida	No	0	0
Georgia	No	0	0
Hawaii	Yes	4	0
Idaho	No	0	0
Illinois	Yes	3	1
Indiana	Yes	3	0
Iowa	Yes	3	0
Kansas	No	0	0
Kentucky	No	0	0
Louisiana	Yes	1	4
Maine	Yes	0	6
Maryland	Yes	0	1
Massachusetts	Yes	0	2
Michigan	Yes	2	0
Minnesota	No	0	0
Mississippi	Yes	0	1
Missouri	Yes	1	0
Montana	No	0	0
Nebraska	No	0	0
Nevada	Yes	9	0
New Hampshire	Yes	0	1
New Jersey	Yes	1	0
New Mexico	Yes	2	0
New York	No	0	0
North Carolina	Yes	5	0
North Dakota	Yes	1	0
Ohio	Yes	0	1
Oklahoma	Yes	0	1
Oregon	Yes	1	2
Pennsylvania	Yes	2	0
Rhode Island	Yes	0	1
South Carolina	Yes	1	0
South Dakota	No	0	0
Tennessee	No	0	0
Texas	Yes	2	0
Utah	Yes	1	0
Vermont	No	0	0
Virginia	Yes	1	5
Washington	Yes	1	0
West Virginia	Yes	0	7
Wisconsin	No	0	0
Wyoming	Yes	0	3
Washington DC	Yes	2	3

*Laws may include the similar language or requirements across separate individual provisions.

Table 3. States with laws related to school entry, parental education, U.S. States and District of Columbia – 2018.

	State law mandates HPV vaccination as school-entry requirement	State law excludes HPV vaccination as school-entry requirement	State law recommends HPV vaccination for school children	State law requires the development and distribution of materials regarding the HPV vaccination to parents	State law allows the department of health to offer HPV to students	State law requires incorporation of HPV vaccination information into educational curriculum
Arizona		X
Arkansas			X
Delaware			X
Illinois				X
Indiana				X
Iowa						X
Louisiana		X		X
Michigan				X
Missouri				X
New Jersey				X
North Carolina				X
Rhode Island	X
South Carolina		X		X	X
Texas				X		X
Virginia	X			X
Washington				X
West Virginia		X	X
Wyoming			X
Washington DC	X			X
State Total	3	4	4	12	1	2

Table 4. States with laws that promote vaccine access, U.S. States and District of Columbia – 2018.

	State law allows consent by minors for STI vaccination	State law expressly provides pharmacists with the authority to vaccinate for HPV	HPV vaccination is explicitly required to be covered by individual or group insurance plans under state law	State law establishes other mechanisms to cover, fund, or reimburse for HPV vaccination
Alaska				X
Colorado			X	X
Hawaii		X
Illinois	X		X	X
Indiana		X
Iowa		X
Louisiana				X
Maine				X
Maryland				X
Massachusetts				X
Mississippi				X
Nevada			X	X
New Hampshire				X
New Mexico			X	X
Ohio				X
Oklahoma				X
Oregon			X
Pennsylvania				X
Utah	X
West Virginia		X		X
Wyoming		X
Washington DC		X
State Total	2	6	5	15

Table 5. Inclusion and exclusion criteria flow chart.