A health care provider bandages a child after giving a vaccination shot. (Photo by Scott Housely/CDC)

A pair of Wisconsin Republicans want to increase awareness of the state’s vaccine exemptions by requiring waiver forms be given to parents with the health forms they receive from schools and child care center providers. 

Coauthors of the bill Rep. Lindee Brill (R-Sheboygan Falls) and Sen. Rachael Cabral-Guevara (R-Appleton) said in a cosponsorship memo that there is a “lack of transparency” around the exemptions that “can create confusion and unnecessary barriers for parents” and “increase administrative burden on schools when immunization documentation is incomplete or delayed.” 

Wisconsin law requires children in elementary, middle, junior or senior high school, a child care center, or a nursery school to get vaccinated for various diseases based on their grade or age. The vaccine and booster schedule covers mumps, measles, rubella, diphtheria, pertussis, poliomyelitis and tetanus. 

Wisconsin allows parents to get the requirement waived if they submit a written statement objecting for reasons including health, religious or personal conviction. 

Lawmakers noted that the bill would not change current requirements for vaccines. The bill would require schools, child care centers and nursery schools to create a process to present a vaccine waiver form with each health-related form it requires before a student can be enrolled.

“Many parents are unaware of this right or are unclear about how to obtain that waiver and feel pressured to make medical decisions for their children that they otherwise would not have,” Brill said in a statement. “This bill ensures that schools make parents aware of the rights already afforded them by Wisconsin law and include information about the waiver from the vaccine requirement and a procedure for presenting it in any required pre-enrollment health-related forms.”

The proposal comes as Wisconsin’s vaccination rates have not caught up with pre-pandemic levels. According to a 2024 U.S. Centers for Disease Control report, Wisconsin is falling behind other states in childhood immunizations for illnesses including polio, pertussis, diphtheria and tetanus, and measles, mumps and rubella. 

The decline in vaccine rates is partially to blame for diseases, including measles and pertussis, increasing across the country, according to health officials. 

According to the Wisconsin Department of Health Services, 86.4% of students met the minimum immunization requirements during the 2024-25 school year — a 2.8 percentage-point decrease from the prior year. The agency also reports that 6.7% of students had a waiver for one or more immunizations, representing a 0.6 percentage-point increase from last year, though the number of students waiving all vaccines fell to 1.3%. 

Amid falling rates, DHS officials have ramped up efforts to encourage vaccinations to help improve effectiveness. 

Wisconsin has one of the lowest measles vaccination rates in the country, with only Alaska falling below it. One dose of the MMR vaccine, which fights measles, provides approximately 93% protection, while two doses are about 97% effective.

As measles vaccine rates have fallen, cases of the highly contagious disease have hit the highest level in 33 years, according to the CDC with 1,288 cases this year. More than 150 people have been hospitalized from measles, and three people have died this year. No cases have been reported in Wisconsin so far, but its neighboring states, including Illinois and Minnesota, have had cases.

The lawmakers’ efforts to increase awareness of vaccine exceptions comes amid a national wave of skepticism to vaccination, including from U.S. Health Secretary Robert F. Kennedy Jr., who is a leading and prominent vaccine skeptic and was appointed by President Donald Trump this year. 

Brill thanked Kennedy for his work on his “Make America Health Again” agenda in her statement about the bill.

Cabral-Guevara, a board certified family nurse practitioner, has supported legislation that would loosen vaccine requirements before including a 2024 bill that would have allowed immunization exemptions at higher education institutions without documentation. 

The bill passed the Senate and Assembly, but was vetoed by Gov. Tony Evers, who said in a veto message that he objected to “the Wisconsin State Legislature’s efforts to micromanage decisions to respond to public health incidents and restrict existing tools available to higher education institutions to keep students, faculty, staff safe and healthy on their campuses.”